PREGNANCY-BIRTH Messages for May, 2000: Re: ? about odds for vbac for baby #2 after csection for cpd the first time around.

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Re: ? about odds for vbac for baby #2 after csection for cpd the first time around.

From: anonymous@obgyn.net
Thu, 11 May 2000 13:34:29 -0500 (CDT)

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In reply to: Lisa: "? about odds for vbac for baby #2 after csection for cpd the first time around."

At Thu, 11 May 2000, Lisa wrote: >
>I was induced at 41 weeks for my first son. I dilated to 10 and pushed
>for 2 hours but it was determined that he was too large to deliver
>vaginally. I did not have an epidural and pushed in many different
>positions to try to get him out. Althought they could see his head, it
>didn't crown. He was delivered via csection after 17 hours of labor and
>weighed 9 lbs 9 oz. When he was born he had dents in both ears and a
>bruise on the bridge of his nose. His head did not mold at all.
>
>I am currently 29 weeks pregnant and am measuring a bit large for my
>date at this point. I have tentatively scheduled a section for 39
>weeks. I have read a lot of the literature that is out there and it
>seems the odds are about 60% for a vbac. I just wanted to see if anyone
>had anything to add.
>
>I don't really have a problem with a trial of labor however my MD's in
>my practice don't think the odds are good that I would be able to
>deliver vaginally. They are more than willing to let me try if I want
>to.
>
>I would love opinions on this.
>
>Thanks again.
>
>--
>Lisa
>

The odds for a successful VBAC in the general population is around 60-70%, but that includes people who had sections for breech presentation, or fetal distress or things that do not reflect the mother's pelvis and the size of the baby. Your personal chance of success, assuming that your baby is in the same ballpark as your first size wise would have to be considered markedly lower. This is going to be a last minute call. You and your doctors will make a best guess estimate of the fetal size when you are near term, and using that info, their clinical impression of your pelvis, and your personal wishes, you will have to make a descision about how you want things to proceed. Good Luck!

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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In reply to: Lisa: "? about odds for vbac for baby #2 after csection for cpd the first time around."

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