PREGNANCY-BIRTH Messages for June, 2002: Re: CPD?

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Re: CPD?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 12 Jun 2002 08:58:07 -0500 (CDT)

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At Tue, 11 Jun 2002, Heather wrote: >
>Hi,
>
>I recently underwent a pretty painful labor (14hrs) where I was told to
>start pushing but was not yet fully dilated. I then had to wait a bit
>and try again. At this time, when I would push the baby's heartrate
>would decelerate and then not accelerate quickly enough. Also, the baby
>passed meconium sometime during this time so the doctor put a vacuum
>extractor on his head to try and get him out quickly. I was at a +2 or
>+21/2 station at this time. This was not successful, so I had to have
>an emergency C-section. I would say the total time I spent pushing was
>20 - 30 minutes; perhaps even less. I know that many women spend hours
>doing this!! This was also my first child.
>
>I asked the doctor if I need to have another C-section if I have another
>child and he said most likely because the baby would not fit. I feel as
>though I could have done things better, like push harder or walk around
>during labor (I could not, it was too painful and I could only lie on my
>left side). I don't know if he is just saying this because it is easier
>to do, and also my hospital no longer performs VBAC's because they don't
>have a 24 hour anesthesiologist on staff.
>
>I am just looking for a second opinion.
>
>Thank you!
>
>--
>Heather
>

Whether or not a baby will come out is dependent on a lot of things other than just sheer size. The reason that 70% of VBACs are succesful is because the next pregnancy is different, different baby, perhaps smaller (oddly enough, sometimes bigger), maybe better contractions, maybe a week or two earlier, maybe no meconium, maybe better presentation of the head, maybe more motivated mom, maybe, maybe, maybe. I believe VBAC is worth a try the great majority of the time. Of course, if your hospital doesn't do them anymore (thank you personal injury lawyers), then you are going to have to go somewhere else to try one if you want.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: Pregnancy/PMS Symptoms - delayed period?"
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