Re: A REPOST Vaginal birth after c-section vs. Elective repeat c-section/ VBAC vs. ERC
From: anonymous (anonymous@obgyn.net)
Mon, 24 Jun 2002 12:21:22 -0500 (CDT)
Hi Barb...I just wanted to tell you that I had a VBAC, and I would never
even consider having an elective repeat section (unless, of course,
there was a reason I couldn't, i.e. breech, etc.). EVERYTHING about
the birth was better. Just my humble opinion from someone who has had
both.
By the way, I did have to be induced because I was almost 2 weeks late.
I waited it out as long as possible. I was induced with Prepidil and
then got pitocin the next day. But what really got my labor going was
when my doctor broke my water. Unfortunately I needed an epidural
because with the pitocin it was soooo painful. I tried to go without,
but just couldn't.
I would definately recommend trying a VBAC. You really need a doctor
who will support you with it, though.
By the way, I am so sorry about your last baby.
Barb wrote:
>
>I'm sure that many of you have read the JAMA article on the safety of
>Trial of labor (TOL) after a Caesarian...
>http://jama.ama-assn.org/issues/v287n20/abs/joc11549.html
>
>1. I was wondering if you knew if that study lumped ALL VBACs together,
>including those who were induced.
>
>2. Also, I have heard contradictory reports on which induciton method
>is safer for a VBAC. I have read several places that Pitocin is the
>preferred method because of the greater degree of control (dosage, etc)
>available, whereas elsewhere I saw that some doctors prefer low doses of
>Cervadil. I was under the impressiuon that it was a gel to be smeared
>on the cervix for ripening, but myOB told me that it is actually a strip
>of some kind. Can you clarify this for me?
>
>3. Lastly, I would prefer above all, a drug-free, effortless VBAC
>(lol), but I am a realist and I know that there are chances of an
>induction or another emergency c-section (in my last preg. I had one
>for a placental abruption- the baby did not survive). during the TOL might increase the chances for ERC
>because the epi might slow labor. MY question, is it better to try
>first for an induction-free and drug-free VBAC but risk a section with
>general anesthesia or just opt for the induction or epidural and risk a
>chance of a ERC but with an epi already in place? Any thoughts?
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