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Re: A REPOST Vaginal birth after c-section vs. Elective repeat c-section/ VBAC vs. ERC

From: Clesia (anonymous@obgyn.net)
Sat, 29 Jun 2002 16:35:22 -0500 (CDT)


I also had a VBAC and would highly recommmend having one as well. I was induced with my first child after going only two days over. My doctor told me that he was concerned about the size of the baby and my cervix size. Anyway, I went through about 27 hours of labor and finally would not dilate past 8 cm. I had my second child vaginally after being induced a week early. My baby was 1.5 pounds lighter and the recovery was 10 times easier and I felt like I bonded with my second child earlier because I was not in as much pain. Good Luck with your delivery!!! At Mon, 24 Jun 2002, 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). Now, I would like
>to avoid general anesthesia above all- but in a true emergency setting,
>there is not time to place an epidural, and I have read that havig an
>epidural in place 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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