PREGNANCY-BIRTH Messages for June, 2002: Re: C-Secton after 2 VBACS? For Dr. Kelly Shannon or anyone

Re: C-Secton after 2 VBACS? For Dr. Kelly Shannon or anyone

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Jun 2002 19:22:30 -0500 (CDT)

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In reply to: Cindy: "Re: C-Secton after 2 VBACS? For Dr. Kelly Shannon or anyone"

>>>
>>>Currently I am 13 weeks pg and have had my regular checkups. Dr says
>>>that change in protocol says that I can't be induced because of first
>>>child C-Section. Reason for my being concerned is that with the last
>>>two vanginal births,(the last one being 5 years ago)I had to use pitocin
>>>to even get my labor to progress after days of labor on my own. Dr.
>>>said that the reason being is chance of uterine rupture.
>>>Is this right? I don't want to have another c-section as vb's are so
>>>much easier even with the days of labor.
>>>Any advice would be helpful.
>>>Thanks ,
>>>Cindy
>>
>>many hospitals now no longer offer VBACs, mainly due to the legal
>>climate (the rupture rate of 1 - 2% hasn't changed over the years,
>>although the risk is a bit higher if labor is induced)
>>
>>since you have successfully VBACed before, you may want to transfer care
>>to a facility that is equipped to do VBACs (bascially a larger hospital
>>with 24 hour a day in-house ob AND anesthesia AND a staffed and aready
>>operating room in case the proverbial you-know-what hits the fan)
>:)
>
>I was actually wondering why I wouldn't be able to be induced, you see a
>person can only take so many days of unproductive labor before she wants
>to pull her hair out. They will let me go VBAC, but they won't induce
>me, that is the reason that the c-section might be the answer. No
>pitocin, and Cindy may get divorced, because her husband won't be able
>to stand her!
>Any helpful advice to get labor to work for me without it? I did the
>walking and it did make them stronger, but still never got me where it
>should have been.
>Doc did say that she would break my water if it was possible, it took 7
>hours of pitocin to even get my son 1/4 of the way down the birth canal
>and dialated to 1 cm, which the water was then broken and he was born 45
>minutes later. That was after 5 days of really unproductive labor. See
>my dilemma?
>First c-secton 16 years ago.
>Cindy
>Seattle WA.

Cindy

I think doc will use pit once you are in labor. That is augmentation of labor and is ok to do during a vbac.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: yellow discharge"
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In reply to: Cindy: "Re: C-Secton after 2 VBACS? For Dr. Kelly Shannon or anyone"

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