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Vbac too risky for my history?From: Kathleen (anonymous@obgyn.net)Thu, 29 May 2003 21:08:15 -0500 (CDT)
I am 39 years old at 38 weeks pregnant and this is my second baby. My first baby was c-section due to fever with group b strep (after 12+ hours ROM)and failure to progress past 8 cm. She never came all the way down (was a bit tangled in cord and posterior). I felt I was really rushed into that c-section and was never told how high the fever was (and was it really due just to the epidural). Baby was totally fine. I want to vbac, yet here are the things ONE of the docs of my group (the ultra conservative founder) is really concerned about-he really wants me to have a c-section: "Risk" factors: *group b strep positive again *vbac-risk of uterine rupture *had incarcerated uterus which was repositioned at 14 weeks *have a prominent sacral promontory *baby still high at 38+ weeks, and always is posterior *have history of sacro-iliac instability due to old back injury Do you see my history and current condition as that which strongly indicates a high risk for vbac delivery? I guess I am focused now on the sacral promontory issue-will that make me more likely to rupture due to uterus having to work any harder to get baby to negotiate the birth canal? I searched the archives and can find almost nothing regarding this issue. I can not sleep for worrying about having another c-section that may be unnecessary. Thanks so much!!!!!!
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