Re: VBAC success?

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****Thank you for getting back to me Dr. Hill. Just a few more questions if you don't mind.;-)

>To my knowledge there have been no studies directly looking at uterine prolapse and VBAC. It is probably no higher or lower than a "regular" vaginal delivery.

****I would have to agree with you here. Do you think if there were more studies done in this area it could give Ob/gyns more to go on when doing TOLs (i.e.. if the # of prolapse cases not having an adequate size pelvis, etc..) My records show that I had a small pelvis with converging sidewalls (I was not told this before TOL) One other thing you should know, my delivering Doctor had never met me before so I don't think he was aware of this either.

>I want to be very clear that I am not arguing with your assessment of your labor and delivery. However, every day I hear "horror stories" about labors that were "too long," etc. When I review the records, this is rarely the case. Patients often have perceptions about their labors
and deliveries that are not always based on scientific evidence.

*****Just curious, would you consider 10 hours at 9cm too long with second baby? During this time I had a fever from 101 to 102.5 and the baby was in trouble twice. What would you have done?

And, despite what is published in many women's journals, pregnancy can be extremely hard on a woman's body.

****no doubt!!! ;-)

As you suggest, vaginal prolapse is fairly common after vaginal delivery, VBAC or otherwise. The only real way to prevent this is to not get pregnant. Obviously, this is not acceptable to most couples. Thus, many women end up "carrying" the results of their pregnancy for many years.

****Most days I would say it was worth it but then again...

****I am curious what is considered a successful VBAC delivery? Would this be considered a successful c/s even though as a result I will need additional surgery?

And one more question (sorry !) What would you recommend for my next delivery, my ob/gyn is open to whatever I decide but would like as many opinions as I can get. I do plan on resuspension surgery to lift the uterus and bladder when the time is right and I am afraid that another vaginal delivery will bring things down too far for that to be possible. What are your thoughts on this?

Once again, thank you for taking the time to respond to my post!!!

>Best wishes,
>
>--
>Ashley Hill
>David Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>http://home.mpinet.net/dahmd
>
>The above is intended for general medical education,
>and is not for specific medical advice.
>I apologize, but I am unable to answer personal e-mail
>due to time constraints.
>

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