search:

prior c/s's and want VBAC

From: Bonnie (anonymous@obgyn.net)
Sat, 11 Sep 1999 16:41:25 -0500 (CDT)


Hello- I am at a crossroads and need some advice. I have my complete medical records so this is as accurate as I can be.

History: first pregnancy induced at about 36 weeks for pre ecclampsia. Pitocin introduced and internal monitor. I laid on my side the entire labor and dialated to 5cm's. This occured in the time of 9 1/2 hrs. Pelvic exam before induction showed no dialation. Putcome- c section 12 hrs after labor induced.

10 months after this c/s I had a meeting with the OB that delivered the first child and asked about childbirth in next pregnancy- answer was that there was no reason I could not ahve a vaginal birth next time.

second pregnancy- at 17 weeks I was told- by same OB- that I neede a scheduled c/s- no reason given except that my only dialating 5 and then stopping was indicative of a labor yet to come. c/s scheduled and carried out. I had no education of labor and delivery or pregnancy to question what was happening.

third pregnancy- I am now 24 weeks pregnant and much better prepared. I went into my first prenatal meeting with the same OB practice/ different doctor- he was excited I wanted a VBAC. We discussed and planned this. I recieved a call mid week of the same week from the OB that delivered both prior pregnancies- he protested my VBAC and convinced the other 6 doctors of this.

Reasons: prior labor in first child only dialated to 5 cms.... something about the e spines not opening- he felt this during pelvics during my first labor (although this is not notated anywhere in my files). Also- I had an abdominal surgery and if they needed to do c/s in a hurry- they could encounter adhesions from that surgery that would cause a slow down and hurt the baby. The surgery was done laparoscopically and when I contacted the surgeon he said that all patients that he had gone back in had shown no adhesions in that area.

My questions: I realize that the unterine rupture rate is higher because of 2 prior c/s's by around 1%- but is that worth sched. a c/s?

Also- is this a valid reason: the spines not opening during labor before?

Is stopping at 5 cms in a prior labor that my body was not ready for- indicative of another labor?

I want to get another opinion- but do not want to hurt my baby. At the same time- I know that the c/s that was sched. was part of my post partum depression I expereinced last pregnancy.

I do love this doctor- and feel he is only doing what he thinks is best- but with really wanting a trial of labor- do I have reason to seek another practicioner?

Thanks so much, Bonnie




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
Returns per screen: Require all keywords:
Return to [ Pregnancy & Birth Forum ] Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Thu Jun 18 14:26:06 2009

Women's Insurance Checklist from Auto Insurance Quote

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com