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prior c/s's and want VBACFrom: 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
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