PREGNANCY-BIRTH Messages for September, 1999: Re: prior c/s's and want VBAC

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Re: prior c/s's and want VBAC

From: Celeste (anonymous@obgyn.net)
Sun, 12 Sep 1999 08:36:51 -0500 (CDT)

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In reply to: Bonnie: "prior c/s's and want VBAC"
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At Sat, 11 Sep 1999, Bonnie wrote: >
>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?

Bonnie, Even though you love your doctor and feel that he is looking out for you and our baby, you may need to find a new doctor. I am pregnant with my 5th child and dealing with some of the same issues. My first was a c/sec., second and third were VBACs, fourth was another c/sec. My plan was to go back to the group of mid-wives who delivered my third. The group of doctors they practice with are possibly willing to give me a "trial of labor". I don't feel a lot of confidence in their voices when they say that. I will most likely change to an ob who is very highly qualified.(chief of obstetrics at her hospital) She takes on all types of cases.(breech, VBAC etc.)Even though I will have to go about an hour for my appts., I know I will be given a fair chance. I too suffered emotionally with my c/secs. All labors are different. Mine sure were. I don't think it's fair that your doctor assumes that your body will do exactly the same thing during your next labor. Give yourself and your baby the fair chance you deserve. I know it is hard to change doctors because you probably feel like you are betraying him. I'm sure you can find a doctor or midwife who will really give you a fair chance. My first VBAC was at a birth center. Wonderful experience! I never dialated past 3cm. with my first labor. Have confidence in your body. Give yourself a fair chance. Read a book called Silent Knife. Sorry this went so long. I'm very passionate about this subject. Feel free to e-mail me if I can be of any support. Good Luck! Celeste> >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

Next message: Celeste: "Re: Confused"
Previous message: Liz: "Confused"
In reply to: Bonnie: "prior c/s's and want VBAC"
Next in thread: vicki: "Re: prior c/s's and want VBAC"

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