medical records and question

wendylaine

Well I got my records from my previous OB to look over with my midwife. For the reasons for the cs it was Failure to progress ( of course I failed to progree when i was induced at 39 weeks and given an epidural and had my water broken before I dialated past a 2) but then he also put on the papers that I had a prominant sacrum and that was probably what blocked progression. I am not sure about this and if it is a valid concern. If so are there things I can do to help it this time with positioning or anything? I am bound and determined to have this baby vaginally but I am also worried that there might be a medical reason why she wouldn't come down after 20 hours of induced labor and if so I do not want to have my hopes dashed after laboring all day just to have another section.

nosoup4u

Lamaze has a good list of healthy birth practices - one of them being upright positions for pushing: https://www.lamaze.org/ChildbirthEducators/ResourcesforEducators/CarePracticePapers/NonsupinePositions/tabid/485/Default.aspx

Definitely talk to your current provider about how open they are to upright positions during labor! hth

Jen&Len

I was told with DS that my pelvic opening was too small...they didn't specify why.  With DD, during the pushing stage, my OB said I had a prominent sacrum and DD wasn't really able to get past it for most of the pushing stage.  They were both sunny side up, which didn't help. 

DS was  a c-section since he was having decels with the pushing and at 2.5 hrs, they called the c-sec since they weren't too comfortable with his heart rate.

 DD held strong and my OB was very pro-VBAC and let me keep pushing.  Luckily, she turned her head sideways at the end of 3 hours of pushing and with the help of a vacuum to get her past my sacrum, I had her vaginally. 

 I know being in a squatting position while pushing opens up the pelvis more (which I didn't do but I think it would have helped).

Luv4Minnesota

Personally, I believe having a prominent sacrum that will actually block a baby from being born vaginally is either a load of crap or very very rare.  Of course it is possible that was the cause of your section, I would bet lots and lots of money that it had much more to do with your induction and failure to wait than anything to do with your body itself.

That being said, as other posters have said, position is everything.  Check out spinningbabies.com for ideas of what you can do while you are pregnant to help the baby get into an ideal position for birth. 

Go for your VBAC!