VBAC with a narrow pelvis

Lesley0228

I'm curious if anyone has had a vbac after being told you had a narrow pelvis.

In retrospect, I feel like I was set up to fail due to being induced (for no medical reason) at 40 weeks, 3 rounds of cervadil, followed by pitocin and having my water broken. I was only at 2 cm 12 hrs after starting pitocin and had a c-section. I can't help but be angry with myself for just going along with the doctor's suggestions, though at first the narrow pelvis diagnosis made me feel better because it made me feel like my c-section was inevitable. The further out I get from my c-section, the more I question my dr. My dr told me at my 6 week check up that I was not a vbac candidate. I have switched to a new practice (the most vbac friendly local one I could find) and have my first appt next month. I'm not planning to TTC until next summer, but I would like to address vbacs at this first appt. Could anyone give me advice on how to proceed or what to ask the new dr specifically relating to a narrow pelvis diagnosis? TIA!

babyike

How and when was your narrow pelvic diagnosis made?  If it was made your prior OB... then I'd get a second and possibly third opinion (preferably from an orthopedic specialist).  It is exceptionally rare to have a true diagnosed pelvic disproportion.  If you do however fall into this small percentage, check out this link from NIH and bring it up at your VBAC provider interviews to see what they say.

https://www.ncbi.nlm.nih.gov/pubmed/20927742

HTH and GL!

Lesley0228

babyike:

How and when was your narrow pelvic diagnosis made?  If it was made your prior OB... then I'd get a second and possibly third opinion (preferably from an orthopedic specialist).  It is exceptionally rare to have a true diagnosed pelvic disproportion.  If you do however fall into this small percentage, check out this link from NIH and bring it up at your VBAC provider interviews to see what they say.

https://www.ncbi.nlm.nih.gov/pubmed/20927742

HTH and GL!

My prior OB told me that I had a long and narrow pelvis the morning after my c-section. I am bothered by the fact that it was Friday at 7pm when the c-section was discussed and my OB was the one on-call for the weekend from her practice and the fact that a lactation consultant scoffed at this particular OB telling me I had a narrow pelvis. Who wants to think their dr isn't giving them the best possible information? Thanks for the link. I'll ask my new OB about an orthepedic specialist. Fortunately, I have some time to work on this. I know my family thinks I'm crazy for worrying about a vbac already when I'm not even TTC.

babyike

Lesley0228:

babyike:

How and when was your narrow pelvic diagnosis made?  If it was made your prior OB... then I'd get a second and possibly third opinion (preferably from an orthopedic specialist).  It is exceptionally rare to have a true diagnosed pelvic disproportion.  If you do however fall into this small percentage, check out this link from NIH and bring it up at your VBAC provider interviews to see what they say.

https://www.ncbi.nlm.nih.gov/pubmed/20927742

HTH and GL!

My prior OB told me that I had a long and narrow pelvis the morning after my c-section. I am bothered by the fact that it was Friday at 7pm when the c-section was discussed and my OB was the one on-call for the weekend from her practice and the fact that a lactation consultant scoffed at this particular OB telling me I had a narrow pelvis. Who wants to think their dr isn't giving them the best possible information? Thanks for the link. I'll ask my new OB about an orthepedic specialist. Fortunately, I have some time to work on this. I know my family thinks I'm crazy for worrying about a vbac already when I'm not even TTC.

IMO, now is the perfect time for you to start researching your options and planning your VBAC   I hope you get good vibes at your upcoming appt!

And we all did what we thought was best based on the information we had when we had our c-sections, so no judging here.  We can however take what we've learned and make our next pregnancies/births different and more positive experiences  

nosoup4u

It's harder to plan for a VBAC than a repeat vaginal birth, so it's definitely good you're looking into options now! And I would be skeptical of having a "narrow pelvis" diagnosis, too...this is a good link: https://www.ican-online.org/community/videos/laureen/question-cpd

My first son was posterior (sunny-side up), and just wouldn't come out - I pushed for 4+ hours. I was really concerned about positioning with DS2's pg, and went to a chiropractor, made sure to stay active, and figured out how to palpate myself so I knew how he was lying. He ended up being 10lb+, and came out just fine vaginally. So maybe also think about finding a chiropractor who specializes in pg women and the Wbester Technique, just to be able to cover all your bases when you do get pg again. Good luck!