VBAC

It sounds okay, right?

My doctor told me today again that I can try a BVAC.  She said they won't induce me because it will raise the chance of rapturing.  If I get to 41 weeks with not sign of labor, they'll have to do a c-section.

I thought it sounded okay.  What do you think? 

m/c - Dec 2005, DS - March 27, 2007, m/c - Oct 2009, DD - Feb 20, 2012

Proud mother of two breech babies:)

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Re: It sounds okay, right?

  • I think that's a pretty standard guideline for OB doctors to have when it comes to hospital deliveries. At my doc's office, they have OB's and midwives (I have chosen to go with a midwife), but I was told too that if I don't go into labor on my own by 41 weeks, I will have a repeat C-section. Sounded fair, but I am PRAYING that God and this baby help me out and things happen on their own!
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  • This sounds good compared to what others have been told.  I was induced at 41 weeks, but it sounds like I was one of the lucky ones who was given that option at all.  The risk of rupture with induction is still minimal.  I hope you go before 41 weeks, though!
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  • Ditto to it being pretty standard.  I was allowed to go to 42w and they would have done a light induction, but I was with midwives.  Would they rupture your membranes if you were somewhat favorable as an induction method? 
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  • My Dr had the same plan - although because I had issues at the end with DD, they may not let me get to 41 weeks. DD went into fetal distress and I had complications too. I never did dilate or soften, so there is a good chance I will end up with an RCS. I am thinking of booking it and then hoping I go into labour on my own before that. I don't to go too far past my EDD because DD's 3rd Birthday is 10 days after my EDD and I would like to be able to plan her birthday party and not worry about cancelling it for RCS or labour. I know they won't let me get that far, but if I go a week and then have an RCS then I would be in the hospital on her birthday. So I am hoping to be out and done by then.....
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  • That sounds pretty normal, and it's the same deal I got. Which I think is the best I'm going to do in my area. I'm actually OK with not having Pitocin, since it didn't work out so well for me last time. The 41 weeks I was less than thrilled about, but it was better than the 39(!) the OB said was standard.

    What I've been doing is looking into natural induction techniques, just in case. My doula has mentioned a massage therapist who has a great reputation for getting women laboring, etc. Also at this point I'm drinking tons of raspberry leaf tea, and will start evening primrose oil next week. Even if they don't help, I figure they don't hurt. 

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  • Thank you for your replies:)  I have a history of preterm labor, and I'm more worried about the baby coming too early than too late...  Hopefully, the baby is not breech, and I can make it to my due date...
    m/c - Dec 2005, DS - March 27, 2007, m/c - Oct 2009, DD - Feb 20, 2012

    Proud mother of two breech babies:)

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  • I agree that it's pretty standard.  With DS2 (my VBAC baby), I pushed them to let me go past 41 weeks, 1 day, because that is when I had DS1 (cs baby).  So it was important for me to get past that point.

    Luckily, I didn't get to that point and I had my VBAC baby at 40w, 6d.

    Mama to Elliot (11.09.08) and Jude (09.01.11)
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  • Induction with a lose dose of Pitocin does increase your risk of rupture, but only slightly. I was induced with Pitocin and successfully had a VBAC (with no rupture).

    If it were me, I would wait and go into labor on your own. Your chances of having a successful VBAC are much better if you go into labor on your own.

    I would ask her what her reasons are to not let your pregnancy continue past 41 weeks. ACOG says over 42 weeks is considered "post term." Why won't she let you at least  go to 42 weeks?


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    Induction with a lose dose of Pitocin does increase your risk of rupture, but only slightly. I was induced with Pitocin and successfully had a VBAC (with no rupture).

    If it were me, I would wait and go into labor on your own. Your chances of having a successful VBAC are much better if you go into labor on your own.

    I would ask her what her reasons are to not let your pregnancy continue past 41 weeks. ACOG says over 42 weeks is considered "post term." Why won't she let you at least  go to 42 weeks?


    this.

    it makes me sad and a little angry that all the pps have said this is normal and standard and, worse, fair. not angry at the pps! angry that this is the world we live in where it would be considered normal, standard and fair to deny a woman rights to her body by forcing her into an unnecessary c/s because her pregnancy has reached an artificial expiration date. these dates are guess at when the baby might arrive and not a medical fact. it's just an average and there are ways to assess the health of both baby and placenta without forcing it to an abrupt end via surgery.

    in addition to asking your doctor the above question, i would also ask about doing frequent NSTs past 41 weeks. anything that will buy you time and not box you into a random date on the calendar. 

    good luck! 

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