VBAC

induced Vbac??

I had a Csection due a pushy dr not wanting to work on his day off and didnt let me try a second round of pitocin. (dont get me started.)

I will 99% need to be induced early with my next pregnancy as well for medical reasons. Is it true that most doctors wont let you VBAC with an induction? 

Re: induced Vbac??

  • It varies by practice.  My doctor will induce with pitocin and/or foley bulb.
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  • As PP said it is going to depend.  Some providers won't do it as a rule, some will allow some forms of induction, some will require that you're actually favorable for the induction to attempt it, others seem to be open to inducing no problem.  You'll have to explore your options to know what's available to you.
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  • I was induced with my VBAC.  Failed foley and then successful pit induction.  Many practices won't do it but it is safe when done correctly.  But I'd ask prior to deciding who your provider is and find one willing to.
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  • I just had a vbac. My water broke on its own at 36w but I was only 1cm when I got to the hospital. They used a foley bulb plus lighter doses of pitocin than they would use if it were not a vbac.


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  • imageRootBeerFloat29:
    It varies by practice.  My doctor will induce with pitocin and/or foley bulb.

    This exactly. 

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  • My doctor will induce if needed.  This was one thing that made me very happy, just knowing that other than monitoring I'm just a regular patient.
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  • My doctor will not do any kind induction at all - I guess maybe stripping membranes but I don't even remember them doing that for my first pregnancy and I was induced at 41w
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  • I had my membranes stripped, which did nothing.  Then I had a pit induction from 1cm with no contractions.  9 hours later, I pushed out the baby. 

    It's all about finding the right provider.

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  • This will vary by practice and by patient. With my second I was originally told by my practice that induction would not be an option if I didn't go into labor on my own. But I ended up progressing enough on my own that when I was showing elevated blood pressures in my 37th week (with pre-e in my first) induction was on the table. I had dilated to 3 cm on my own, meaning I wouldn't  need cervadil, which is a huge factor in whether or not induction is possible. My OB this time (moved so I had to switch practices) has said that he will do his best to induce rather than perform a C even though I'm already on bedrest with a diagnosis of  mild pre-e. It's very likely I'll be induced once the pre-e gets too bad to let me stay pregnant. So it's not out of the question, but it varies by doctor.

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  • As others have obviously states, it varies by doctors.

    My OB will only use foley bulb as a way to induce labor and small doses of pitocin. She also will not induce if I have zero progress myself.

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  • My ob said he would induce me if needed, but only if I had some progress of my own.
  • I was 4cm the day of my scheduled c-section at 39w2d.  So my OB gave me the option to be induced, knowing I was hoping for a vbac, for several reasons, I did not want to wait beyond my section date for labor to start. Anyway I had a very small dose of pit followed by having my water broken an hour after the pit was started.  Started contracting right after and ds was born 3 hours later.  She was the only OB in the practice that would even consider inducing me.  It was a great experience!
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  • My OB won't induce for a VBAC.

    And even if he did, I wouldn't allow it. I'd rather have a repeat CS at 42w than have pitocin wreak havoc on my body again. This is a personal decision based mostly on how I reacted to pit last time; but also due to the increased risk of rupture associated with pit.
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  • imageskio:
    My OB won't induce for a VBAC. And even if he did, I wouldn't allow it. I'd rather have a repeat CS at 42w than have pitocin wreak havoc on my body again. This is a personal decision based mostly on how I reacted to pit last time; but also due to the increased risk of rupture associated with pit.

     

    This exactly.  I did not have a good reaction to the pit last time. I will never get it again.

    My practice requires that I have a c/s put on the books at 42 weeks and just hope and pray that I go into labor on my own before then.  

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  • my doctor told me that labor must begin on its own but can once it does, it can be helped along with pit
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  • I've been told NO inducing once you have had a section. There are too many risk factors. If I don't go in on my own by 40 wks my doc wants me to go ahead and schedule a section. Because he will not induce me. But as of right now I still have a low lying placenta so I may be forced to burst my bubble of having a back just do a repeat section.
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