VBAC

Maybe a dumb question? (long)

I am going to try and make this as short as I can, but DH and I want to TTC#2 sometime within the next year. 12 weeks ago I had a c-section for what I believe to be medically necessary reasons, my DD had fetal distress, my mom and DH saw it on the monitors. Her heart rate was dropping. However my doctor told me that it is unlikely I will be able to have a VBAC (1-3% chance) with my next pregnancy. She said because I was at 10 cm and pushed for 2 hours and nothing happened that it probably would not happen for me. My own doctor did not deliver my DD it was another on call doctor from the same practice, but different office, that delivered her. My doctor told me that my daughter would not fit through my pelvis. (My daughter was born with a severely molded head with lots of bruising to the skull due to pushing, as I was told.) She said that I was lucky I was put under because of the pulling and tugging that they had to do to get my daughter out.

I have not decided whether I want to find another doctor and get a second opinion or stay with my doctor. I like my doctor and trust her, but if there is a chance that I can have a vaginal delivery with my next child I want to know. My question is would my doctor know if I did a medical records request and got my records to read over and then get a second opinion?

 I know it?s stupid but like I said I like my doctor and I don?t want to make it awkward if I am going to end up staying at the practice. She is the only OBGYN for the hospital I go to in my town. If I get this second opinion and they tell me that I can VBAC I would have to go to another hospital and get another doctor 60 minutes away as I wouldn?t want to choose another doctor from the same practice and end up having my old doctor if I were to go into labor as it?s not a guarantee that you get your own doctor at the hospital I currently go to. Please let me know your thoughts. I am very up in the air on whether I would go with a scheduled section again or get a second opinion. DH and I would like 4 children and I know that could be compromised if I have to have repeat sections.

 

Re: Maybe a dumb question? (long)

  • I don't know if they know when you request records, but I would get a second opinion. If you're looking to have 3 more pregnancies I think you definitely owe it to yourself to just get a second opinion and know for sure what you're capable of.

    Chelsea; 7/22/2005 Carissa; 4/9/2011 Cassidy; 9/6/2012
    Baby #4; 7/7/2018
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  • Did you have other factors that would have maybe made it hard for her to descend, like an epi, lack of mobility, or pushing on your back? These can be a big part of a baby not fitting through, and not something wrong with mom. Many women are told they have CPD and go in to VBAC bigger babies than the one they had surgery for.

    If you really want to VBAC, your Dr doesn't sound supportive. And having a supportive provider and hospital can play a huge part in VBAC success.  If it were me I would look elsewhere. Good luck!

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  • I am switching providers as of Nov. 1st and discussed it with my current midwife.  They are used to it and if they are offended, then that's just another sign that they are not professional.  I still like my midwife and will go back to her for regular gyn appointments, but not for my VBAC.  I think you just need to step back and realize that while you have a personal relationship with your OB (I almost felt withdrawal after my DS was born b/c I saw my midwives so often and they were such a big part of my life for over 9 months), it is really just business. 

    As my midwife (current one that I am leaving) told me when I said I'd probably switch.  "You only have so many birth experiences in your life, you need to make the choices that are best for you".   It's not a time to worry about some doc's feelings vs. your desire to VBAC and what's best for you and your baby.

    I think it's responsible to get a second opinion on having another surgery, people do it all the time for more minor things than this, you know? 

    Good luck!  Also, I'd check to see if there is an ICAN group near you or at least a regional one with an online forum.

    DS born via c/s 11/08 and med-free GD VBAC DD 3/11! Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker
  • I should have been a little clearer, I did get an epi. I was around 5-6 cm at the time, but it did nothing. I still felt each and every contraction, in fact I later found out from my mom that, that is how she knew it wasn?t working, I was breathing through each contraction. I did change positions a bunch of times because I was actually able to move, I say I pushed for 2 hours but it was over the span of 3-4 hours due to the position changes, pushing and just trying to give it time. Nothing helped.

    I like that this board is here and that there is so many helpful people. Thank you for your help. When DH and I are really ready to TTC again I am definitely at least going to get a second opinion and see what another doctor has to say.

  • I'd say that you should definitely get a second opinion.  Especially if you want to give VBAC a chance and you want four children.  Good luck!
  • imagepinkmoonlight:

     I say I pushed for 2 hours but it was over the span of 3-4 hours due to the position changes, pushing and just trying to give it time. Nothing helped.

    I pushed for 4+ hours with my first son, and he didn't budge, and I ended up having a c-section. He was posterior/sunny-side up - your daughter might have had wacky positioning, too.

    Would you consider going to a midwife? Are there any nearby? I would definitely get a copy of your records and check out different providers - one of the biggest reasons for VBAC success is if your provider really supports it. good luck!

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

  • Let me also add that when you get your second opinion, do it before you TTC b/c a lot of docs are not comfortable with a VBAC that is <2yrs after the CS. My MW is ok with 19 months, but she was not ok when I got pregnant when DS was 8 mon old. Your uterus needs time to heal, and not everyone heals at the same rate. Being <2 yrs apart is (I think) the only risk factor that increases my chance of rupture.
    The Knot won't share my Bump Siggy, so here's the low-down: 4/27/07 - Got engaged! 8/31/08 - Got married (to my best friend)! 12/30/08 - Got Pregnant! 9/3/09 - Welcome to the world, Elias Solomon! 8/16/10 - Got Pregnant, again! 5/14/11 - Welcome to the world, Talia Hadassah! 1/14/12 - Ready or not, here comes #3 (EDD 9/27/12)
  • Thank you everyone for your advise. I am definately going to at least get a second opinion.
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