VBAC

Thoughts & Opinions Please

I was induced with DD at 39 weeks because she failed her BPP. I went in as 2-3 cm and 50% effaced. I was given cerdavil about 12 pm on Wednesday afternoon. They checked me the following morning and I was 5-6 cm and 70% effaced. Dr. broke my water and then started me on pitocin an hour later. Doctor recommended that I go ahead and get the epidural because things were going to hurt. (I was not in any pain whatsoever) I stupidly consented and got the epidural about 15 minutes later. Fastforward to that evening, I was stuck at 7 cm and DD's head was starting to swell because we were stuck. They did a c-section at 10:34 that evening. It was the worst experience in my life because I felt every single thing. My anesthesia didn't work at all.

I am now 6 months pregnant (DD is 11 months) and have switched OB's this time. We discussed VBAC at the very first appointment to which he responded by saying "we'll see". He said that I'd need to have my own anesthesiologist on call the entire time and my own OR team the entire time just in case. I am having anxiety attacks just thinking about going through the c-section again. DH and my mom think I should just suck it up and deal with the c-section since the babies will be 14 months apart?

1. Did anyone go on to have a successful VBAC after FTP?

2. Anyone have a VBAC less than 2 years after a c-section? 

3. Should I look for a more supportive doctor? 

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Re: Thoughts & Opinions Please

  • You need a new provider. If you want to be in the hospital, you need to find a VBAC supportive midwife. Your current OB has set such impossible standards...he could deny you a VBAC by saying there isn't an OR team available to be on call for you (and probably will). It isn't feasible to expect that.
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  • I can't answer your first two questions, but as for number three - your doctor is not going to give you a remote shot at VBAC with those restrictions.  I'm not sure why he didn't flat out say no, but I think that was his way of saying it without saying it.
  • I agree with PP about finding a new provider. It sounds like they're already setting it up to be able to say no. Even ACOG has recently relaxed the requirements of having anes. immediately available. It is still their recommendation, but they also say that a woman should be allowed to have a trial of labor if they are counseled about it not being there right away. Emergencies in labor are rare, when they occur there is usually some sort of warning sign, even with ruptures. Try ican-online.org to find your local chapter. They may be able to suggest more supportive providers near you.
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  • I've heard of women who could say yes to #1 & #2.  I'd definitely find a new provider.
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  • I also think you should look for a new OB that will be supportive of your want to have a VBAC. This guy sounds like he is doing/will do everything he can to talk you out of it.
    **Baby #3 is on the way!**
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  • You need to find a doctor who is going to be supportive.  If you're getting a "we'll see" in the office, you don't stand a chance when you get to the hospital.   
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  • 1.  I've heard success stories for VBAC after FTP. 

     2.  Will let you know in a few weeks or sooner.  I'm due in 12 days, and my daughter is 15mo old. So like you, i'm under the recommended min of 18 mo between pregnancies.  At 33 weeks I switched OB's to the best known VBAC OB in NoVA area and i've noticed he's being a little conservative wtih me.  I'm sure he's covering his butt bc of the increased risk.  Either way, I couldn't find a midwife that would perform a hospital VBAC and i'm not brave enough to try a homebirth. 

    3.  If you want a real chance at a VBAC, I would switch OB's right away.  Your OB's restrictions are ridiculous. I don't know why he just isn't straight forward and say no. Then you wouldn't have wasted your time with him.  

    As pp stated, i recommend you look up your local ICAN chapter.  I've been attending their monthly meetings and it's helped a lot!  Also, you can look up your OB's primary C/S and repeat C/S rate.  I was shocked to see the OB that c/s'tioned me the first time has a 55% primary c/s rate!!  Wish i'd known about that before, but it was enough for me to know that she would never truly be VBAC supportive. 

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