VBAC

Did your dr. mention weight/VBAC issue?

My doctor has encouraged me to keep my weight down in order to have a successful VBAC.  He says that I don't want to grow a big baby because that could hurt my chances (I have a small frame).  I am becoming so anxious about this.  So far, at 28 wks, I've gained 16 pounds so I think I'll be fine, but every little detail stresses me - I don't want anything to ruin my VBAC chances.  Anyone's dr. said something similar to you?

Re: Did your dr. mention weight/VBAC issue?

  • Pretty sure I've gained 30-35lbs and while my doc does bring it up, everything seems to be ok so far.  I'm overweight anyway but baby isn't measuring ahead and I don't have GD so not much to worry about at this point.  I gained 60 with my first and he was 8 lbs 90z so it's not like more weight gain always = huge babies.  And people VBAC large babies all the time....I think the most important thing (and I say that loosely) is preparedness for labor and fetal positioning.
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  • Yes, my doctors brought it up. And it wasn't because of the baby's size, they wanted me to keep my weight down because they wanted me to be healthy and fit.
  • During both my pregnancies, my doc advised not gaining too much. There was no difference in his attitude between the first time and the VBAC. Like PP said, it was about me being healthy, not about making big babies.
  • I haven't attempted a VBAC yet, but I gained 16 pounds and I am 5'1" tall with my c/s pregnancy. DD was born weighing 9 pounds 6 ounces. She was a big girl needless to say.

    Maybe it has something to do with your weight before, prior to getting pregnant I was/am significantly overweight I would like to lose about 60 pounds. Yet even with the low weight gain I had a big baby. My DH is also 6 foot tall. So those are things that could affect it as well. But then again I am not a Doctor.

  • My dr. (who I found out later from another OB in the practice isn't a big advocate of VBACs but yet okayed mine) suggested at my first or second visit that I'd be an eligible candidate but that I need to keep my weight down.  I've only gained 10lbs so far (and measuring a week ahead) so who knows how large my baby will end up being!
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  • My doctor has never said anything about weight gain being related to VBAC success.  I've gained 30 pounds already.
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  • i didn't think unless you had gd that your weight gain was associated to baby's birth weight.

    i gained about 30lbs with each of my sons and they were 6lbs and 8lbs 

    i gained 60lbs with dd1 and she was 7lbs...

    so for your doc to word it in a way that your weight gain could result in a big baby and a difficult vbac seems a little weird to me. definitely your weight gain is going to affect YOU during a vbac... but you really don't have any control over what size your baby's going to be...

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  • Was your first baby really big? I had a doctor I interviewed about VBAC tell me that I should hope I have a girl, so she would be smaller than DS1, and I have a friend who was told the same about her first VBAC baby, but my MW never asked me anything other than if I had lost all the pg weight with my first son (which wasn't in regards to me being a VBAC candidate anyway).

    I gained 40-45ish pounds with both my pregnancies, and DS1 was 8 lb while DS2 was 10.5 lbs (and a VBAC). You can only control so much when it comes to how big your baby is, but I think I'd be on alert if my Dr. was saying that to me...maybe be on the look out if they try to play the "suspected big baby" card? hth

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

  • I've interviewed 3 providers thus far and none have mentioned weight gain as a predictor of VBAC success. It's tough not to worry about every little detail, but I think you'll be fine. GL!
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  • I'm hoping for a VBA2C.  My second pregnancy, I started at 124 lbs (5'5") and got up to 228 lbs!!  (Baby was 9lbs 13oz, of course, I also went two weeks over my due date hoping for a VBAC, but my cervix didn't change and I had a deadline with this practice.)  This time, I've gained 35 lbs so far, with 5 weeks left.  A few weeks ago, my doctor measured me and said, "Looks like another big baby.  Want to go ahead and schedule that c-section?"  (Which really aggravated me.. because he knows I'm trying for a VBA2C)  I told him how I'd been really watching my weight this time, and even exercising a few times a week.  So his replay was, "It doesn't matter how much weight you gain.  Even women who were in concentration camps, probably malnourished, had big 10 lb babies.."

    So, I guess my doctor doesn't think it make a difference.  (I personally do. -  My first daughter was only 7 lb. 7.5 oz. and I gained 60. hehe..)

  • OP here.  My DS was not a big baby (only 6 lbs, 14 oz. and I only gained 25 lbs.)  Also, I did not have GD with DS.  Still need to take a glucose test for this pregnancy.  Perhaps my doctor is also just concerned about me being healthy.  I'm trying not to think through this all too much. Just going to stay positive and do as much as I can to prepare for labor.  I've already learned so much that I didn't know the first time around.

  • Nope, they just told me to watch my weight in general.  I'm small too (5'1") and I gained 25-30 pounds with DD #1 and she was 7 lbs 14 oz.  With DD #2 I gained 50+ pounds and she was 9 lbs 6 oz born via VBAC.  My second labor was so easy and pushing was a dream.  I had no issues pushing DD #2 out, but DD #1 never even decended.  Each baby and each pregnancy is different.
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