VBAC

Intro and Questions

I have never posted here but lurk often :) I am skeptically trying for a VBAC for this birth, after an unplanned CS with DS1 due to suspected cephalopelvic disproportion (head too big for my pelvis) and fetal distress after 21 hours of hard labor. I pushed for 2 hours and the baby was not descending whatsoever during pushing without an epi in many different positions. DS was on the larger side (8.13) but his head was in the 50 %ile, so completely average.

So, I guess my question is...has any one here had a successful VBAC if their first C/S was due to suspected CPD? I feel like since his head wasn't all that large and still didn't fit, my chances of success are low. I know it could have been due to his head being turned slightly that he wasn't descending...but it just didn't seem likely (DS had a small hematoma on his scalp from all the pushing and it was directly on the center of his head) My doctor is very supportive of VBAC and always starts talking about it with optimism. Right now I am open to a VBAC and will try it if everything is by the book (go into labor on my own, baby isn't too big, etc), but I am pretty skiddish. I.e. if anything goes "wrong" I will probably go straight for the RCS.

Also, if it sounds like I am not very gung-ho for a VBAC, thats not the case, I was just so wanting my birth to go a certain way the first time, that I am trying to remain skeptical this time around so I don't feel so dissapointed if/when it doesn't go as planned, ya know? Sorry..this turned out to be longer than I meant it to :)

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Re: Intro and Questions

  • First off, I have no advice for you. Sorry. I just wanted to say that I feel your pain about the first birth. I was so excited to experience childbirth (even with the planned epi). I never got a chance. We had a couple of heartrate blips (seriously 2 in two whole days of induction) and off to OR I went. I had the same hesitations about wanting a VBAC. I was afraid that I'd have even wors PPD if I had a repeat. So just know that you aren't alone. I hope someone can give you some answers.
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  • Hi and welcome :)

    I had a c/s for CPD too, although my daughter was in the OP position and I think that might have been a factor.  I'll be trying for a VBAC in May.  It's hard for me to get that CPD diagnosis out of my mind sometimes but I'm going to try.  My current OB (not the same one who did my c/s) thinks I have a good shot at VBAC so we'll see what happens.  

    There are some studies looking at VBAC success rates given the reason for the initial c/s.  And success rates for moms who had a c/s for CPD are usually in the 60-70% range.  That means the majority of moms who had a c/s for CPD were able to go on and deliver their next baby vaginally--so much for CPD!  That statistic encourages me a lot, especially when you keep in mind that the overall vaginal delivery rate in the US is only 67% anyway. 

    Here are two good links that help me stay positive:

    https://ican-online.org/vbac/cephalopelvic-disproportion-cpd

    https://www.ican-online.org/community/videos/laureen/question-cpd (This is a video montage of moms who had a primary c/s and then went on to have VBACs with babies of equal or larger size)

    GL!

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    Big sister {September 2008} Sweet boy {April 2011} Fuzzy Bundle {ETA July 2014}

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  • Thanks to both of you. Glad to know I'm not the only one who is a little skeptical, but thanks iris for those links to help me stay positive :)
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  • Wow so I just actually watched the ICAN video on CPD...totally encouraging! Thanks again.
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