VBAC

Can I do this? (long)

Long story short DS was born in 2008 vaginaly 2weeks before EDD 20hrs in labor 40min pushing and voila baby! DD wasnt so easy. I was induced at 41w6d (friday) I was in early labor and my OB decided to just keep me since I was going to be induced on Wed anyway I walked in at 4cm and they gave me an option. You can have your epi now or risk not having one because our only anesthesiologist is in surgery all day ( there was me and ONE other woman in labor that day)

So I decided to get my epidural all the while feeling like it was too early. After that things just didnt progress and DD was a little cockeyed on my hip and wouldnt descend properly. 30 some odd hours later I started pushing.

1hr, 2hr, 3hrs and nothing I stood, I layed I pulled my feet behind my head and NADA!

Soon after the 3hr mark DD went into distress and my OB said I had a choice between a CS and the vaccume. We had two seconds to choose and I said CS. DD's cord was around her neck and she had been turtling the whole time. Her APGAR was a 2. A TWO! and she was rushed to the NICU and I didnt see her for two days after that (I dislocated my hip on one side and had a bone bruise from DD on the other)

All that to say it was so different from my DS's delivery and I was told after that she was in need of heroic measures so I shouldnt feel bad/guilty/cheated about it. But I do. I want to have a VBAC but I dont know if this was an isolated incident or if I need to leave well enough alone... How do I do this?

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Re: Can I do this? (long)

  • I'm sorry, that sounds really scary.  Fetal distress is usually considered a "non-recurring" reason for a c/s, meaning it probably won't happen again.  

    The fact that you've already had a vaginal delivery means you could be a good candidate for VBAC.  Moms who had a vaginal birth before their c/s are more likely to have a successful VBAC.  You've already had a healthy vaginal birth, so you know your body can do that.

    Was your c/s a low, horizontal incision?  Have you talked to an OB about VBAC at all?   

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  • Wow, that sounds scary.  But you have given a good example here of how every pregnancy is different.  As pp said, fetal distress is generally an isolated incident and you are no more likely that it will happen again. 

    Definitely speak to your doctor about it.  From what you wrote here, you are a great candidate.  And, FWIW, I don't think the epi was the cause for this.  I think it would have panned out that way no matter what if the cord was so tightly wrapped.

    Glad everyone is ok and healthy!

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  • Ditto pp - you sound like a great candidate.  People who have had vaginal births before are generally excellent candidates, and it sounds like the epi and the cord (which isn't likely to reoccur) were the issues that led to your c/s.  Good luck!!
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  • imageiris427:

    I'm sorry, that sounds really scary.  Fetal distress is usually considered a "non-recurring" reason for a c/s, meaning it probably won't happen again.  

    The fact that you've already had a vaginal delivery means you could be a good candidate for VBAC.  Moms who had a vaginal birth before their c/s are more likely to have a successful VBAC.  You've already had a healthy vaginal birth, so you know your body can do that.

    Was your c/s a low, horizontal incision?  Have you talked to an OB about VBAC at all?   

    My first appt is this upcoming week so no I havent spoken to her about details but I have asked her is she is VBAC supportive and she said it was completely up to me at my 6wk PP visit with DD but yes low horizontal incision, I didnt know they did any other kind. Im not sure how truly supportive my OB is but it sounds like shes not completely opposed to the idea.

    Thank you ladies Hopefully we will have a successful VBAC come November!

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  • imageiris427:

    I'm sorry, that sounds really scary.  Fetal distress is usually considered a "non-recurring" reason for a c/s, meaning it probably won't happen again.  

    The fact that you've already had a vaginal delivery means you could be a good candidate for VBAC.  Moms who had a vaginal birth before their c/s are more likely to have a successful VBAC.  You've already had a healthy vaginal birth, so you know your body can do that.

    Was your c/s a low, horizontal incision?  Have you talked to an OB about VBAC at all?   

    My first appt is this upcoming week so no I havent spoken to her about details but I have asked her is she is VBAC supportive and she said it was completely up to me at my 6wk PP visit with DD but yes low horizontal incision, I didnt know they did any other kind. Im not sure how truly supportive my OB is but it sounds like shes not completely opposed to the idea.

    Thank you ladies Hopefully we will have a successful VBAC come November!

    photo b6d12d4a-3c41-4686-a0af-8cf854f979e4_zpsffdadc4c.jpg Pregnancy Ticker Baby Birthday Ticker Ticker
  • imageMAprincess:

    From what you wrote here, you are a great candidate.  And, FWIW, I don't think the epi was the cause for this.  I think it would have panned out that way no matter what if the cord was so tightly wrapped.

    Glad everyone is ok and healthy!

    Ditto this. Both baby and cord were in a bad position and that has nothing to do with an epidural, nor is it something that is likely to repeat. I had a poorly positioned baby and no epi, and I was just in excruciating pain for a very long time before the call to c/s. It didn't make anything better. OTOH, I got an epi with my VBAC baby and everything turned out perfectly fine.

    You've already proven you can get a baby out vaginally, so you're an ideal VBAC candidate.

    FYI, while low horizontal incisions are now the norm, circumstances can require other options such as a vertical incision, or even an inverted T. They'll cut however they need to to get the baby out if there's a problem, kwim?

  • Hi Dani! You may want to look at ICAN's wbsite if you haven't already.. my DS was born via ceserean after 3 hours of pushing and I know how you are feeling. I felt like maybe it was my fault somehow. If you want to have a VBAC make sure you have support and knowledge to back you up. You may want to look into switching OBs or getting a birth souls or midwife, someone to support you and back you up during labor.
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  • Thank you so much ladies! I meet with my OB later this afternoon I have a TON of questions for her after looking at ICAN. I'm excited :D
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