About the VBAC post..question

Mrs.LisaP · May 2011

What makes you a 'good' canidate for a VBAC? And what would make you a bad canidate? I havent done any research on the topic so I am curious!

queenbone · May 2011

I think it has to do with why you needed the first c/s, was the problem with you or the baby? If the first baby was turned the wrong way requiring the c/s then you'd be a good candidate for VBAC because the second baby likely wouldn't be turned the wrong way.

For me, I was a bad candidate because I had to be induced at 41 wks and had a 'failure of labor to progress'. You can't induce after a c/s so my dr let me wait until 40 wks to go into labor on my own the 2nd time, but I never did so I had to have another c/s.

Mrs.LisaP · May 2011

'failure of labor to progress' : this is why I ended up with a c/s with DD #2 ! My water spontanously broke, she was posterior, and 18 hours later I hadnt dialted even a 1/2 of a centimeter, she didnt tolerate pitocin AT ALL, so c/s it was. So does this mean I wouldnt be a good canidate? I was not aware that you couldnt induce after a c/s either interesting.

MoFree · May 2011

As someone in the medical profession, can I cynically state that many c/sections are performed for non urgent medical situations in order to indemnify OBs against the possibility against future litigation. Doctors have every incentive, including financial, to perform a cesarean and every disincentive to allow labor to progress, albeit at a slow rate. I also believe they greatly overstate the risks of VBAC while understating or minimizing the risks of surgery and surgical delivery.

CHI-06 · May 2011

Mrs.LisaP:
'failure of labor to progress' : this is why I ended up with a c/s with DD #2 ! My water spontanously broke, she was posterior, and 18 hours later I hadnt dialted even a 1/2 of a centimeter, she didnt tolerate pitocin AT ALL, so c/s it was. So does this mean I wouldnt be a good canidate? I was not aware that you couldnt induce after a c/s either interesting.

Yes I believe that would mean you are not a good candidate. However that doesn't mean you couldn't try and it wouldn't work for you...

queenbone · May 2011

Mrs.LisaP:
'failure of labor to progress' : this is why I ended up with a c/s with DD #2 ! My water spontanously broke, she was posterior, and 18 hours later I hadnt dialted even a 1/2 of a centimeter, she didnt tolerate pitocin AT ALL, so c/s it was. So does this mean I wouldnt be a good canidate? I was not aware that you couldnt induce after a c/s either interesting.

I think it depends upon your dr. Mine was not keen at all at trying for a VBAC. He just wanted me to come in at 39 wks no questions asked. I really had to fight to get him to let me wait til 40 wks to see if I'd go into labor on my own. Maybe your dr will be more accepting of VBAC and more willing to work with you on it?

Everything I read online affirmed his statements that induction is a bad idea because those meds can give you stonger contractions which might rupture the uterus.

GypsyEsq · May 2011

A couple of things - pitocin induction may not be a good idea. But foley catheter induction or rupture of membranes or other non-pitocin induction may be fine. And some doctors are fine with doing low dose pitocin induction or augmentation VBACs. But that is something to discuss within each care provider/mom team.

As for whether FTP on it's own is a reason not to VBAC it really depends. DD's birth is probably categorized as FTP but it's likely that her failure to descend was really the issue so that's a positioning problem and may not repeat itself in future pregnancies. It's important for your medical provider to review your surgical notes to know what the real reasons were for your c/s. Then they can make an educated guess at your ability to successfully VBAC. The VBAC board here on the Bump has a lot of really well educated posters who have tons of information plus a lot of positive VBAC outcomes. I-CAN is also a good resource.

mrsolsenk12 · May 2011

I am a bad canadite. My pelvic bone is too small and even my 36 weeker who had a small head couldn't fit. I also had a secondary uterine tear during my section that has weakened my 1/2 of a ute (another reason against VBAC).

happytracy · May 2011

My OB concidered me an excellent candidate because DC#1 was breech.

craziheazo · May 2011

I think it totally depends on your doctor. All 3 OB's in the group that I see say that I'm an excellent candidate because I have had a successful vaginal delivery and my c-section was situational due to my previa and abruption.

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