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VBAC ... wwyd?

je2161je2161 member
in VBAC

My DD was born 11 days ago via c/s. My water broke on its own 2 days after my EDD, and I started having contractions right away. However, I wasn't progressing past 1cm until they started pitocin. Once they started me on pitocin, I quickly responded and dilated to 10cm very quickly. When I started pushing, LO's heartrate was too high and the doctor was worried about the baby's signs of distress. On top of this, the baby was "sunny-side up" and her chin was not tucked in properly, and the doctor said it would require a few more hours of pushing on top of the 45 minutes that I already did. With the fetal distress already evident, the doc recommended a c/s.

My question for you ladies is: What is standard regarding use of pitocin in a VBAC? If I can get pitocin the second time around, I feel a lot more confident in my ability to dilate to completion. If not, I worry I wouldn't be progressing quickly and effectively enough.

Further, I understand uterine rupture is the biggest risk of VBAC. Does that tend to be catastrophic for mother or baby or both? I should mention that I would be delivering at a level III hospital with facilities and resources available for surgery 24/7.

Based on my first birth experience above, does it seem like trying for a VBAC the second time around would be worthwhile? What would you do? I do want a few more kids, at least :)

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Re: VBAC ... wwyd?

  • dakota01dakota01 member
    I think you would be a good candidate for vbac. That being said most docs/mw will refrain from augmenting labor due to uterine rupture, which is catastrophic for mom and baby. The risk is usually 1% I think, but you can bleed to death quickly and baby is compromised. No matter what level nicu there is only so much They can do. You never know if you'll need pit next time, if baby wasn't presenting right she may not have been putting pressure on your cervix which could have slowed labor especially if they were stuck up high. I hope this makes sense I feel like I'm rambling. These are good questions to ask your doc at next appt. Good luck
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  • MAprincessMAprincess member

    My successful VBAC was an induction with pit. 

    It does slightly increase the rupture possibility but it is still very low and if you are being induced, you are obviously already in the hospital and being monitored.  I felt completely safe and comfortable with the situation.  In response to pp, the rupture rate is still below 1% and that is including ALL ruptures (even partial).  While the death of you or the baby is possible, it is a very small fraction of those who rupture that fall into that category.  If you are in a good hospital that can get you to the OR and the baby out within 20 minutes, you are in a good situation.

    Not saying that to scare you- I had a good talk with my MW about what the procedure would be in the unlikely event that there was a UR and she spelled out exactly what would happen.  I think there is at least one other woman on this board who was induced for her VBAC.

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  • lorryfachlorryfach
    https://www.vbac.com/what-is-a-uterine-rupture-and-how-often-does-it-occur/ My VBAC labor was augmented with pitocin. I wouldn't assume you need it, though. The baby's presentation is a big factor and probably won't repeat next time. Congrats on your new baby!
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  • je2161je2161 member
    Thanks ladies for your reassurance and comments.

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  • nosoup4unosoup4u member

    imagedakota01:
    I think you would be a good candidate for vbac. That being said most docs/mw will refrain from augmenting labor due to uterine rupture, which is catastrophic for mom and baby. The risk is usually 1% I think, but you can bleed to death quickly and baby is compromised. No matter what level nicu there is only so much They can do. You never know if you'll need pit next time, if baby wasn't presenting right she may not have been putting pressure on your cervix which could have slowed labor especially if they were stuck up high. I hope this makes sense I feel like I'm rambling. These are good questions to ask your doc at next appt. Good luck

    Only a small percentage of UR is actually catastrophic. https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/putting-uterine-rupture-into-perspective/

    OP - If you dilated so quickly with Pitocin, I'm sure your body is really good at laboring, and would be able to do it just fine with no augmentation. Induction is a known risk factor of UR, so if you are interested in VBAC, it's a better idea to find a provider who will do everything possible to have you go into labor on your own, which will up your chance of success. hth

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

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