VBAC

Anyone who had c-sect due to sunny side up baby...

having a vbac? I really want to have a vbac but am worried about the same thing happening. My OB that delivered my son told me that I should have another c-sect b/c each baby usually gets bigger. And since my son wasn't that small she thinks I am better off just having a c-sect. But another OB at the practice has already rough up to me having a vbac b/c she doesn't see any physical reason I couldn't deliver natural. Ugh... Just curious the feedback others are getting?
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Re: Anyone who had c-sect due to sunny side up baby...

  • My MW never told me to have a c-section with my second - it was always assumed that I would VBAC (I specifically chose her group because they have a good VBAC rate). My frist was 8 lb 4 oz and posterior. My VBAC baby was 10 lb 10 oz (I didn't have any sizing u/s with him, so we had no idea how big he was).

    I know various women in real life (and on this board!) who went on to have successful VBACs with their second babies after having badly positioned first babies. 

    I was hyper-aware of DS2's position when I was pregnant with him, I went to a chiropractor, figured out what position he was lying in most of the time, went swimming and stayed active.

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

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  • I had a c/s with DS, he was 8lb10oz, sunny side up, his head was kinked to the side (according to the OB that did the surgery), and the cord was wrapped around his neck.  I had been induced, which went well until I got "stuck" at 9cm for 6 hours.  After doing quite a bit of research and talking with my new midwife (she's a CPM, my last midwife was a CNM with a lot less experience or knowledge), I should have been able to birth DS just fine--it just would have taken more time (and other techniques, like position changes, etc).  

    Sunny side up and/or large babies are delivered naturally all the time.  I'm planning a HBAC for this one, and know that with better, more experience, knowledgeable care, it will be successful (barring any emergencies!).

    My favorite VBAC book is The VBAC Companion, and my favorite natural birthing book (or all around empowering, encouraging birth book) is Ina May's Guide to Childbirth. 

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  • My first baby was a c-section.  It was due to failure to progress.  This time I delivered a sunny side up baby via VBAC.  I think what really helped me was that I kept moving during labor & got in a position to help move the baby down.  It was quite painful & a very long labor but in my case it was possible. :) GL!
    Photobucket Sydney Elise 5/9/09 Kate Reese 8/2/11
  • both my babies(C-Section and VBAC) were sunny-side up.  one of my midwives thinks it has to do with the shape of my pelvis.

    i pushed for 2 hours.  it was hard as hell.  but i did it!  good luck.

     

  • I've never heard that each baby gets bigger, and it doesn't hold true with several of the people I know with more than one. I think that's a pisspoor 'reason' to have a c/s. My second was bigger, by a whoooole ounce!

    My c/s was not just sunny side up but also asynclitic (presenting ear first). Both my midwife and the OB she called for help tried to turn her head manually, and were shocked that she would not budge. So c/s was the only option. Before I was discharged from the hospital, the doctor came to me to tell me there was no reason to think I would ever need another c/s. (I am in Denmark, and the attitude here is quite different.)

    My VBAC baby was not sunny side up. She was facing to one side in very early labor, but corkscrewed into proper position on her own.

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  • I had a c/s for asynclitic OP presentation w/DS. He was face-up & the back of his head was presenting.

    With DD, I was also OP (dramatic labor, and I was stuck in bed, so labor was sloooow, but my OB allowed us to progress with decels & more dramatic laboring). My OB is one of the only ones I have ever worked with that rotates OP babies to OA during the pushing phase--something old school that most OBs don't take the time to know how to perform that, and the major reason I chose her. I pushed DD for 15-ish minutes while OP, and once my nurse figured I wasn't budging her b/c of her position, called my OB over to rotate her. She rotated with 3 pushes (one contraction), and I delivered her a few mins after that (my OB barely caught her). My OB said it was the easiest OP rotation ever, and very quick pushing (both for the OP portion & the delivery). I probably could have delivered her OP, and pushed longer, but with the decels, my OB & nurse wanted her out sooner rather than later.

     

    ETA: DD was a whole 5oz heavier than her brother.

    High-risk L&D nurse...If in doubt, go to triage!

    Trevor Calvin 12.10.07 7:26pm 7lbs2.5oz 19.75in

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  • My c/s baby was over 10 lbs and my VBAC baby was 8.5.  People always say they get bigger for some reason but I know only a handful of people IRL that this was the case with.  My guess is it is 50/50 if you look at the numbers.  Not sure why your doctor would quote that to you when there is no scientific evidence to back it up.
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  • you should get another doctor. stat. if you plan to have a vbac. your OB is already telling you that she is not supportive of vbacs.

    even the association from which OBs are to get their guidelines suggests that in most cases, women should be allowed a TOL (hence, a vbac), rather than a repeat section. clearly, your OB is not up with the current guidelines (which were released more than a year ago).

    2nd babies are not always bigger. my 1st was posterior and i had a c/s for FTP after 40+ hours of labor. baby was 8#7oz. my 2nd was anterior and i had a vbac after only 7hrs of labor. baby was 7#9oz. nearly a whole pound smaller.

    i watched my diet more carefully and exercised during my 2nd pregnancy. could that have made the difference? possibly. but at least i felt better knowing i was doing everything i could to increase my chances of a successful vbac.

    i also partnered with a provider who would be my partner in my vbac journey, not my foe. i can't describe how critical that support was in the end.

    paying attention to your posture is the best thing you can do to encourage future babies to be in a more ideal position. walking and/or swimming regularly also help. and if your next baby is posterior, there are things you can do to encourage baby to turn. see www.spinningbabies.com.

    good luck to you! and i strongly recommend finding a new provider where every OB in the practice is supportive of your vbac journey. you can find such providers by contacting your local ICAN chapter, www.ican-online.com. typically, chapter leaders maintain lists of friendly providers.

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  • My first was a c/s for sunny side up (OP).  The OB I had for that delivery told me my pelvis was too small so unless my next baby was a preemie, I wouldn't be a good candidate for VBAC.

    I spoke with some other doctors and midwives who disagreed and decided to try for a VBAC.  I had an easy vaginal delivery of a baby who was even a little bigger than my first--no issues getting him through my pelvis!  He was OA, not OP.  Position can make a big difference and things can go very differently the second time around.  GL. 

    image

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

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  • My first was huge (9lbs. 8oz.) and sunny side up. My second was face down and smaller (7lbs. 9oz.). I ended up with a second section, but everything was different this time around.
    "Hello, babies. Welcome to Earth. It's hot in the summer and cold in the winter. It's round and wet and crowded. At the outside, babies, you've got about a hundred years here. There's only one rule that I know of, babies. God damn it, you've got to be kind." - Kurt Vonnegut
  • Both my boys were sunny-side up. DS#1 ended in c-section and I had a successful VBAC for DS#2. My doctor was able to turn DS#2 to a face down position just prior to my pushing so that helped me succeed, otherwise I would have had another c-section.
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  • My c/s baby was sunny side up and the c-section was called after 4 hours of pushing.  Several OBs in my clinic suggested that my pelvis was too small but I never listened to them and was convinced that position was his problem, not size. 

    My VBAC baby was 6 ounces bigger than my c/s baby, but came out after just 15 minutes of pushing.  I was OBSESSED with getting baby into the best position possible my entire pregnancy.  I only tailor sat on the floor, or on hands and knees or if I had to sit on a couch I sat on the edge and didn't sink back to let my hips be lower than my knees.  I also used an exercise ball to sit at my desk for work.  Then, during labor I was upright for most of it too. 

    You can do it!

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