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C-sections
RumbleLina
member
Cephalopelvic disproportion
RumbleLina
member
in C-sections
I am curious who has been diagnosed with cephalopelvic disproportion.
I know that women who have been diagnosed with CPD have gone on to vaginally birth babies who were even larger than their 1st child but I am curious for those who have not had a child after their diagnosis what it is you have thought about doing? For those who came to a decision, how did you get there?
Part of me wants to find an OB who will support a VBAC with my diagnosis but then the other part feels like a c-section would be okay as long as I have control and I am awake.
I find myself going back and forth between a VBAC and a c-section. Obviously, by lack of ticker, I am not pregnant right now but we intend to try in the beginning of the new year and I want to feel like I am not flipping back and forth depending on the day. I know to do that I need to start researching but whenever I start I get overwhelmed.
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Re: Cephalopelvic disproportion
I have, apparently, CPD and I really do believe it. Maybe I could have a vaginal birth, but from past experiences, I don't think it would go well.
And every time I have an exam, I am told I am very narrow. And from the way the speculum feels.....I think they are right! I don't even like tampons.
(My first baby was stuck in my pelvis; my second, I had a RCS in my 40th week. I did give a little bit of a chance for a VBAC but I didn't really see it happening for me. But it is true that others do go on to have VBAC's. It could definitely be worth trying if you feel it is right for you.)
PS. I guess I didn't really explain how I made my decision. I was back and forth a lot, too. Even up to the end. But I did always lean a little more towards the repeat c-section.
I did lots of reading and lots of searching online. At first I thought a c-section would be safer for the baby, but as I looked into it further, there really didn't seem to be that much of a difference. (I think it is still a little safer statistically for the baby to choose a c-section, especially if you wait until at least 39 weeks or until labor begins.) But at first I thought VBAC must be much more dangerous because I couldn't find any horror stories online about repeat c-sections that went bad for a healthy baby, but I could find lots about VBAC's that went bad.
As I looked further, most of the VBAC's that went bad, had been induced, so that was probably throwing the numbers off. And I did see that RCS is more dangerous for mom. But in the end, statistically, I still thought it would be slightly safer for me to choose a RCS then to really push for a VBAC.
But...that is not true for everyone. I just thought I would be more likely to have lots of problems with a vaginal birth. I just didn't personally have peace about, but I know lots of people do and they do go onto to do just fine. So, it really just ends up being what you believe is best for yourself and for your baby and your family.
(Because c-sections can be more dangerous for future pregnancies, too. Not always, but it is more common that you could have placenta problems, etc, if you have had c-sections and surgeries than if you have only had vaginal births.)
Definitely take the time to talk to a few providers and get their take on your VBAC chances. You have time to decide and look into both options. Like novilles said, RCS or VBAC are both reasonable options.
FWIW, my second son, who was a VBAC, was 2+ lbs bigger and 2 inches longer than my first, who didn't come out after 4+ hhours of pushing (though my c-section was classified as failure to descend, not CPD).
Here are some links to start with, hope they help. Good luck!
https://www.childbirthconnection.org/article.asp?ck=10212
https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/
DS2 - Oct 2010 (my VBAC baby!)
I had my c/s for CPD. When I asked about future deliveries, my OB said that unless I had a preemie, I shouldn't bother because I would just end up with another c/s for another stuck baby. I am 4'10" and 90 lbs soaking wet, so I figured if anyone really had a pelvis that was too small, it would be me.
However, I knew that when they opened me up, they discovered my daughter in the OP position. The OB told me that didn't matter, but I did some research on my own, looking at studies on OP babies, and discovered that it makes a big difference. I also found studies showing the majority of women who try VBAC after a c/s for CPD can deliver vaginally. So I got some second opinions and was told that I would be a great VBAC candidate. I found a new doctor who was supportive and believed I had good odds for a vaginal delivery.
I ended up having a fast and easy VBAC with a baby who was 2 oz. larger than my baby that "wouldn't fit." But I went into it prepared for the possibility of a RCS. I made a c/s birth plan and I didn't really believe a VBAC was possible for me until it actually happened.
Me!!
Judging from how my delivery/emergency C/S went, I totally believe it. I wouldn't want to VBAC even if my doctor was willing to let me try (he's not). Ryan's birth was terrifying and I definitely don't want a repeat of that!
Ryan was 7lbs 4oz and 19.5 inches long, so not huge either.
This is mainly what I am concerned about. I was already tearing before he was crowning and he was a teeny tiny 6lb baby. Although, he does have his fathers head.
I think I would prefer a RCS versus a 4th degree tear, which was a concern of my OB when I was tearing and before we even attempted the vacuum.
IMO, it's just not worth the risk. I had an episiotomy but still tore, pelvic separation, my entire bikini area was black and blue, I couldn't walk for 4 weeks, total urinary incompetence for about 2 weeks. With my 2nd and 3rd pregnancies my pelvic bone began separating around 25 weeks and I had to wear awful pregnancy belt thing to keep the baby up out of my pelvic bone.