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VBAC
saturdaynightdoubletree
member
Would you do a VBAC ("big" baby history)
saturdaynightdoubletree
member
in VBAC
I really wanted to have a VBAC with this baby. DD was a vaginal birth, induced and pushed a long time, doctor suggested pushing 5 more min and then going for a c-section -- that was my motivation and I was able to push her out, 8lbs 14oz. DS measured big my entire pregnancy and at 34 weeks his ultrasound had him off the charts 13+lbs, so the doctor scared me into a c-section - he ended up being 9lbs 15oz. This time around my OB is the only in town who will do VBAC's, when I brought it up to him he seemed really hesitant and said we'd really have to monitor this baby's weight because I already looked like I was carrying on the bigger side again. Not sure if he's playing it really safe, or being smart and realistic (I do trust him though). So today I had a growth ultrasound. Surprisingly, as of right now baby is actually measuring on the smaller side, about a week behind, but is breech. I know it's my ultimate decision... but if it were you, would you still consider doing a VBAC? Or just play it safe and schedule a c-section?
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Re: Would you do a VBAC ("big" baby history)
My DS who was my c/s baby (not because of size) was 10 lbs, 3 oz. The OB I interviewed told me that I had a 10% chance of a successful VBAC because of his size.
My midwife who I chose reminded me that one big baby does not equal more big babies and also that women birth "big" babies all the time. DD was a successful VBAC at 8 lbs 5 oz. We did not do growth ultrasounds as they are extremely inaccurate and not scientifically sound. Not sure why some doctors still do them! For instance, in your case, the baby on the ultrasound was over 13 lbs but was born at 9.15.
Short answer, if it were me, I'd definitely be doing the VBAC. You've already had one successful vaginal birth under your belt. It should be easier for you than some of us!
This was my thought too. From what I've been reading, it looks like babies 8 3/4lbs+ are a higher risk for ruptures, etc VBAC's, so that makes me a little nervous since both of my babies were over that weight (my mom had all 8.5-9lb babies), so even though it doesn't mean this one will be big, I think my chances are pretty good.
But if you're close to delivery, I don't think I'd attempt a breech VBAC myself... How do you feel about vaginal breech delivery in general? Most providers will not do them. Add that you're a VBAC candidate and I think you'll have an even harder time finding one who will. But it may be a moot point anyway. Baby can turn during labor for a proven pelvis.
I definitely would not do a RCS based on size.
Short answer, if it were me, I'd definitely be doing the VBAC.nbsp; You've already had one successful vaginal birth under your belt.nbsp; It should be easier for you than some of us!
Agreed, any doctor should accept you aa a VBAC if you've already had a successful vaginal birth, but that's a rant for another post...
My VBAC baby was 10.5 lbs, and I pushed for two hours with him. I say go for it, as long as they are headdown in labor. Good luck!
DS2 - Oct 2010 (my VBAC baby!)
Automatic C/S based on estimated size is contraindicated. As you know all too well those estimates can be very off. I would definitely plan for a VBAC and not even worry about size (unless, of course, you have a medical reason to believe you'll grow an abnormally large baby). Also, it's way too early for the baby's positioning to be a factor.
Also, bummer on this OB being the only one available to support VBAC. He doesn't sound like the best option
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I can't comment on the breech position, but I had a big VBAC baby twice!
My first baby was a cs after 40 hours of labor 9lbs9oz.
Went for a VBAC 15 months later and after 7 hours, a few of which were pushing, I had a 10lbs7oz baby girl. She did have a little shoulder dystocia, which was a little scary. But she was alright.
Another 15 months later, had a VBAC with induction because my water broke but I didn't go into labor 14 hours later. I was very scared during that experience because they told me via ultrasound that my baby was huge, which is a risk factor for shoulder dystocia, especially given my precious experience. I know this is also a risk factor for a uterine rupture (which freaks me out!). They also had to give me pitocin, which I know is not the best for VBAC and shoulder dystocia risk. But, I gave birth to a 9lb5oz baby girl (my peanut) only 1.5 hours later!
I have now vowed that I will not let size scare me (although my doctor asked that I not attempt a VBAC if they think the baby is over 11 lbs...I can't even imagine what that would feel like...). I think if they added in a breech diagnosis, I would definitely be nervous, but if you have a confident provider who's willing to try, I would take a vaginal birth any day over the complications of c/s. But it is totally a decision between you and your doc for sure! Good luck!