What is the reasoning that they give you? I'm just curious because I don't know what is considered to probably happen with your second labor..with DD I never dilated past 3 cm and they had me on so many drugs to induce and told me they were affecting her heart rate. My dr now feels like I probably wasn't even in active labor and we are hoping for a vbac..I just don't see how a dr could say the same thing could happen again..shouldn't everyone have the chance to try a vbac??
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Re: Drs who say "RCS is best for you"..
My OB practice used that online predictor for vbac success to talk about my chances of having a vbac. Since my first LO was breech, I had a pretty high chance of success. But when my baby started measuring big, that's when my practice changed their tune. In their mind, once your chance of success got to 50%, that's when they started being more pro-c/s. I thought that was odd because with my first birth I didn't get to labor at all. So even a 50% chance of a vbac sounded pretty good to me. It was better than my 0% chance with my first LO. There's nothing to say which 50% I would have fallen into.
My baby was big but I did have my vbac.
I also felt like my OBs never said rcs was better for me. The focus was all on the baby and how it was better for him. But it bugged me to no end that most of my OBs glossed over the risks of rcs. It was all emphasizing the risks of vbac/big baby while acting like rcs was risk-free. Not all my OBs did this but the annoying ones did. I wanted to kiss my MFM who actually discussed the risks of rcs on her own without me having to bring it up. LOL She was the head of the practice and I can see why she was that way because she was definitely the doctor I respected the most.
I don't think anyone can predict it. I hate the online predictor. OBs will throw out the pelvis too small card, but that is truly a RARE, real reason for a birth problem. I think one reason might be is surgery is easier and cleaner for an OB. It's what they do best - they're surgeons.
I would change doctors if based on your history, an OB said a rcs is best (maybe she's not saying that to you, hopefully not!). You can have every confidence of having a VBAC based on the first birth. Give your body a chance, and it'll show you (and them).
Two of the doctors at my practice keep saying that I am not a good candidate but are not giving any clear reasons. They say things like - well, since you never went into labor on your own, that makes it unlikely that you will this time.
And um, so what? It is their policy not to induce so if I don't go into labor by 41w5d I will have a CS. How is that a problem for you? So I know that is not the real reason.
Little Sister on the Way 04/23/2013
I would have had a chance to VBAC but my uterus started to rupture before real labor even started. That's why my OB now says I should not VBA2C and a RCS is best for me. I agree.
BFP1: DD1 born April 2011 at 34w1d via unplanned c/s due to HELLP, DVT 1 week PP
BFP3: DD2 born Feb 2013 at 38w4d via unplanned RCS due to uterine dehiscence
My OB said that given my age (38), health issues (I had back surgery two years ago, am asthmatic, and had high BP issues with my last pregnancy), and that I had the last c/s because DD failed to progress - I had been induced 3 days before my due date, they broke my water and nothing happened after 12 hours.
She said, "I don't want to make up your mind for you, but I would highly recommend you as a RCS candidate." She listed risks to me (uterine rupture, etc) and risks to the baby (cerebal palsy, etc). We will most likely go with RCS.