Past due date, VBAC, Dr. thinks he felt scar tissue..WWYD?

Love My Lil Princess 509 · November 2013

Ok, so I am almost in tears. I am 40 weeks, 1 day, so overdue with second DD. First DD was born via a scheduled C-section at 39 weeks bc she was breech. I never went into labor. My current OBGYN delivered her, but was not my primary OBGYN for the pregnancy. I ended up liking him better then the obgyn I was with for that pregnancy, so I switched to him once I found out I was pregnant this time around. Before I had that C-section, I did have a consultation with him beforehand and he took down some past history. I told him about a previous early miscarriage and almost positive I mention that I had to have a D&C done. That D&C was done by my previous obgyn. I left her practice after the horrible experience I had with that. I've obviously had paps and such since then and was never told about scar tissue or anything like that. I had my first cervical check with this doctor at around 35-36 weeks and he told me it was thinning out, which is a good sign. I know that cervical checks aren't even required though and don't tell much, but I've let him do them.

Last week, he does one again and I am 80% effaced (sp) and a fingertip dilated. The past few weeks have been really rough, I can't do any activities with DD who is a toddler and I am really just over being pregnant. My Dr. has been supportive of my VBAC this entire time and even would let me go as long as 42 weeks, but he did say the baby will keep on getting bigger and he would at least like to schedule a C-section in case. I went ahead and scheduled a C-section next Friday at 41 weeks 2 days.

I had my 40 week appointment tonight and I have not progressed. He also tried to do a membrane sweep but was unable to since I am only a fingertip dilated still. We sat down to speak afterwards where now he tells me he thought he felt scar tissue on my cervix, this was never mentioned before, and if I ever had surgery on my cervix or leep procedure done, which I told him I didn't. I didn't think to mention the d&c. He in so many words told me that it doesn't look to promising that I will go into labor before next Friday. He will not induce me, nor do I want the use of any drugs to be induced. I can live with another C-section, was hoping and wanted a Vbac, but this is my luck that new DD just doesn't want to be born yet. He even told me I'm his only October baby left.

When I got home, I googled cervical scar tissue bc I found what he said to be odd, and saw that a D&C can cause this, something I never knew about. I then read numerous stories about scar tissue preventing women to dilate or causing extremely long painful labors which scared the crap out of me. My dr. also asked me how long I labored for with my last birth, I guess forgetting that DD was breech, so I explained to him I never went into labor at all. I just went in for my scheduled C-section at 39 weeks. Guess he didn't remember this lol. So, now I am a mess right now thinking my Vbac dreams are out the window.

He wants me to come back in on Monday so he can try to do a membrane sweep. So, should I call him up over the weekend, which I feel stupid even doing, and mention that I had a d&c before? I mean, if he did feel scar tissue, and that is what caused it which I'm thinking is the only explantion, then wouldn't that mean there goes my VBAC? If that is the case, should I try to move my C-section up? I feel like crying over this and I'm now a bundle of nerves thinking watch, I will go into labor now, and never progress, or is it possible even to dilate normally with scar tissue on your cervix?

Lauren436 · November 2013

So sorry you are feeling this way. I would tell your doctor you had a d&c just bc I think your doctor should know EVERYTHING about yOur medical history. That way he knows why he felt scar tissue instead of him trying to figure it out. I don't know if vbac is out of the question or not, but who knows what can happen at this point, you can progress quickly and not have a chance of c/s. keep your head up and talk to your doctor about options. Best of luck!

ejb23 · November 2013

Lurker here but I agree with pp. I just have my new DD but hoping for vbac next time around however I had the issue you are worried about. Was induced and never dilated past 2 which my mw thinks was due to scar tissue from my d&c. I ended up with csection. However she did say its possible that it could not be an issue for next pregnancy so you might be totally fine! I'd just talk to your doctor and see if you can wait for a while to let your baby work his/her magic and break up that scar tissue to get out! Good luck!!

acsago · November 2013

I had a LEEP between my first and second babies and had a very successful, fairly easy VBAC with my son. I'm sure there was scar tissue there because of the nature of the LEEP itself, but it caused no problems, so I certainly try not to getworried about it in advance. Your cervix is working already, so just go with the positive for now.

PurpleSnapDragons · November 2013

I would be induced before going to a RCs. They can induce you with a foley bulb if you are at least a one. It has no chemicals. Also induction or csection because the baby will keep getting bigger isn't evidence based. Studies show that babies induced or sectioned for suspected being big tend to be only 3.5oz heavier than those who were patient and went into labor naturally. I would get nst bpp starting at 41 w but then go until 42 and then try a gentle induction.
I don't know much about cervical scar tissue but I know you doc can massage it during labor and help break up the scars

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Past due date, VBAC, Dr. thinks he felt scar tissue..WWYD?

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