"scheduled" c-section due to "small pelvis"?

Re: "scheduled" c-section due to "small pelvis"?

• merc5411 member

  May 2014

  I labored for 27 hours and never progressed past 6 cm. My lo had an enormous head, like his father. Lol. My OB said I could try for a VBAC next time I got pregnant, but he thinks it'll turn out the same way. I'm just going to have a RCS, if we have #2. But if a VBAC is important to you, I think it's worth a try. Good luck with whatever you decide!

  
  

  
  

  
  

  Report0 Reply
• Loading the player...
• LyndseylovesHugh member

  May 2014 edited May 2014

  My dd got stuck after 36 hours of labor and 2.5 hours of pushing due to my pelvis narrowing and I ended up with a c/s. My doc left it up to me to schedule a c/s or try for a VBAC and I'm going with the c/s. He said I have a very good chance of having to have one again and I personally do not want to go through all that labor again just to end up with a c/s. Now if my first c/s was because of something that did not affect my ability to push a kid out, like if she was breech, I would probably try for a VBAC.
  
  It's really up to you and your comfort level, you have a totally legitimate reason to schedule a csection since you have already had one, but if you want to try for a VBAC and your doctor/hospital allow them then go for it and just keep in mind that you may end up with a c/s.

  

  Report2 Reply
• allrightmeow member

  May 2014

  Was your son a huge baby?  Seems really early for them to be throwing CS around to me.  My doctor is very wait and see go with the flow.  IF IT WERE ME, Id look for a new doctor.  Doctors who go right to worse case situations make me nervous.  

  
  

  
  

  Report11 Reply
• WashingtonQueen member

  May 2014

  Natalie78WW said:

  Was your son a huge baby?  Seems really early for them to be throwing CS around to me.  My doctor is very wait and see go with the flow.  IF IT WERE ME, Id look for a new doctor.  Doctors who go right to worse case situations make me nervous.  

  
  

  
  

  Yeah, this. I have seen doctors give some odd or random reasons on why they don't want you to do a VBAC. C-sections are easier for them.

  Report1 Reply
• staciayoung22 member

  May 2014

  Thanks everybody! Very helpful. I just want to choose the safest, and less risky choice for the baby in the end. And my doctor was not pushing it, just acted as though, it would be the best decision.

  Report0 Reply
• staciayoung22 member

  May 2014

  Yes my son was 8lbs 7ounces at birth:)

  Report0 Reply
• Justabean3 member

  May 2014

  It also had to do with pelvic position.
  
  Do you have small pelvis and shallow pelvis. Shallow is what they worry about because it is like a cereal box instead of a bowl shape

  Report0 Reply
• Sunshinehippymama member

  May 2014

  Reasons why i hate using obstetricians. This would have to be top of my list. I just read a beautiful article about a 6 day labor with twins and each twin was 33 hours apart. Obs jump at c sections as if birth won't just happen... Some times it takes a long damn time to get a baby out, its not a medical problem, its nature doing what nature does. Granted a super long labor can't be much fun, but i rather that than an ob jumping to mutilating my body because I'm taking "to long" to dilate. Unless it is entirely medically necessary for my life and babies life... Oh hell no. Sorry lol biggest pet peeve of my life.

  Report0 Reply
• 2goingon3 member

  May 2014

  I was told by the obgyn that I wouldn't be able to deliver my first vaginally because my pelvis is too narrow, and I should have a c-sec, but I said I wanted to try, so he stuck around to see if I could do it (he was an on call ob at the hospital, there was also a delivery doctor) and sure enough, out she came, no issues! DD was 7lbs8oz, then 19 months later, DS was born at 8lbs8oz. Do whatever is best for baby, but don't let your doc jump to conclusions either.

  Report0 Reply
• tbarker14 member

  May 2014

  My sister was told that she couldn't deliver vaginally as well since her pelvis is to narrow.... she told her Dr that she wanted to try. She ended up having a c-sections due to high blood pressure. Then when she wanted to try VBAC with her second. She was told the same thing again along with the fact that both of her kids were only 13 months apart. The dr was concerned that the C-section scar would tear (after 14 months it's considered safe to try VBAC). Again my sister wanted to experience a natural delivery but ended up having a second c-section due to her water broke and no signs of labour almost 20 hours later.
  It is really hard to predict what will happen during the delivery. Which is why I think it's good to explore all options and of course during the delivery day always go with what the situation is at hand. What the Dr/midwife suggest along with your gut. Good luck with the delivery!

  Report0 Reply
• KayteeGee member

  May 2014

  Um,  I don't think 8lbs7oz really qualifies as "big", even with a massive head.  Of course, I don't know your size so that makes a big difference (and FWIW your scenario - hard labor followed by emergency C is my nightmare)
  But I would be HIGHLY skeptical of anyone who would suggest a C-section due to big babies at 13w and a history of an 8 1/2 pounder.
  And I say this as someone who's perinatologist was expressing the same concerns last time around (not nearly that early, though) and was predicting DS to be 11#.   He came 3 weeks early and was 8lbs8oz with a 98%ile head.  I'm THANKFUL I didn't get stuck like you did, but grateful that my OB is way more laid back and let me try.
  Anyway, my point is that I think it's shady that anyone's trying to push you into a C at 13w based on size.  If your first had been 10 or 12 pounds, maybe... but not at 8 & 1/2...
  Ditto what PP said - ask your doc and then trust your gut.
  
  
  

  Report3 Reply
• mysticl member

  May 2014

  theresat858 said:

  trawas01 said:

  Having a pelvis that is truly too small to deliver a baby (CPD or cephalopelvic disproportion) is actually very rare in countries where women have access to adequate nutrition. Women diagnosed with it today often have other skeletal issues or previous traumatic injuries to their pelvic bones. Its also not a distinction that can be made by looking at you during a pap. Its usually diagnosed through an Xray, MRI or other imaging technique.
  
  IF it was me I'd run quickly for a different ob/gyn or at the very least get a second opinion.
  

  This.
  
  I would also look into delivery positions.  Laying flat on your back is the worst way to push out a baby.
  
  tbarker14 high blood pressure alone is not a reason for a c-section. An induction, perhaps - but a c-section? No. 
  But of course her doctor wouldn't let her try a VBAC after only 13 months.  It's generally not recommended to even get PREGNANT before giving your body at least a year to heal, ideally at least 18 months. And 18 months after a C-section is the minimum for a V-back to be considered safe.
  

  I had high blood pressure so my midwife recommended induction.  When I got to the hospital my care was transferred to the on-call OB who was from a different practice (that's how things work in this town).  He offered me two different induction methods or a c-section.  I opted to stick with the plan that I had discussed with the midwife.  About 24 hours later I was on the operating table due to failure to progress.  So one could say that my c-section was due to high blood pressure.  If my blood pressure hadn't been elevated, I would have been able to go into labor on my own which would have increased my chances of a vaginal birth.  

  Report0 Reply
• tbarker14 member

  May 2014

  @theresat858‌ thanks for clearing up when it's safe or not to have a VBAC. All I knew was the dr was concerned with my sisters boys being so close in age.
  As for the c-section it does vary on individuals health.
  
  But I do agree with the other post which is if you are unsure or concerned. It does not hurt to get a second opinion. And do what's best for you and the baby.

  Report0 Reply
• mrsransom member

  May 2014

  I had a similar issue with my first.  I could not dilate past 6cm for hours & hours.  They said they thought my pelvis size/position was part of the issue.  No more progress was happening & my water had been broken for awhile, so we went ahead & did the c section.  My doctor asked me if I had any interest in trying for a V-bac this time, & I told her I was more comfortable having a repeat c-section.  I felt the same thing might happen again & it was just the safer, easier option.  However, if you really want to try for a V-bac, I would absolutely do it!  If it happens the same way & you don't progress & end up with a c-section again, at least you tried!  

  
  

  
  

  Report0 Reply