VBAC

VBAC large head

My daughter was born via c section 2 years ago and even after successful laboring and dilation. I couldn't get her out because she was OP and stuck under my pubic bone.

Baby number 2 due in March and I am a VBAC hopeful. My main concern is that when my daughter was born, her head measured in the 90th percentile. I think it's safe to say that number 2's will be around that size.

What should I be concerned about tearing in general with a head that size?....VBAC concerns regarding head size?
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Re: VBAC large head

  • Both my children had heads in the 98th percentile and I delivered them vaginally. 3rd degree tear with my son (born first after being induced and in labor 17 hours), then barely a 2nd degree tear with my second child (born med free after a few hours of labor).

    You probably will tear, but that can heal! Don't be afraid of a big head. It's the shoulders that are tough.

  • And I haven't had a VBAC so I don't really belong on this board but I saw the thread title and wanted to contribute.
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  • This is exactly my fear as well. My kid's head was 15 inches. She was also 9.8lbs. She kept turning her head a little sideways and wouldn't straighten out too. Pushed for 3 hours with no luck. My doc is cool with me trying to VBAC. I'm not so much worried about tearing as I am of this kiddo having a giant head as well.

    Hopefully both of our new babes have normal sized heads this time! Lol.

    Good luck, mama!
  • My vbac baby had a 15cm head too and was 10lbs. The success of your vbac has a lot more to do with baby positioning than size.

    Look into spinning babies and a doula. Also a Webster certified Chiro is helpful too!
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  • Thanks for the good info!
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  • not pregnant yet but DD also had a LARGE head.  I was induced, pushed for 3.5 hours with no progress so ended in c/s.  I have a fear of this happening again but I plan to do things a bit differently next time.  Walk around more, delay EPI, hoping if it comes to it have the doc cut me for more room to come out.  Looking forward to your story
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  • This is exactly my fear as well. My kid's head was 15 inches. She was also 9.8lbs. She kept turning her head a little sideways and wouldn't straighten out too. Pushed for 3 hours with no luck. My doc is cool with me trying to VBAC. I'm not so much worried about tearing as I am of this kiddo having a giant head as well.

    Hopefully both of our new babes have normal sized heads this time! Lol.

    Good luck, mama!

    This was my daughter! 15.5 inch head and facing my hip. After 2 days of labor and hours of trying to move her we went for a CS. Really hoping this little boy is smaller.
  • I second looking into using a doula. My first VBAC was a nightmare-I had a big baby and he got stuck. My OB was able to vacuum him out, barely escaping a c/s. I hired a doula for my second VBAC. She was amazing. I have a posterior cervix and my OB couldn't get it to come forward, but my doula could. She also had me on a birthing stool to deliver. I had DD2 out in 2 pushes. My OB wasn't even gloved up when he had to dive to catch her!
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  • Hi everyone!

    Wanted to update you all on my successful VBAC!  Water broke spontaneously 11:30 am the night before our 7 am induction.  Which was convenient because we were 15 minutes from the hospital in a hotel instead of 2 hours away at home.

    My little guy had some problems.  The docs wanted to start pitocin when my labor stalled at 5cm but had to stop often because his heart would decelerate.  Then, I was diagnosed with pre-eclampsia halfway through labor and put on magnesium which made me feel awful.  I finally progressed to completion almost  a full day after admittance.  Unfortunately, baby had more heart rate issues during the pushing phase.  Enough for the doctor to tell me he needed to be born quickly.  So instead of allowing me to make slow progress with pushing, the doctor pulled him down with forceps and he was born quickly with the next push.  Sweet boy had the cord around his neck twice!  A very empowering experience but a bit of a rougher recovery than I was anticipating.  I'm glad I had what it took to put him first in a dangerous situation.  You never know what is going to happen with these things!  Always be ready to change the plan!!

    Good luck to all!

    Katie
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