Can't go past EDD,it will stretch scar?

iVillage Member
Registered: 10-10-2004
Can't go past EDD,it will stretch scar?
12
Sat, 08-14-2010 - 10:05am
I really want a VBAC. I really thought my c/s was one of the most disturbing and awful things I have been through. My dr is very pro vbac but has been booked. I saw a different dr last week at 37wks, and she said I would have to have a c/s in my 41st week b.c they wont let a prior c/s patient go that far past their due date. That really made me mad. I mean I can't be pregnant forever, I will eventually go into labor.
So I made an appt w/ another dr b.c was booked again. I saw her yesterday at 38wk1d and she wanted to c/s me on Tuesday at 38wk 5d b.c my cervix is still high, hard and closed! She said based on the exam I will not be going into labor on my own and my chances of a vbac are really slim. I said no I would not do it. So then she told me I have to have a c/s by the 25th. My EDD is the 26th! She said I can't go past my due date "because how far do you really want to stretch the scar?" Then she follows that up by saying if I was dilated to 2 or 3cm they could try pitocin. So how is using PITOCIN safer then letting me be pregnant and go into labor? Have any of you heard of this? Is there any truth that being pregnant too long will cause the scar to rupture? I see my dr Thursday, thank God and am hoping he is on my side. Any support, labor vibes, and prayers would be greatly appreciated.
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iVillage Member
Registered: 07-21-1998
Sat, 08-14-2010 - 3:17pm

Actually, I've heard of it a lot, and it all seems to be BS. There is no preponderance of evidence showing that VBACs in the 42nd week are any less safe than earlier VBACs, and rather a bit of evidence that induction of any kind is best avoided and that surgery has significant risks.

I had my VBAC 9 years ago, but still hang out here because people keep getting told the same stuff which has no clinical evidence behind it. I've seen people come here being told that they absolutely couldn't VBAC because (I wish I had a bullet list option)

They're too fat
They're too skinny
They never went into labor before
They did go into labor before
They never went into labor without induction
They went into labor, but they never dilated
They got as far as pushing, but it went wrong there
Their prior labor was early
Their prior labor was late
They never had a vaginal birth
They had too many vaginal births
They're too young
They're too old
Their c-section baby was post-term
Their c-section baby was premature
.
.
.

You get the picture. Virtually none of this is supported by any objective evidence (and some of the cited studies where there supposedly is evidence has holes you can drive a truck through). Just keep saying no unless they can cite a very rigorous study or have a very specific and immediate medical reason for you, in particular.

The 41 week thing is the most common "gotcha" reported here. The best statistics anyone has ever come up with is that there is no problem (for anyone, including VBACs) before 42 weeks, and even then it can be examined on a case-by-case basis for things that can be spotted and dealt with if & when there is a real problem.




Edited 8/14/2010 3:21 pm ET by ca_dreamer
Cthulu Crochet

iVillage Member
Registered: 08-03-2004
Sat, 08-14-2010 - 4:02pm

Hey, Vicki! Still sending you tons of VBAC vibes. I think the doctors are BSing you big time. My OB practice is as a whole extremely supportive of VBACs, and it's why I was willing to drive an hour out of my way for every appointment and hospital visit (which proved really quite the PITA at the end, but the result was well worth it). The only thing my doctors did tell me was that pitocin increases the risk of uterine rupture, so they wanted to avoid induction. I am getting so steamed at these doctors on your behalf!

Keep me posted on your next appt.









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iVillage Member
Registered: 04-23-2006
Sat, 08-14-2010 - 4:08pm

She is lying to you to get you to agree to the c/s.

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iVillage Member
Registered: 10-10-2004
Sun, 08-15-2010 - 8:47pm

I hate driving an hour to my appts and the hospital etc. It drives me crazy. My dr is very pro vbac and I *thought* the office as a whole was. Turns out its just him, the 2 MW's, and one other dr who seem to REALLY support it. The rest say yes they support it but now that I'm at the end they don't. I can't wait to hear what my dr has to say since I have not seen him since 35wks. If he even hints at not letting me go to at least 41wks I'm done with the whole practice. I'm not going back until I'm in some pretty intense active labor. lol

Why did you need your 1st c/s? How long was your second VBAC? That is the other reason the other 2 dr's are saying I can't VBAC since I didn't dilate on my own last time. I don't think that matters in my case b.c I was never in labor at all. They gave me pitocin,cytotec, even tried a foley cath and I made it to a whole finger tip dilated. I don't think that should be deemed as "me" not dilating. Its not like I went into labor and it stalled. They were never able to start labor...KWIM? Brian has been great and so supportive and when I told him the other done how sad I was feeling he said "Don't worry about it baby. This baby is coming out, she won't be in there forever and when she comes out, she WILL come out your who-ha." lol

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iVillage Member
Registered: 08-03-2004
Mon, 08-16-2010 - 9:42am

LOL at Brian! My c-section was because I failed to progress. My water broke and after about 24 hours without labor they induced me, first with cervadil and then pitocin. I stalled at 6-7 cm and at that point it had been almost two days since my water broke. My doctor was worried about infection (I was GBS positive) and they did the c-section. It turned out that my DS's head was weirdly positioned...he came out with torticollis of the neck and his head was smushed on one side. It was unlikely that he would have been able to descend into the birth canal positioned like that.

My first VBAC was actually sort of similar in that my water broke first but I did go into labor and dilate pretty quickly. I think the whole thing took ten hours. And of course you know my ridiculous birth story with Evan.









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iVillage Member
Registered: 03-02-2007
Tue, 08-17-2010 - 6:21pm
I am sorry some of your drs are not fully on board. I had several drs trying to convince me to c/s this time around. I was very aggravated with the whole situation. They use fear to try and get us to c/s. I refused to listen. I had one Dr that was really supportive and I tried to schedule with that dr if I could.
I however was dilating early. I was 3 cms at 37 weeks and was doing everything in my power to evict him before his due date so that I didnt have to deal with the issue of c/s.
Thankfully he decided 2 weeks early was good for him to.
I say stick to your guns and dont let anyone tell you otherwise until you really have no other options. Go for a nice long walk!
August Siggy

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Oct Siggy

iVillage Member
Registered: 04-18-2009
Fri, 08-20-2010 - 8:58pm

The next time your dr says you'll be pg forever, tell them you're looking forward to it.

Rose 


iVillage Member
Registered: 10-10-2004
Sat, 08-21-2010 - 8:12am
Well I saw my dr and he said he going to at least 41wks isn't an issue at all and that we can re-evaluate at 42wks if we need to. He said he would never force me into anything but that he does usually suggest doing a repeat c/s around 42wks if there is still no progress. As of right now my cervix is closed up super tight,high, thick, hard...all the stuff you don't want at 39wks LOL. :) So I feel much better and am so happy I finally got to see my dr, how dare he go on vacation and have a life when I'm about to give birth lol ;). I have about 2-3wks to go into labor so fingers crossed it happens soon b.c I'm kinda feeling a little done with the heat and being pregnant lol :)
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iVillage Member
Registered: 07-21-1998
Sat, 08-21-2010 - 1:21pm
I keep forgetting whether the pattern I followed was typical for a first or a subsequent pregnancy, but I saw my OB the day before labor started, and there was "virtually no sign, we should start talking about induction". I'm inclined to think it's a not-first-time thing, as I never experienced that thing called "lightening". (C-section, first child, pre-e, 34 weeks)
Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 05-25-2005
Tue, 08-24-2010 - 9:29am
I am new to the board and haven't read all the comments, but I was surprised by your doctors statement of not letting you go past your due date.

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