Not sure what to think

iVillage Member
Registered: 03-02-2007
Not sure what to think
8
Sun, 11-22-2009 - 6:05pm

With my DD I went into labor naturally. My water broke I labored for 15 hours and pushed for an hour and a half. DD just wouldnt decend all the way she kept slipping right back up after I would stop pushing. After a while of trying her head started to swell around the cap. My Epi ran out entirely and they told me that I needed a c-sec. DD was NOT in any kind of distress. But I think I consented to the c-sec because I was exhausted and in pain and scared. Oh yeah the dr never came in during any of my pushing I had a nurse the whole time.

Now they are telling me that the reason that I couldnt push her out was because my pelvic opening is not large enough. Has anyone ever been told this and go on to have a VBAC.
I am due in June with my second. At my first appt they said they "might" let me try vbac but they wouldn't let me try long. My first appt was with the Dr assistant. All the drs at the office were at the hospital that day. I meet with one of the obs on the 30th.
I will ask again about the VBAC but I wanted to see what you ladies had to say. I am just not sure what to think.

Oct Siggy

iVillage Member
Registered: 11-24-2008
Sun, 11-22-2009 - 8:18pm
Ok, I think you need a new doctor's office!!!! And yes, many many many many women have gone on to have VBAC babies that are bigger than their c-section baby, even after being told that their pelvis was too narrow. Unless you had rickets as a child or were in an accident where you broke your pelvis you shouldn't have any problems. There is a video on youtube specifically about women in your situation who went on to have bigger vagnial babies. However, you need a more supportive caregiver. Is there an ICAN group in your area? They should be able to help.
Pregnancy ticker
iVillage Member
Registered: 04-18-2009
Tue, 11-24-2009 - 9:19pm

I agree with pp.

Rose 


iVillage Member
Registered: 03-02-2007
Tue, 11-24-2009 - 9:29pm
The practice that I go to is the better practice in the area. It is an all womens practice and there is about 8 different drs that you cycle through.
I think the circumstances were a little unusual with my DD. The Dr on call that night was in surgery and didnt get to come in and check on me I had a nurse most of the time. DD's head began to swell and my bladder began to swell.
I think I am going to push the matter for the VBAC unless there is a true medical reason for me to have one this time around. I have my next appt on Monday with the actual dr and I will discuss it further.

Oct Siggy

iVillage Member
Registered: 04-18-2009
Fri, 11-27-2009 - 6:08pm
Please let us know what your dr says about vbac'ing at your appt.

Rose 


iVillage Member
Registered: 07-20-2006
Sat, 11-28-2009 - 11:56pm

Congrats on your pg :)


Oh mama, there are all sorts of red flags being raised here! THey 'might' let you try, but not for too 'long'? Good Lord, what does that even mean? IF you go into labor naturally before 39 weeks, if you progress on the silly '1 cm per hour' timeline, if you do handstands for them? Sheesh.


Were you induced, was your water broken artifically, did you labor in bed or were you encouraged to use 'gravity' to get her in the birth canal, were you able/encouraged to push ways other than flat on your back? (I'm guessing not if you had the epi, but after it wore off you should have been enouraged to try) If you got to complete and pushing before the c/s, you have a very, very good chance of a successful VBAC *if* you are properly supported by the medical facility/staff. THat will not happen where you going.


The 'too small pelvis' is a bunch of bunk in most cases. Our bodies know how big the baby is and it's not going to make something too big to birth, unless something incredibly weird happens (like GD, rickets, etc).


http://www.ican-online.org/vbac/cephalopelvic-disproportion-cpd


Absolutely not all VBAC can/should happen for medical reasons. But, going past 39 weeks is NOT a valid medical reason to have a c/s. Going longer than 10 hours of labor is not a valid medical reason. Sneezing and having the EFM go wonky is not a valid medical reason. Baby is too 'big' as seen on

Theresa

Mama to two girls; birth choice and breastf

iVillage Member
Registered: 03-02-2007
Sun, 11-29-2009 - 8:02am
Thank you I didnt take your post as angry.
A lot of what you said is true.
I did go into labor naturally at home at 37 weeks
My water broke at 1 am I went in around 3am they hooked me up to machines. They did give me potocin after I got there without asking me if I wanted it. I didnt get the epi until around 7 am.
around 4 I started to push. I was not encouraged to try any other positions. I never say the dr during any of this time. around 5 the dr finally came in and c-sec was pushed. I was scared and exhausted and in pain so I agreed.
My appt is tomorrow where I will meet with the actual dr not the assistant. So we will have this conversation all over again. Dh is pushing or the rcs because I think I scared the death out of him last time but he just doesnt understand.
Plus I dont want to have to go through that recovery a second time with a small child at home if I dont have to.

Oct Siggy

iVillage Member
Registered: 04-18-2009
Tue, 12-01-2009 - 8:50pm

Please let us know what your dr said when you have time to update us.

Rose 


Avatar for bmcm1
iVillage Member
Registered: 03-25-2003
Fri, 12-04-2009 - 8:13pm

I am just passing through and wanted to throw out some thoughts. I saw your update and am happy that the doctor was supportive but still wanted to comment. I am also adding the disclaimer that I wasn't there so I am going strictly by what you have said.

First 1.5 hrs is NOT a long time for a first time mom who has an epidural to be pushing. Even without an epidural that is not a long time. It makes me sad, really. There are times when it "feels" like there is a chance for CPD (too big for mom's pelvis...and really hip size has nothing to do with that). There are times when you wonder from early on. So maybe they felt like your pelvis was small and so with pushing they noticed no movement and didn't see it getting any better. But, even still, an hour and a half is still NOT long. They could have tried to redose your epidural, get you comfortable, let you labor down and sleep, and try again after your body had (hopefully) moved the baby down naturally. I am only saying this b/c some of our more VBAC friendly doctors tend to pull back when it comes to the previous cs being due to failure to descend or CPD. It changes things. So, if you have a vbac friendly doctor but they say no b/c of the reason for your previous cs, I think you should really emphasize that you only pushed that long.

Second, you mentioned several times that you never saw your doctor until the end and that you only had the nurse. That usually is the way it is, especially when you are in labor at night. If you do vbac this time, you will have your doctor on site at all times but aside from that, a lot of doctors only want to show up in time to catch the baby. During the day hours, they stop in occasionally sometimes. But for the most part, unless they have a reason to be there (someone else delivering, etc) they don't hang around. Actually, there are some doctors that we try to keep away b/c they are notorious for jumping to a cs or some other silliness. The fact that your doc was so ready to do a cs after 1.5 hrs without fetal distress makes me lean towards putting him further in that catagory (which may or may not be a correct assumption on my part). Regardless, I have to say, in all honesty, he is not someone I would want there if I were going to vbac after that. I am not so sure you had a fair chance at labor the first time so it makes me question if you would get a fair chance at a vbac. Someone mentioned the ican site, I have looked on there and the same OB's that I would recommend for vbac are listed on there. I would check there and see if that group you are going to are listed on there. Good luck to you.

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