Vbac getting closer - I'm getting nervou

iVillage Member
Registered: 06-25-2004
Vbac getting closer - I'm getting nervou
5
Fri, 02-19-2010 - 10:31pm

Hi Ladies...

I am a huge lurker, but haven't posted till now.
My story...

I was told by my OB that I had to be induced at 41weeks. Being a FTM I had no clue, so I did what I was told. I went to the hospital and they said I was already dilated 3cm and was having little contractions, so they couldn't give me the gel. .. This should have been my cue to turn around and head home... but They pushed me to have pitocin. Not letting me know that I had choices. AFter 12 hours on the Pitocin and not progressing they turned it off.. and told me to rest a bit.. In the morning the doctor broke my water, and they started the pitocin over again. 12 hrs later I had dilated to 9.5 cm and had a huge urge to push, but was told not to. My daughter was Post Terrier and the pressure in the back was huge.. Well eventually I got an infection, which caused me to fever. And DD's hr started to slow.
So a c-section it was. She was 9lbs 12 oz and healthy.

It was a horrible experience for me, and I don't want to do any of it again.. so I guess I am excited that I will not be induced, but like many ladies here, I have been told I cannot go over 41 weeks.

So with all that said.. I am 9 weeks away and I am really starting to worry about a VBAC. I know it is definitely the way I want to go, but having not done it vaginally before I don't know what to expect.

I am currently measuring big, but do not have GD. My MW seems very supportive, but the OB at the hospital is pushing for a c-sec because my DD was so large, and she thinks this one will be larger.

Thank you ladies for reminding me that I have a voice, and I make the decisions in the end. I wish I had read this board prior to my first.

I do have questions though...

Does an epi really reduce my rate of success?
IF I made it to 9.5 the first time, will it help the second time?
What positions do you recommend to help prevent post terrier?
Is the meconium in the water the only danger of going over 41 weeks?

Thanks! :)

infant


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iVillage Member
Registered: 07-21-1998
Sat, 02-20-2010 - 1:24am

Does an epi really reduce my rate of success?

I couldn't tell you for myself. There are no stats to back it. I didn't find it hard to go without (there was pain, but no fear) and it is easier to change your mind & get the epi, than to change your mind & wish you hadn't gotten it. (In any case, ANY anesthesia could fail. Learn to go without, even if you only intend it to be fallback.

IF I made it to 9.5 the first time, will it help the second time?
As the 3 Stooges used to say, "It couldn't hoit!"

What positions do you recommend to help prevent post terrier?
Do you mean tearing? Mostly the opposite of tearing seems to be birthing slowly. Massage, counterpressure, heat-packs are all said to help. If you think the baby will come out too fast DON'T squat.

Is the meconium in the water the only danger of going over 41 weeks?
41 weeks is the wrong figure. There is no proven problem (i.e. by statistics) with going up to 42 weeks. After that, there does start to be problems. Really all I know about it is what I've read here, and some of that is arguable.

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 06-25-2004
Sat, 02-20-2010 - 9:41am

Thank you for your reply.. I am so grateful to this site.. it has helped ease so many fears I am having and really given me much more hope for a successful VBAC.

Sorry I meant posterior position.. Is there anything we can do to prevent the baby from going into this position.. ..

infant


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iVillage Member
Registered: 07-21-1998
Sat, 02-20-2010 - 12:51pm

I think there's a site called "Spinning Babies", about ways to get a child in a good position. Hands & knees is supposed to be good, I remember that.

In fact, this is another argument for trying to avoid an epidural. You can do this stuff during labor if you're mobile. I'm not entirely sure my second child was posterior, but I read after the fact that the position I found most nearly comfortable (hands & elbows) was recommended for turning a baby during labor. When she did come out, she was turned properly.

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 01-06-2007
Sat, 02-20-2010 - 3:04pm

Hello, and welcome!

From the research that I've done, the fact that you've been able to dilate to a 9.5 is one of the best indications of success. Your body has already proven its ability to dilate, and that's a real plus.

The research on whether an epi reduces your chance of success is mixed. Some studies have indicated that it can, others have indicated that it won't be an issue. It can make it more difficult to change positions, which can make dealing with posterior babies more challenging. Here's an article on the subject-- http://www.vbac.com/epidural.html

I'd second the pp and encourage you to check out spinningbabies.com. I've been doing the exercises since 2nd trimester, and do think that they're a part of why my baby is head-down this time around. Some of the suggestions that make a lot of sense is to sleep on your left side, to avoid reclining, to use a birth ball or to tailor sit when watching TV or reading, and (if possible) to swim and do prenatal yoga. In labor, there are a slew of suggestions-- Spinningbabies lists several, and you could also check out Ina May's Guide to Childbirth, the Sears Birth Book, The Birth Partner, or other pro-natural birth books.

I've been unable to find studies that support the idea that that there is a danger at 41 weeks. Studies have found that risks of meconium, reduced nutrition to the baby, and (very slight) of stillbirth come after 42 weeks. Here's a great and really thorough article about postdates. It's a tad old, but is well-researched. http://www.gentlebirth.org/archives/datesppr.html . Here's an article from the OB point of view: http://www.obgyn.net/fetal-monitoring/fetal-monitoring.asp?page=/fm/articles/postdates_pg

You might also want to check to make sure that you're absolutely certain about your dates. If you have irregular or long periods, are heavy, were on birth control pills or were breastfeeding, your dates might be off.

It might also be worth talking to your providers about doing some testing after 41 weeks, rather than jumping to a RCS or induction. My providers were happy to compromise. At about 41 weeks, they'll want me to come in for regular nonstress tests and ultrasounds to check the baby and the status of my placenta. After 42 weeks, they said that they'd want to talk to me about sweeping the membranes, a foley catheter, or even breaking the waters or a very low dose of pitocin if my bishop's score is very favorable.

Good luck!

-Sarah, mom to Melissa Jeanne, born 9/4/07, and baby

-Sarah, mom to Melissa Jeanne, born 9/4/07, and baby boy, due 4/9/10

pregnant

iVillage Member
Registered: 04-18-2009
Sat, 02-20-2010 - 7:45pm

Welcome to the board.

Rose