I am a Student nurse Anesthestist. My wife is pregnant with our second child and I have a couple of questions.
A little background- our first child was born via C-section after FTP . She only dilated to 6 cm after 26 hrs and started having decels so they decided to cut. Also our son was 9#12oz when born.
Now that she is pregnant she was thinking about trying a TLAC/ VBAC but there are some downfalls. Our hospital is a large woman's hospital that is also a teaching hospital. This is the hospital that we must go to due to insurance. She would like to try to labor in water but after the water is broke she was informed that she would have to get an internal monitor and have to stay in bed. She does not like this option and feels pretty helpless with her choices.
Based on her FTP and the fact that the first child was very big, she is already measuring at 33 weeks but is only 30 weeks, and her history of C-section- I tend to think that maybe a section is the best route. Now I know that a C/S is usually not the best thing but given her limited options to do things the way she wants I tend to lean that way (yes I am aware that I am the one who does not have to recover). Also with her first pregnancy- the epidural really hurt her bladder- she has a bad bladder. She was HTN but not spilling proteins, but after our child was born, went full blown preeclampsia and had to be readmitted and put on Mag which slowed down her healing and made for an overall awful expererience. Right now her BP is okay so we are hopeful.
I am just looking for some opinions on maybe she should try the TLAC and get the internal monitors and have to stay in bed- it is this groups policy or should she schedule a C/S at 39 weeks and go that route.