sorry if I'm beating a dead horse here but I just got back from my ob appt. and was told by my doc that in order to try for a VBAC, I would be REQUIRED to be induced and REQUIRED to have an epidural. I asked why and she said the induction so that the labor would be in a controlled environment and the epidural for an emergency section. I asked how I was to feel my uterus rupture with an epidural and she said that you can feel it, trust me, I've been doing this for 19 yrs. (did they have epidurals 19 yrs ago??)
Anyways, I am so angry...does she think I am a complete idiot?
she said all of this is according to ACOGs guidelines....isn't that a load of crap? (I have searched acogs website and can't find anything that I don't have to pay for)
Thanks for letting me vent (AGAIN!!!)
feel free to comment...or I'll give you her name and we can all harass her
May 27, '03
the drs. where i work don't like to use pit on vbac's. they prefer to have the pt. go into spontaneous labour. if the pt doesn't, then they usually suggest repeat c/s. pg-gel and cytotec have really fallen into disfavour for use in vbac's. they had epidurals back in 1986 when i had ob inschool, but believe me length of experience is not everything when it comes to ob practice. sometimes that just means their heels are deeply dug in to their "standard routine."
Here's an exerpt from an article on acnm.org http://www.midwife.org/focus/health/...aroundvbac.cfm
The majority of cesarean scars-about 99 percent-hold up just fine. In about 1 percent of women, the scar tears or ruptures during labor. Meier explains, "In most cases, if the scar separates during labor, the first sign is persistent changes in the baby's heart rate pattern. In those cases, it may be necessary to deliver the baby quickly by repeat cesarean. In the vast majority of these cases, the baby and mother do well." (The risk of rupture seems to be greater when drugs are used to start labor, and in women who have had more than one prior cesarean.)
Please notice the last sentence. This is a pretty good article. Maybe you can e-mail it to your dr. She sounds a bit stubborn. Whatever you decide, it's your body. I hope you have a great delivery and a safe birth.
Last edit by imenid37 on May 27, '03