vbac's

[andiRN]

Recently we had a ruptured uterus after receiving small doses of Pit during a trial of labor. How often do you attempt VBAC's and what is your policy on pit usage for a previously scarred uterus?

[MalgaBSN]

I can't believe people Pit VBACs! We do VBACs where I am, but do not induce and I think have rarily augmented. I think Piting or using cytotec for VBACs is just asking for a rupture.

[Elvish, BSN, DNP, RN, NP]

In my previous life in big city high risk hospitals, we did lots of VBACS. We needed to know the previous incision was a low transverse that healed without infection. We found that about 3/4s of the women who were previously sectioned for CPD or failure to progress were able to VBAC a larger baby than the one they were sectioned for.

I was wondering if I was the only who'd seen this.

If I may make an understatement, CPD is not the world's most accurate diagnosis.

[OzMW]

I was wondering if I was the only who'd seen this.

If I may make an understatement, CPD is not the world's most accurate diagnosis.

It happens all the time, and I think because "CPD" especially in a primip is usually related to a malpositon. Its not often got anything to do with the size of the kid. I have a colleague who was sectioned at fully for her first because of an OP high head. She was told by an ob that she would NEVER birth lady partslly. She didn't listen and presented fully dilated and pushed out a baby who was bigger, a short time later.