VBAC again :)

[l_e_mae]

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 :)

[Gator,SN]

l e mae,

Good luck to you with the birth of your baby! No matter what the outcome you are blessed and I wish you and your family the very best~!

Gator

[mother/babyRN, RN]

That is completely insane...Who do they think they are. Yes, I have seen pitocin used judiciously for a vbac but there is no reason to force either inducement or epidural. They probably want to have an epidural on board in case you are a csection or crash. I would gather myself and get out of there asap..And you can NOT always feel a uterine rupture...Please....This sounds like something archaic and scary to me...I wish you well but implore you to go with your gut feeling because I have to say this is sounding very suspicious to me. NO one should force you to do anything.....

[mother/babyRN, RN]

I do have to say that since you are a vbac, one thing you should have is a iv site, whether it is just a saline locke, you do need access due to your higher risk status...But, I wish you well and send sincere good wishes for a healthy happy labor and delivery. If you have any specific questions or concerns, please feel free to pm me......{{{}}}

[KP RN]

I had a VBAC with my youngest son.

I also went natural. From my experience, the pain was so intense that my uterus could have been rupturing, and I wouldn't know the difference!

How in the world is the patient supposed to distinguish normal labor pain from uterine rupture??

This OB sounds like a control freak...

[cbb1008]

I VBAC X2....they NEVER used Pit. I never had an eipdural either. Begged for one with my last delivery...but with precip labors there was not time.

I had a OB doctor tell me a long time ago when I volunteered on in L&D that sometimes when a uterus is rupturing, the pt will C/O pain all the time in the lower part of the uterus..there is no easing with the end of a contraction.

I am like the rest of you....find a different OB....Good Luck

[HazeK]

VBACs are becoming unpopular w/ our doc's again...

fear of liability, I think!

2/3 of them will NOT support VBACs at all, let alone use Pitocin...

the other 1/3, treat them like all other patients, except closer survelliance and MD on the unit!

[mother/babyRN, RN]

There was a recent study supposedly proving that the incidence of uterine rupture, however slight, was worse with VBAC...One successful lawsuit, one unsuccessful idea.....Too bad, if you ask me, that it has to come to this...But, as much as I hate to say it, we consumers are as much responsible for the direction doctors take as anyone else.....Liability, what an interesting concept...