VBA2C w/ 1st at 25 weeks

Specialties Ob/Gyn

Published

Hello,

I am trying really hard to get to have the chance to VBAC this child. I have done quite a bit of research, and I'm aware of the risks and benefits. I've had terrible complications with the two c-sections that I've had, so I'm not willing to have another one unless it becomes necessary. I'm 32 weeks pregnant, but I'm (obviously) having trouble finding any to assist me. I've signed on with the one doctor whom I've found to be willing to try, but I question his methods and stability (he told me that if he decided I needed pitocin, it would be that or a c-section; I know better than to have Pit in this situation! He also appears to have a temper...). I'm trying really hard here; I've even had my uterine scar measured; that doctor told me the thickness was between .8cm and .9cm, and he gave me a 90% (as with a woman with a classical incision; mine's transverse). Still, I cannot find anyone to assist me. I'm in the Atlanta area. If anyone can help me, please let me know. I'm desperate!

Up Vote Up Vote ×
Specializes in Case Management.

I cannot offer any advise, but I can offer my prayers for you and your baby to have a safe delivery and a good outcome. That is what is important, n'est-pas?

Up Vote Up Vote ×
Specializes in SICU.

From what I have heard, most ob doc's are no longer doing any VBACs, due to the litigation and insurance climate of today. I wish you well in finding one.

Up Vote Up Vote ×

Have you tried finding a midwife? I know some that I have worked with will do VBA2C. www.acnm.org has a midwife finder. Good luck!

Up Vote Up Vote ×
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I 2nd the midwife suggestion. Good luck finding a provider who can help you.

Up Vote Up Vote ×

I'm trying pretty hard to find a midwife, but with this climate, I can't even find that! I almost died from the last c-section I had due to an infection, so I can't be sold on the whole "for the safety of yourself and your baby, you should have a c-section" speel. I am greatful to you all for responding, and for your well wishes!

Up Vote Up Vote ×
Specializes in StepDown ICU, L&D.

Just curious...why did you have to have the first two sections? That could be a good indication of whether you will be successful in your attempt. Also, where I work (in Memphis) we have a few successful VBACs and we always use pitocin with them. (We never use Cytotec because you can't stop it's effect once it's been inserted.) But, with pitocin, if you become overstimulated (which is the big scare with VBACS), it can be turned off and given Terbutaline to stop the contractions or, at least, slow them down. We also like to have an IUPC (intrauterine pressure catheter) placed as soon as RBOW happens so that we have a good indication of contraction pattern and strength. Anyway, good luck and my prayers are with you.

Up Vote Up Vote ×
Specializes in Nurse Manager, Labor and Delivery.

With 2 previous c/s, I would think you would be hard pressed to find anyone that would attempt a VBAC delivery. It really comes down to what the institution will allow...and most now are not allowing them unless 24 hours resources are at hand, and even then they have very specific guidelines as to who can try. I agree with one of the posters, the why's of your previous c/s would really be the deciding factor in the risk of what you want to undertake. Unfortunately the legalities of this issue are bigger than the wishes of the mom.

Up Vote Up Vote ×

I VBAC'd X2 after 2 c-sections - first for fetal distress and failure to progress and second for failure to progress - a 'failed VBAC' Don't ya love those terms:angryfire

I had a CNM and a doula with #3. My midwife understood how important it was for me to have a successful VBAC and really went out of her way to make that happen for me. She even found an OB to do three versions because the little terd insisted on wanting to come out bass ackwards!!

We still deliver VBACs were I work, quite regularly. We even induce quite a few of them. As for me, if I had known then what I know now - I never would have let them attempt a version on a uterus with two scars. BUT I am so grateful that I was able to have two NSVDs.

Find a CNM, and hurry. I would recommend changing doctors soon regardless. This one sounds like a 'my way or the highway' kinda guy and it seems from reading between the lines that he is may just be paying lip service to your VBACing.

Also, the reason for the C-sections is really going to play a role in whether or not you have a good shot at a successful VBAC.

Good luck and remember, regardless of how it happens - the goal is a healthy mom and healthy babe - I know that doesn't make you feel much better right now tho. Good luck.

Up Vote Up Vote ×
Specializes in StepDown ICU, L&D.

Also, the reason for the C-sections is really going to play a role in whether or not you have a good shot at a successful VBAC.

Actually the only reason for the c-section that would play a role is CPD.

Up Vote Up Vote ×

http://www.ican-online.org/

awesome organization, great resources! every one of us should check it out and educate ourselves.

and re reason for previous c/s, if a woman had a c/s for breech, that is quite different than a woman who had a c/s for ftp. cpd is not the only one that makes a difference

Up Vote Up Vote ×

http://www.ican-online.org/

good info and great resources. good luck, you can do it!

Up Vote Up Vote ×
+ Add a Comment