"I was wondering if anyone has had a VBAC at DECH? I’d like as much information as you could give, how were the nurses, which doctor was it, were they supportive of your decision or annoyed? Was it successful? Did you have any drugs? I’m considering if for this pregnancy but I’m still very undecided on what I want to do, I have a lot of time to thing about it but I like having a plan in mind, especially before I go see my doctor. Any information you could give me would be greatly appreciated.
Thanks, Mayghan"
5 comments:
I was going to do a VBAC this time around but due to some unforeseen circumstances, it didn't happen. I had Dr Adam and he's very, very pro VBAC and really worked with me to make it happen. There are some guidelines that the OBGYNS here go by when deciding if you are a VBAC candidate which pretty much depends on the reason why you had your first section. There aren't all that many reasons why you can't do a VBAC. The only other thing is they won't induce for a VBAC because it is too risky. What happened to me, they would normally have induced labor but since I was a VBAC, they couldn't.
You can still have pain medications and you can still have an epidural but it's not ideal to have medications that can slow your labor down when you're doing VBAC. They can use some pitocin very carefully to get your contractions going strong again though.
I have a few friends who are labor and delivery nurses and the success rate is about 65-75% from what they tell me and the 3 of them agree that Dr Adam takes the best care of his VBAC moms.
Thanks! Dr Adam is actually my OB. I talked to him briefly at my 6 weeks pp but he basically just told me I could attemp a vbac but he wouldnt induce which is fine because I dont want to induce again!
Should I try and see him before 24 weeks (I think that's usually when we see the OBs for the first time?) or is it not necessary until later?
My son was csectioned because his heart rate kept dropping during contractions, he was fine at the beginning but around 9cms it started dropping, and I wouldnt contract without pitocin so it was just safer to get him out!
Nope! You don't need any more early care than with a "regular" pregnancy when you do a VBAC unless you have complications. And even then, it might not be that big a deal. I had PIH (pregnancy induced hypertension) with my first and that's why I needed to be induced and ended up with a section because his heartrate dropped very early in. This time around, I had gestational diabetes and the only prevenative measures I needed were to have a few extra ultrasounds to check on baby's growth to make sure she wasn't in the 10lb range. Dr Adam told me that having a large baby is not contraindicated with a VBAC but since I had GD, there was a good chance that if she was in the 10lb range she'd have broad shoulders and the maneuvers to get them out if they get stuck are pretty aggressive and can increase your risk of uterine rupture. That, and if they needed to do forceps or a vacuum it doesn't work as well for large babies. The only other thing I can think to tell you right off hand is that he'll let you go 2 weeks overdue and if you do go overdue, expect to have biophysical profiles done. I went 3 days over with my daughter and had her the day of my first profile.
ryllenThanks!
I had a biophysical with my son at 6 days overdue, they admitted me that night because he had very low fluid. Im not sure if I can handle going 2 weeks late though! 1 was bad enough with my son!
I was in the same boat. I was 3 days overdue when I had my profile and needed the section because she had no fluid left. I would suggest asking Dr Adam to have a profile done before your due date to make sure your fluid levels are still good this time around. That's my plan for the next one.
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