Diaper Swappers

Velvetpage · 04-23-2006, 08:08 PM

Hello! I have a question for those of you who have/are trying a VBAC.

My hospital required that I go for a consultation with an ob/gyn, though my primary care has been through a midwife. When I went to that appointment last Monday, the ob/gyn suggested that I book an elective c-section for 41 weeks. If I hadn't gone into labour on my own by then, I'd have the c-section. I reluctantly agreed.

Well, they got back to me on Friday afternoon, and told me that my elective section is booked, not for the fifteenth or sixteenth (I hit 41 weeks on the sixteenth) but for the tenth. That's the day after I'm due.

I'm really upset about this. It doesn't seem like enough time - my chances of having a VBAC just decreased by about half because the timeline is so short.

What I want to know, and plan to ask my midwife tomorrow, is: 1) if I end up being induced as I was last time, are the risks of rupture any greater after 41 weeks than they were on my due date? How long will the midwife let me go before advising an induction? What are the stats on serious, long-lasting complications (i.e. loss of fertility, death) from a uterine rupture and emergency c-section, and are these risks increased by waiting longer than 41 weeks?

Anyone been here, or have any information on these questions? I've been stewing about this all weekend.

Samantha · 04-23-2006, 08:12 PM

I would call them and say "HECK NO! I want the c-section schedualed for the 16th or within a COUPLE days, not 6!"

NO WAY would I agree to doing it on the 10th...with that being the day AFTER your due date!

toryandrew · 04-23-2006, 08:16 PM

I did a VBAC for DS2 and they told me that getting induced is very dangerous for a VBAC and not allowed because it creates far more stress on the post- c/s uterus. I would call and try to get the date pushed back to the max to allow time for you to go naturally. At least when I was trying for my VBAC the choice was go naturally or go for the c/s no option to be induced.

hfitz5051 · 04-23-2006, 08:19 PM

Remember it is YOUR body and your baby. They can't "make" you do it on that day.

Velvetpage · 04-23-2006, 09:03 PM

The problem is that there are only two scheduled c-sections per day, and most are booked weeks or months in advance. Basically, I waited too long for the consult and the dates I wanted are booked up. So my options are a) take the tenth; b) screw it and wait until I go into labour, knowing that I may end up with a c-section anyway, possibly an emergency one.

My doctor and midwife both say that induction with the cervical gel is absolutely verboten, but induction with oxytocin is not. If I need an induction, that's how they'll do it.

Knittress · 04-23-2006, 09:20 PM

I PM'ed you some info.

Velvetpage · 04-24-2006, 05:09 AM

I've been told that certain kinds of induction raise the risk more than others. A prostoglandin gel on the cervix, for example, is a complete no-no. A pitocin/oxytocin drip raises risks slightly but not enough that they'd never do it.

fpww_rachael · 04-24-2006, 07:29 AM

I had a VBAC with DD2 this past December. I switched doctors around 28-30 weeks because my original doctor, who did my DD1 c-section would only give me negative statistics about VBAC. He had done many, but I think he was just getting old and lazy. Anyway, he had a c-section scheduled for the day after my due date as well. I switched to an ob-gyn specialist group, something my sister(she's a nurse), told me to do if I was going to attempt the VBAC. I thank God every day for enabling me to do this and allowing me to get in - sometimes they do not take patients past 26 weeks. Not only that, a couple weeks after I became a patient with my new doctor, I found out I had gestational diabetes. Now I was really worried about a VBAC as I may have a bigger baby than my first! My first DD was 8 1/2 lbs. Anyway, long story short, I had started dilating a month early, and she induced me a week early by breaking my waters - I delivered my DD2 a few hours later and she was just as big as my first daughter!
One thing my new doctor told me was that they refuse to induce using pitocin. It highly increases the risk of uterine rupture. PM me if you have any questions! Good luck!

Rachael

MistyP · 04-25-2006, 06:26 AM

All I can say is be glad they will even consider a VBAC!! The hospital and most of the othe hospitals around here will not do them. I have seen them section a patient that came in in labor at 8 cm!! The only hope you have of having a VBAC is to come in on the weekend in real labor and going fast and hope that the anestheologist is busy and the MD is at home or something.

I know Cytotec is against the recommendations due to risk of uterine rupture but pitocin can be controlled so some docs will use it.

I know the unknown is stressful, I hope you go into labor on your own and have an easy delivery!

hlahickman · 04-26-2006, 08:37 PM

I agre with the post above - induction is acceptable for a VBAC.
But what I really want to say is that YOU have control over this. I don't even understand WHY docs feel the need to schedule that c-section. Had you not had the first c-section, they wouldn't be saying go ahead and schedule surgery for a week after your due date! I'm not pg yet, but I REFUSE to schedule a c-section for any week. I'm seeing a midwife, delivering at a birth center and doing it on my own terms!

Sorry - it just hits a sore spot that VBACs are "supported" yet things are being done to undermine them even happening. UGH

hope it works out for you

04-23-2006, 08:08 PM	#1
Velvetpage Registered Users Join Date: Apr 2006 Location: Ontario, Canada Posts: 43	VBAC? What VBAC? Hello! I have a question for those of you who have/are trying a VBAC. My hospital required that I go for a consultation with an ob/gyn, though my primary care has been through a midwife. When I went to that appointment last Monday, the ob/gyn suggested that I book an elective c-section for 41 weeks. If I hadn't gone into labour on my own by then, I'd have the c-section. I reluctantly agreed. Well, they got back to me on Friday afternoon, and told me that my elective section is booked, not for the fifteenth or sixteenth (I hit 41 weeks on the sixteenth) but for the tenth. That's the day after I'm due. I'm really upset about this. It doesn't seem like enough time - my chances of having a VBAC just decreased by about half because the timeline is so short. What I want to know, and plan to ask my midwife tomorrow, is: 1) if I end up being induced as I was last time, are the risks of rupture any greater after 41 weeks than they were on my due date? How long will the midwife let me go before advising an induction? What are the stats on serious, long-lasting complications (i.e. loss of fertility, death) from a uterine rupture and emergency c-section, and are these risks increased by waiting longer than 41 weeks? Anyone been here, or have any information on these questions? I've been stewing about this all weekend.

04-23-2006, 08:12 PM	#2
Samantha Goodness gracious he's hot! Join Date: Apr 2006 Location: Helena, MT Posts: 9,374 Ratings: 37 Feedback: 100% My Mood:	Re: VBAC? What VBAC? I would call them and say "HECK NO! I want the c-section schedualed for the 16th or within a COUPLE days, not 6!" NO WAY would I agree to doing it on the 10th...with that being the day AFTER your due date! __________________ Samantha Shopping addict? Click here Look a great deal for WAHMs WAHMs come join a new community just for YOU!

04-23-2006, 08:16 PM	#3
toryandrew Registered Users Join Date: Apr 2006 Posts: 2,137 Ratings: 246 Feedback: 100%	Re: VBAC? What VBAC? I did a VBAC for DS2 and they told me that getting induced is very dangerous for a VBAC and not allowed because it creates far more stress on the post- c/s uterus. I would call and try to get the date pushed back to the max to allow time for you to go naturally. At least when I was trying for my VBAC the choice was go naturally or go for the c/s no option to be induced. __________________ Tory Mom to: Ciaran 12/07/02, Eaghan 06/17/05 and Astrid 03/28/08 http://www.frostfishcovesoaps.com http://www.hyenacart.com/frostfishcovesoaps

04-23-2006, 08:19 PM	#4
hfitz5051 Let the rabbits wear glasses! Join Date: Apr 2006 Posts: 9,408 Ratings: 75 Feedback: 100% My Mood:	Re: VBAC? What VBAC? Remember it is YOUR body and your baby. They can't "make" you do it on that day. __________________ The Best Blog Ever!

04-23-2006, 09:03 PM	#5
Velvetpage Registered Users Join Date: Apr 2006 Location: Ontario, Canada Posts: 43	Re: VBAC? What VBAC? The problem is that there are only two scheduled c-sections per day, and most are booked weeks or months in advance. Basically, I waited too long for the consult and the dates I wanted are booked up. So my options are a) take the tenth; b) screw it and wait until I go into labour, knowing that I may end up with a c-section anyway, possibly an emergency one. My doctor and midwife both say that induction with the cervical gel is absolutely verboten, but induction with oxytocin is not. If I need an induction, that's how they'll do it.