I'm new to this site and was wondering if I could get some insight. Sorry in advance for the long post, but I thought it would help to explain the events leading up to the vacuum extraction. I was induced back in May at 40 wks (first baby) due to sudden high BP, protein in urine, and severe edema. They started me on pitocin (evil stuff btw) around 10 am. I had ctx but no pain.
The next morning around 8 am, the OB checked me and I had only gone from 1 cm to 2. The OB broke my water (without my permission) and the ctx were hard and fast within 5 or 10 minutes. I was able to deal with the ctx through deep breathing, but eventually the pain became so intense I started crying. I had no breaks between my ctx, making it worse. I labored for awhile on the birthing ball then got into all sorts of positions trying to get comfy.
I declined an epidural, but did get something to take the edge off. About four hours or so after my water broke, I began feeling the urge to push and started bearing down. The nurse checked me and I was only 7 or 8 cm dilated. I continued to push (lightly) despite her telling me not to. An hour later, I yelled out that I needed to push. The nurse said I was 10 cm but had a "lip" of cervix in the way so she attempted to push it out of the way (don't know if it worked or not).
About an hour or so (not sure) after pushing, my husband and the nurse said they could see his head. I figured if they could see his head, then it must be almost over. Boy was I wrong. I ended up pushing for three hours total. After that time, the OB came in and asked if he could use the vacuum and I agreed. Before the vacuum, each time I pushed, my son moved down only a little each time. After awhile, he didn't seem to be coming down anymore. I pushed semi-reclined and whenever I felt the urge (which was almost continuous). The vacuum was successful though. I pushed while the doctor pulled and my son was out in a couple of pushes.
I still don't know why my son took so long to descend and why I couldn't push him out without the vacuum. He had a lot of head molding and a caput from the vacuum slightly towards the back of his head and to the right. He also had a scab on the back of his head on the left. Could those things indicate malpositioning? I'm sure the AROM didn't help if he was badly positioned. The nurse did comment while I was pushing that my son might be posterior, even though he was born anterior. Could the premature urge to push and the cervical lip be due to asynclitism or posterior position? When I was pregnant, I remember him being over on my right, with his feet on my left and feeling his hands by my left hip. I'm just trying to make sense of it all. I would appreciate any advice or stories from other women who experienced a similar situation. Thanks.
Edited by sewcrafty - 9/25/12 at 11:17pm