"Delivered" 3 babies that passed away, does it count as vbac?
I'm not a doctor but the cytotec might be your bigger concern. Uterine rupture and cytotec go hand in hand. A big part of my midwife agreeing to attempt a VBA2C with me was that I had never had cytotec. Presumably, the results aren't limited to while you are on the drug. Here's a link: http://www.midwiferytoday.com/articles/cytotec.asp. Good luck mama.
From what I understand she was induced because the babies had passed away in utero. How long ago was your last section? What were the reasons for the previous sections? Did you dialate on your own (how far) before you were sectioned?
Even if you had a successful full term vbac, you are still a vbac. That being said - you are only attempting a vbac after 1 cs... So, according to ACOG - you are still at a very low risk for uterine rupture.
The questions I would think about:
-why did you have your first c/s?
-are there additional medical issues at play here? A reason OTHER than uterine rupture that concerns the doctors?
-why don't they want you to vbac?
Have you checked out the local ican group? they might have more advice. bonus, you get to vent/ask qiestions in person.
Me, I'd say you are a great vbac candidate. BTW, I got the same line about my pelvis, and my baby was at a 2 station for two weeks before labor. G_d has a sense of humor...
I would definately keep looking for support for your VBAC. There is no reason you shouldn't.
Please look into this FB group. There is awesome support and many people have had situations like yours.
So sorry for your losses. I hope you get the birth you want.
Oh, mama - was just referencing the prostaglandins because there is an increased rate of uterine rupture (main concern of vbac) when they are involved. They should not be used on a scarred uterus, but I totally understand your reasoning. I would just think that it is another proof of strength for your uterus that it has withstood augmented labor.
The contraindications are for prostaglandins at term to induce labor.
The protocol for using prostaglandins earlier is different. I was given misoprostol for missed miscarriage after a CS even though you actually need a much bigger dosage in early pregnancy (800mcg for missed abortion, vs 25mcg for cervical ripening at term). I don't know when the cutoff is, but the guidelines are very different (I once saw a chart for dosage at various gestations). (As an aside, it is also OK to give misoprostol for PPH if necessary, even if you've had previous surgery.) Despite having had misoprostol that time (twice in fact) this was never a factor in whether or not to VBAC for my second.
Like MeepyCat says, the pressure on the scar earlier in pregnancy is very different. While I am not saying you're a bad candidate for VBAC based on the info you've given, I don't think these losses will "count" in a VBAC sense. Previous vaginal births count not only because they "prove" the scar, but the pelvis. (Apologies for my quote overuse.)
I think your doctors' concern is due to you having had 3 previous sections; the current ACOG guidelines call for VBAC as an option after 1 or 2 sections, but not more. One study in the UK did have positive results, but the numbers were small, and given the number of potential VBA3Cs, it's unlikely we'll ever have really solid data on the risks unless we aggregated them for years if not longer.
I'm sorry for your losses.