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Does posterior baby really mean a repeat C? - Page 2

post #21 of 26
The Spinning Babies site can be a bit much. Try Optimal Fetal Positioning http://www.homebirth.org.uk/ofp.htm It's the same idea, same info, but a heck of a lot more "readable"

In addition I'd suggest getting a copy of The Labor Progress Handbook by Penny Simkin. It's written for care providers but the language is clear and easy to follow. The book basically starts in late pregnancy and walks through the birth detailing the physical, emotional, spiritual, social, etc "problems" that can happen during birth. It then details possible interventions for each problem (medical interventions as well as less invasive interventions) and provides a sort of "flow chart" of where each intervention may lead. It really helped me figure out what had happened in my first birth and then gave me an idea of what to keep an eye on in my vbac.

(1st birth was a large headed big babe, OP, sPROM at 42+ weeks, asynclitic and presenting with her ear... despite the long labor I never dilated past 7cm. There just wasn't enough room/fluid for her to wiggle into a better position. My vbac babe's birth took 12hrs start to finish, but I was ready for another OP babe.)

Oh, my OBs also said that the only time they'd worry about increased UR risk would be if I was having significant contractions for a significant period of time without any progress. And by that they meant a period of 3 or more hours without some sort of progress once active labor was well under way. Slow or uneven progress was totally fine with them though. And at that point they said they'd ask me to consider a telemetry unit to monitor the babe and a blood pressure cuff to monitor me (they go with the maternal bp/fetal heart school of UR detection). It wouldn't be an automatic c/s or anything. Perhaps see how that scenario would "fly" with your care provider?

Good luck mama!
post #22 of 26
get to a chiropractor that is certified in the Webster technique.
post #23 of 26
lots of great info from PPs! Great question to ask also!

With my 2nd pregnancy, DS was posterior and asynclitic and 10lbs 3 oz, all of which we did not know until he was delivered via an c. I had a fantastic labor, bradley trained, doula, midwives, plenty of time... but in my case, the big guy was literally stuck. They even tried going up manually and physically getting him out (ouch!)... and nada. His heart tones started lowering with no acel's, and we realized that it wasn't worth continuing. It was completely our choice to move on to a c, and even though I was completely bummed, as this was my first vbac attempt, I knew and our doula (who is a bradley teacher) knew that we did everything possible. btw - he was also 2w late.

With my 3rd pregnancy, I vba2c'd as perfectly as I could have hoped for - DS was 8lbs 10 oz, anterior. Everything worked as it should - I labored at home, in the tub, took a nap, pushed when I felt like it - basically trusted the animal instinct in me.

But even though for me, my big posterior moose ended in a c, I think that posterior babies can certainly be born vag without a hitch. In my case, I was pushing way before I should have, which got DS's head stuck, and there was no way to manually rotate him, unless I stood on my head and let him float back up LOL!

With my vba2c, I did a lot of hands and knees motion (not just rocking, but scrubbing floors, etc...) and belly dancing, swirling/stirring of my hips constantly - even while in labor. It just felt good. I have absolutely no abdominal muscles whatsoever, so I knew I couldn't rely on my own muscles to push the baby out. I did, however, for the first time, feel the amazing urge to bear down that I never felt before. And what a feeling.

I really like all the books mentioned, and I esp. like Active Birth - it kept me moving and I think that helped me a ton.
post #24 of 26
I had a successful vbac w/ a posterior baby. She came out that way too (many turn at last minute). She had a 14cm head to boot.

Key to my success----no epidural! I don't think I would have been able to do it w/ an epi (first time had an epidural w/ posterior baby and asynclitic head). W/ the epi I had no feeling of how I was pushing.

I'm not going to lie....it hurt tremendously and I tore really badly (interior vaginal tears). It was still way better than a c/s, but not my "dream vbac", ya know.

And oddly enough, the only position she descended in, was flat on my back pushing. I tried every position---all fours, side, front lower and finally she descended when I was on my back. Go figure.

I know the fear that if baby is posterior you won't be able to do it.....even my dr checked me once and said, "I think she's moved anterior". I'm sure he wasn't lying----he just was wrong, but thank G-d he was bc I would have been so discouraged if I had known she was posterior the whole time.

You can do it!! I am a wimp and have no tolerance for pain and I love drugs, but I was able to stay away....
post #25 of 26
I hope you aren't frightened too much about posterior. We all know that there are variations on the ideal position, and those variations can be more painful or whatnot. But that shouldn't be an automatic deterrent from having a normal vaginal birth after a previous c/section, and my midwife, who had plenty of homebirths, even ones done after prior c/section, said that in her experience, a vaginal birth was a vaginal birth, so long as the labor is supported and the mother is comfortable. Matter of fact, she was shocked about the recent switch from "VBAC is safest" to "VBAC can only be attempted if everything goes according to textbook ideals." She became a midwife after having the experience of birthing one of her own babies posterior in an unassisted homebirth (which all her children were, unassisted) but realized that it was more painful and that in that situation, she could really have benefitted from some skilled, experienced help. But certainly it wasn't a variation from the norm that requires emergency measures and draconian interventions like major abdominal surgery!
Uterine ruptures occur rarely in all cases, but it is worth noting that they occur in unscarred uteri also, and that the routine use of "labor augmentation" or induction, increases risk of UR. Yet the "pro-VBAC" OB in my area was talking about how she induces on VBACs all the time!(Which in the 90's was known to be a no-no, but suddenly now, it's routine?!) That's when I knew I was not going one step further on this path with her, and found my homebirth midwife.
Sorry to digress... I wouldn't let the posterior thing get to you, and I would definitely recommend at least interviewing and talking with some experienced homebirth midwives /Certified Practical Midwives and asking them what their experiences with HBAC, and also posterior position, have been. Whether you have any intentions of switching providers or not, at least you will see that there are different viewpoints from what you get with OBs, and these women aren't stupid, nor do they want their professional necks on the chopping block for taking stupid risks, yet they seem, as a group, unimpressed by the usual variations of labor and birth that seem to terrify OBs and by extension, their patients. I was told by my "pro-VBAC" OB that 40 weeks was the absolute limit on how long I should go before inducing because of the frightening risks involved with VBAC, and that after 40 weeks the risk of RUPTURE went up dramatically. Well, oddly enough in the Netherlands, they don't consider anyone postdates until at least 42 weeks. My baby came 40 weeks, 2 days, at home, no drugs or interventions, nuchal arm, weighing over 10 lbs, and none of it meant anything terrible happened.
Hope this helps!
post #26 of 26
Since when is a posterior baby a reason for a caesarean delivery anyway?

Get a more educated practitioner. My first two were at home, posterior. Labor is longer, more painful, but with good management, do-able.
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