To VBAC or not to VBAC--Complications and Frustrations.... - Mothering Forums

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#1 of 12 Old 06-21-2011, 01:58 AM - Thread Starter
 
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Mine is a complicated story of one awful birth experience with my DS.   I have Hashimoto's- was diagnosed 2 years before we first TTC... before I knew how many things could help.  When I got pregnant, the weight came on fast and I ended up with severe pre-eclampsia.  Luckily I had made it to 38 weeks... the Doctor induced me-I was barely 1cm dilated.

 

Because I had reached "severe" pre-eclampsia, the started a magnesium drip as well.  So their went my hope of walking around to get labor moving..... they started with Cervadil (sp?).  After about 7 hours, their still wasn't much movement.... I had perhaps dilated to 2cm... so they inserted the bulb syringe with saline and Pitocen.  Over the course of another 8 hours, I had reached maybe 6cm and DS's heartrate was dropping because the contractions were so strong. They stopped the Pitocen and we waited a few hours.  Everything returned to normal rate and they started the Pitocen again. And I had an epidural at the 20 hour point as I was in so much pain.  Finally-after about 27 hours of being in this state, I reached 10cm and felt the need to push..... and push I tried.... for 2.5 hours..... I no longer had any strength left....

 

The doctor said that I could probably get him out if I pushed for another 1.5 hours or so... I just had nothing left... so emergency C-Section it was...... It was the most disappointing experience and so contrary to what I wanted....

 

So here I am pregnant with #2.  At only 8 weeks, I shudder at the thought of what I went through before.  But I am terrified I will end up in the same place-pre-eclampsia.  I really want to do the VBAC but am concerned that the conditions that surrounded #1 will re-occur with #2.... 

 

So do I take the chance? Do I try for the VBAC? My gut tells me that should pre-eclampsia strike again... I should not allow for induction-I should go straight to C-Section... But if I am having a normal healthy pregnancy-their could be a chance to do this natural.....   decisions decisions...

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#2 of 12 Old 06-21-2011, 05:57 AM
 
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Were you not on some form of thyroid hormone for your first pregnancy?  That's kind of a big deal.

 

I don't have a thyroid so I'm on life-long synthetics and my two living kids were picture perfect pregnancies and deliveries.  FWIW, I didn't know I had cancer with my daughter and was post-surgery and medicated with my son.  I'm just wondering if the lack of properly managed thyroid care caused some of the bigger issues.


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Chatty Girl - 3/2006, Lovey Boy - 1/2010, Delicious Baby Girl - 1/2012
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#3 of 12 Old 06-21-2011, 07:53 AM
 
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Quote:
Originally Posted by siren View Post

So here I am pregnant with #2.  At only 8 weeks, I shudder at the thought of what I went through before.  But I am terrified I will end up in the same place-pre-eclampsia.  I really want to do the VBAC but am concerned that the conditions that surrounded #1 will re-occur with #2.... 

 

So do I take the chance? Do I try for the VBAC? My gut tells me that should pre-eclampsia strike again... I should not allow for induction-I should go straight to C-Section... But if I am having a normal healthy pregnancy-their could be a chance to do this natural.....   decisions decisions...



Well, you don't have to make any final decisions now.  I would say plan for the VBAC and keep an open mind towards the end of pregnancy.  Because you did fully dilate and push, even if you needed to be induced again you might go faster like a second time vaginal birther, even though you didn't actually push the baby out.  And the chances are good that you wouldn't need to be induced anyway.


Christine, mom to C(7.5) - E(5) - J(3) - B(10 mos)

Doula, childbirth educator, Co-leader of ICAN of Atlanta

 

"Never miss an opportunity to make others happy, even if you have to leave them alone in order to do it." ~Anonymous

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#4 of 12 Old 06-21-2011, 09:15 AM
 
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Why not plan for a vbac if you think you might want one?  You can always switch plans to repeat c-section.  But if you plan a repeat c/s and want to change to vbac later, your doc may not like that.  Search out a pro-vbac doc first.  Talk to them about your history and their opinion of your chances of a successful vbac. 

 

It's still early.  Good luck!  =)

 

 


Mama to my beautiful DS bornhomebirth.jpg 11/09 and sweet DD born homebirth.jpg1/12.  angel1.gif Malaika 3/11 (8 wks).  winner.jpgnocirc.gifsaynovax.gifhola.gif
 
 

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#5 of 12 Old 06-21-2011, 11:17 AM
 
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I had pre-e, an induction and a c-section with my daughter.  Like another poster said it's pretty uncommon to have pre-e with subsequent children, but if you do it tends to come on much earlier.  With this pregnancy I'm going into it with the mindset that pre-e is most likely not going to happen and this is a chance at a normal pregnancy/delivery.


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#6 of 12 Old 06-21-2011, 11:37 AM
 
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Quote:
Originally Posted by MadelinesMama View Post

I had pre-e, an induction and a c-section with my daughter.  Like another poster said it's pretty uncommon to have pre-e with subsequent children, but if you do it tends to come on much earlier.  With this pregnancy I'm going into it with the mindset that pre-e is most likely not going to happen and this is a chance at a normal pregnancy/delivery.


DDC crashing to say that this is not true.  It's not at all uncommon to have pre-e with subsequent children, especially if the first time was severe and/or early onset.  Additionally, when it occurs again, it is more often later than with the first pregnancy.

 

I think with a history of preeclampsia, one needs to proceed with caution.  You may not get it again, but be vigilant.

 


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#7 of 12 Old 06-21-2011, 05:13 PM
 
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I would plan for a VBAC and just be prepared to change plans later on if need be. It sounds like you would be a really good candidate for VBAC, since the cesarean was basically due to exhaustion.

 

Have you looked that Brewer diet? It does seem to have helped some women avoid pre-e. The website is blueribbonbaby.org


mom to all boys B: 08/01ribboncesarean.gif,  C: 07/05 uc.jpg, N: 03/09 uc.jpg, M: 01/12 uc.jpg and far too many lost onesintactlact.gifsaynovax.gif

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#8 of 12 Old 06-21-2011, 05:20 PM
 
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Quote:
Originally Posted by Devaskyla View Post

I would plan for a VBAC and just be prepared to change plans later on if need be. It sounds like you would be a really good candidate for VBAC, since the cesarean was basically due to exhaustion.

 

Have you looked that Brewer diet? It does seem to have helped some women avoid pre-e. The website is blueribbonbaby.org



The Brewer Diet doesn't work, and can actually be harmful.  Some women just don't develop pre-e.  There are women on the Preeclampsia Foundation who followed the Brewer Diet to the letter and still developed full-blown eclampsia or HELLP Syndrome.

 

http://www.preeclampsia.org/forum/viewtopic.php?t=9742


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#9 of 12 Old 06-21-2011, 05:27 PM
 
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I have Hashi's too, and have had two VBACs.  You need to monitor your TSH levels all through pregnancy, since most of us have to increase dosage of the synthetic hormone while pregnant. 

 

 

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#10 of 12 Old 06-21-2011, 08:27 PM
 
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I think it is completely reasonable to plan for a VBAC while understanding that if complications occur then you may have to adjust plans. In reality, that is what all of us are doing.... planning for one type of birth in a setting and a timing that we think it will occur but realizing that those things could change.

 

I was induced with my first at 34 weeks for pre-eclampsia, had my 2nd at home, and my 3rd was a hospital induction due to health issues that developed. I am planning on another homebirth, but I understand that if my blood pressure becomes an issue (which it has with 2 of my pregnancies), I will have to adjust that plan. I say plan for your ideal and then adjust if you need to.


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#11 of 12 Old 06-21-2011, 08:53 PM
 
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I had a traumatic first pregnancy and C-section as well. I never wanted to go through that again. The interventions, the feeling like I didn't matter, only the procedures and schedules did. I wanted a VBAC but was unsure whether I would get one: I was diagnosed with complete placenta previa at 19 weeks. (The ultrasound was required of me because of the previous csection, or I would not have known about it).

 

I want to tell you that I did the work of preparing for a VBAC and the mental preparation that I may have a C section. While I ended up having my VBAC, I ended up almost having a c-section, were it not for the intervention of my wonderful midwife, who begged the docs prepping me to give me a chance to push. My son came out in three contractions!

 

I am so glad that I got the chance for a VBAC.


Mama to a 3 year old awesome kid, Rowan (aka Mister Boopy) and TTC another at 43!


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#12 of 12 Old 06-21-2011, 11:14 PM
 
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I agree with the others. Plan for a VBAC and be open to other options at the end.  If you do develop pre-e and need to be delivered, some doctors won't induce a VBAC, so the decision wouldn't be yours really.  Others will, just make sure they do a Bishop's score and if it is not favorable for induction base your decision on those results, knowing you did the best you could at the time.

 

There are some studies that show ways to help prevent pre-e.

 

http://www.bmj.com/content/342/bmj.d2901.full

 

http://pregnancy.amuchbetterway.com/prevent-preeclampsia-diet-nutrition/

 

http://www.emaxhealth.com/1275/88/33294/vitamin-d-may-reduce-risk-preeclampsia.html Vitamin D May Reduce Risk of Preeclampsia

 

http://www.umm.edu/altmed/articles/preeclampsia-000131.htm


Meghan~~ Mommy to 4 kiddos with feet and one with a halo.  ribbonpb.gif Our rainbow1284.gif is due January 2012~
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