I'm 36 weeks pg -- my 10 y.o. son was born at 40 weeks via c/s for breech presentation (I never went into labor or anything).
I'm due on August 10th; my OB is fine with spontaneous (read: not induced) VBAC as long as I don't wait beyond 40 weeks -- then it'd be a c/s. I've made my peace with that, and I don't really have a problem with a scheduled c/s if it comes to that, but...
My platelet count has been dropping precipitously throughout the 2nd and 3rd trimester. They dropped from 96 to 88 in a week, and I'm having my blood drawn again today. Most likely, the OB will want to put me on prednisone over the next couple of weeks to bump the platelets back up. Then they'll draw blood again after a week to see if it's working. Apart from the fact that I'm *really unhappy and freaked out* about going on the prednisone -- plus, I can't get a clear picture of what impact it may have on the baby over a two-week period, and whether I'll be able to nurse him as soon as he's born -- I'm trying to get a picture of what to do if the pred doesn't work. Stop it after a week, I suppose.
Anyway, the baby is head-down. I'm a good candidate for VBAC; my current thinking is that I ought to try for VBAC with no drugs -- but will that be hindered by the prednisone? It seems like I wouldn't be in tip-top physical condition for laboring. Should I refuse the prednisone and put my effort into VBAC with the knowledge that if it's not successful I'll have to have a c/s under general anesthesia? (I'm terrified of that outcome, btw.) Should I take the pred (assuming it works), and try for VBAC with the knowledge that at least I'd be awake if it came to emergency c/s (although I'm not thrilled with the notion of an emergency c/s, either)? Or take the pred and if it works just go for the scheduled c/s with the assumption that I'm won't be in any condition to labor? Ugh!
Mostly, I wanted to vent. I need to talk to my OB on Monday about the various possibilities, but if any of you have had experience with this or know someone who has, I'd appreciate your sharing.