I had a repeat c-sec last month after a vbac attempt. I got to full 10 cm dilation after 60 hours of labor but then contractions petered out, baby was still at zero station, and doc just didn't want to wait anymore.
Later the doc told me that the 4.5 inches incision she'd made on the uterus got extended on either side by a centimetre or so as she was digging in to get the baby's head out of my pelvis. So my incision tore a little on either side, making incision size about 5 inches or so. She said she was afraid the tear would extend into the uterine vessels, but thankfully that didn't happen, and the c-sec was complication-free. I had a smooth and uneventful recovery.
Apparently extensions of the incisions are more common at full dilation and when baby's head is low. I'm wondering whether this will have any bearing on any subsequent pregnancy and chances for future vbac. Will it increase my vbac risk?
Anyone who had incision extension with a prior c-sec and went on to successfully vbac?
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always missing our (11/04, 4/07, 8/07, 5/10)
I've also heard that extensions are not unusual in somebody who has completely dilated. During my second csection, after pushing for 3 hours, my incision extended downward toward my cervix, on one side. The ob who did the surgery told me I should never labor again. When I got pregnant I sought a second opinion and was considered to be a good candidate for vba2c by that dr. Just a little over a week ago I had a successful vba2c .
I had a c-sec after 3 hours of pushing (it was an emergency, so they moved quick... I'm sure I had some tearing.. they even had to push the baby back up into my abdomen from below (vaginally) because he was so wedged in my pelvis. I went on to have two natural complication free VBACs. :)
RN, IBCLC. DS is 5, DD1 is 4, DD2 is 1! DD3 due in December!