Continuing along because I was told my previous post was too long...
One of my sister-in-laws had all 3 of her children in Ohio, the youngest is now in high school. The first two were planned c-sections--breech for the first, planned repeat with the second. The general thought is that a planned c-section is much easier to recover from than one that happens after significant time spent in labor. But she still wanted to VBAC with her 3rd baby. Bad enough that she sought out a Dr. before she was even pregnant who would give her a chance. She had to drive over an hour to his office, even longer to the hospital he delivered at. But she did it. She said the recovery from the vaginal birth was MUCH better, and well worth the effort.
|I did have a 10 hour labor of contrax 3-1 minute apart lasting about a minute and a half and I never got past one and then my cervix closed to barely a fingertip. I was 50% effaced I think I got to 80% but my husband says no only 50% and there was no notes about it in my c-sec (nobody can remember). MY suvery notes for the reasoning for my c-sec said "Patient is very small in stature, cpd and non-reassuring fetal heart rate."
Her head was sideways. I was 6 days past me EDD when she was born.
Do you have any idea how "non-reassuring" the heart rate was? Unless it was regularly dropping below 100 and staying there, it really wasn't all that bad, or racing up above about 170-180. If it truly *was* reassuring, that is more likely a good cause for the c-section, but would NOT preclude VBAC. But I suspect that it was just thrown onto your report to add a bit more "justification" to the c-section since declaring CPD at 1 cm is EXTREMELY odd. Usually it would be "failure to progress," and most established medical authorities do not support a diagnosis of FTP prior to 4 cms. CPD can only be truly diagnosed after an extended period of pushing in a variety of positions. Of my students who have delivered in the past year, if all that were still 1 cm or a finger tip dilated after 10 hrs of regular contractions--regardless of high effacement numbers--had c-sections, my students would have about a 60% c-section rate! My students only have a 10% c-section rate. I've had students at 1 cms after *days* of regular contractions. That is fairly typical with poorly positioned babies--but very fixable! In the past month I had a student who the c-section had actually been "called" on her (although the resident OB hadn't officially told her that yet, just started a "gentle let down"), and she birthed her baby vaginally 1/2 hr later after changing pushing positions--things just started progressing rapidly before the attending OB could arrive, and the baby was born 10 minutes before he got there. Her baby had a tipped head and had not moved down from 0 station at all after almost an hour and a half of pushing (usually pushing doesn't even start until the baby is at +1 or +2 station--the baby just would NOT move down!), which led to the resident thinking she could not deliver vaginally, but she apparently got that head straightened out! The mom is at best a size 4 when not pregnant, and delivered an 8 lb 5 oz baby girl with Apgars of 9/9.
At 1 cm dialated, unless you had "non-reassuring heart tones" immediately upon having the first 20 minute strip run at the hospital, you should have been sent home. You were NOT in active labor. Being in the hospital in and of itself can impede your labor, thus you should not be there until active labor--when you are beyond having the environment affect your labor pattern so much.
If you do VBAC you may want to consider staying with a friend or family member who lives closer to the hospital you plan to birth at starting around 38-39 weeks so that you do not have such a long drive to the hospital. Your husband probably would have plenty of time to make the drive to be with you and take you to the hospital given your history.
Even if you do not VBAC, I would encourage you to work through your feelings about your previous c-section. Do not let that stop you from having the family size you truly desire. A planned c-section generally is easier on you than one after extended labor (although you might "plan" to do the c-section after labor starts just to ensure that the baby is ready to be born and to give the baby the benefit of some labor--research does show this is good for your baby).