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12-03-2012 at 2:59 PM
Darbie914
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VBAC after failing to dilate?

Hello all!   I just wanted to hopefully get some opinions about a VBAC in the future.  Currently, I am not pregnant but DH and I are planning TTC sometime next summer for #2.  My first pregnancy was very smooth until the end.  After being two weeks late, I was induced with cervadil.  10 hours later, they checked me and I had not dilated at all.  Started on pitocin, broke my water.  Long story short, after 26 hours, I had only progressed to 3cmm and was 100% effaced.  I ended up having a c-section and my DD came out at a whopping 9lbs. 13oz.  

 I would really like to try for the VBAC next time but my body just didn't do what it was supposed to the first time.  I'm worried that I won't even get the opportunity to try for a VBAC but also if that option would even be safe. 

Has anyone had a successful VBAC when their first pregnancies resulted in failure to dilate? 


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12-03-2012 at 4:54 PM
jesselayne...
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I am hoping to have a VBAC this time. I only dilated to 4cm after a 30hr induction for being late. GL! It sounds like you are a candidate.


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12-03-2012 at 6:32 PM
sbevmc09
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If you had a failed induction I would imagine that would make you a very good candidate for a VBAC.  You didn't dilate because your body wasn't ready for labor (and that could mean any number of things.  Obviously you were 42 weeks, but maybe the reason your body wasn't ready and why you didn't progress was because baby just wasn't in a good position or something like that.).  Failure to progress is usually a situation where a VBAC can be successful next time.

If you're with the same practice they should be able to give you more insight as to why you failed to progress (often it does have a lot to do with baby's position).  If you're with a new practice they'll request your files and then you'll be able to go over them.


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12-04-2012 at 8:58 AM
JuberP
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Hi!  I'm not a regular here but am planning for a VBAC so thought I'd peek in.

 I failed to dilate fully as well, had a swollen cervix and ended up with a c/s.  My OBGYN thinks that much of it was due to the baby's position.  She recommeded I try for a VBAC this time and said that the last delivery was  a unique situation that likely will not be the same this time.


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12-04-2012 at 9:42 AM
acaudill75
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With DD1, I was dilating at 35 weeks and on bed rest until 39 when they induced me. I never dilated past 3 cms, and after about 14 hours, I begged for a c-section. I was mentally and physically exhausted, and my ob didn't like how weak I had become in the last couple of weeks, so a c-section seemed the best course of action. With DD2, we were all set to go for a repeat, and had the target date. I was 36 at the time of delivery, and had been on bed rest since 34 weeks. I was 2 cm dilated and 80% effaced, and at a +2 station. I had lost A LOT of blood during the first section, and after discussing with my ob the risk of losing more blood (I'm anemic) with a section and with a VBAC, we decided to give a VBAC a go. My ob never does them because they have their risks. Anyway, I went into labor, and I didn't realize it until they hooked me up to the monitor that I was having contractions. I honestly didn't know how I was going to push that baby out, since we made the decision so late in the game, I didn't have any time to read up on delivering vaginally. My ob said since the baby's head had been about half an inch from the world for so long, she would break my water and the baby would probably fall out. Well, they broke my water at about 6:30 pm, and DD2 was born 12 hours later. By then, my epi had worn off, so I felt EVERYTHING, and I had a 3rd degree laceration on my kitty, as well as a laceration to my cervix (DD2's head never smushed, just came out perfectly round). I was in the OR for two hours, and lost 2600 ccs of blood and had to be transfused. Even with all that had happened, I would still choose a VBAC. Why? The recovery was so much easier than a c section. I could walk and move freely. Sitting hurt, but that got better. Sex is a little iffy at first and is worse if you BF. But if you are a good candidate, it can be done. I didn't "know nothing bout birthin no babies" and I still pushed her out. I say go for it if your OB things you can take it. The baby practically pushes itself out even if you aren't so good at pushing.

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12-04-2012 at 11:12 AM
mobiz
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yep, DS #1 i stopped dilating and wound up with a c/s (and went into labor on my own, not even induced).

DS#2 water broke, went into labor on my own, dilated successfully and pushed out a 9 lb 12oz baby.

you definitely should try if you want to-it can work! :) 


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12-04-2012 at 12:07 PM
Darbie914
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thank you ladies!!  I will def. be having this discussion with my doctor in the future! 

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12-04-2012 at 8:54 PM
preg_amy
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DS1 was an induction with cytotec and pitocin and I never got past 1cm.

DS2 was a successful VBAC!

One thing I will say is that you should try and make sure you find a care provider who is patient.  Because I hadn't dilated past 1cm before, I was moving on the schedule of a first timer.  My labor was very long, but I did it.  So it was great that my care team was super patient with me.

I will also say that the moment that you make it past where you stalled last time in glorious.  When I checked into the hospital with DS1 and I was 2 cms, the nurse felt bad for me, but I was freaking cheering.


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12-08-2012 at 9:05 PM
PinkLily12...
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DD1 - Induced at 41w0d simply for being "post-dates"  Didn't know any better.  Was 3cm when I went in and after 24 hours of cervadil and pit I only got to 4cm.  OB called a FTP c/s.

DD2 - Induced at 41w2d for strong medical reasons (I was trying to avoid induction at all costs).  Only 1cm when I went in.  Had to skip cervadil because of the previous c/s.  After 24 hours on pit (thankfully, my provider would use it), I was 4cm.  This was the exact same point I was at with #1 after 24 hours of labor.  My midwife said there was no reason to go for a c/s unless I wanted to, so I opted for an epi and waited.  1 hour later I was complete and pushed out a healthy 8#14oz baby in 20 min.  She was a pound bigger than my c/s baby.  Like PP, having a patient provider was also key for me.


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12-10-2012 at 10:21 PM
Twizzle
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Yes, with my first labor I did natural induction (herbs, acupuncture, Foley bulb) at 41w3d.  Labor got started but I made no progress at all.  Apparently my cervix was dilating on the outer end but not the inner.  After 18 hours or so with no change, they told me that I had congenital cervical stenosis and I would never have a vaginal birth.

I found great midwives who told me there was no harm in attempting VBAC.  My water broke on my due date and I went into labor.  I was only 1cm when I got to the hospital, and I only dilated 2 cm more in the next 5 hours, but about 17 hours after my water broke I had my VBAC.  Like pps I also recommend you have a patient provider who won't put you on a clock and require regular, fast dilation. 



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12-16-2012 at 9:51 PM
babyike
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I only got to around 3-4 cm with DD and had a c/s after PROM of 22+ hours.  

I've had two successful VBACs since then.  My birth stories are on the VBAC blog. 


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