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Author
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Topic: vbac attempt
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<mel - ann>
unregistered
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posted 11 January 2006 09:14 AM
Just a few q's for you lovely knowledgeable people out there! Recently (10mths) attempted vbac, 1st c/s for breech baby (How naive I was!).
2nd c/s for FTP, My 1st stage labour is documented at 4hrs, 10mins, then I was fully dilated for an hour (No urge to push, even though medical records state pushing for an hr), told had to have c/s as 1hr was long enough and my baby should have descended by now.(Documentated 2nd stage of 1hr 30mins, this includes spinal and c/s), Medical/Operation notes state baby in left OP/left OT position.
So my questions are:
Is 1 hr long enough? Even if my baby in this position?
What is the likelihood of him turning if I had more time?
Is station 0, the reason for no urge to push?
How common is this scenario, baby in LOP/LOT position, no descent after 1hr?
So just 1/2 an hr later, with me still none the wiser as to the reason for c/s except that something must really be wrong (Contractions continuous, unable to enter discussion with Dr.), we had a baby boy, that I finally got to see an hour or so later.
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<Sarah>
unregistered
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posted 14 January 2006 10:27 AM
I don't know the answers to your questions, but I thought I'd just share my experience as I know the frustration of having a c-sec at full dilation.
My first baby was direct OP (face up, spine to spine) and delivered by caesar at full dilation. My records are confusing also, but I know for sure that I was fully dilated for about 1 hour 45 mins before going into theatre, and for at least one hour of that I was pushing. The pushing was said to be effective, but I had an epidural in and was sitting up.
My labour was induced with prostaglandin and I was having very frequent contractions from the beginning, which were double-peaking as the labour progressed, hence midwife's insistence on first pethidine then epidural.The pushing was a failed attempt to get my daughter to descend enough for high forceps. She was "still above spines" when I was taken to theatre.
My second baby was OT at the time of (spontaneous)labour, but my records do not show right or left. I had no drugs, and felt only a late, weak urge to push for most of my second stage. Second stage was 1 hour 28 mins and my record indicates that my daughter was ROT and "at spines" after 1 hour 10 mins. Around this time I changed positions -incredibly to a sitting position again - and her head descended. The doctor announced that I was having my VBAC and she was born 18 minutes later. My records document a "delayed" second stage, whatever that means.
Like you, I still wonder about my first birth, and whether more time and different circumstances would have led to a different outcome. Although my second baby was not posterior, overdue or induced I was still very lucky that the obstetrician at the birth - who was not my own doctor but covering on the day - did not draw a line in the sand and call time after one hour. Posterior labour is a rotten thing and doctors don't seem to know how to deal with it. I really feel for you and know the sadness of being so close - throughout my first labour I thought it was just a matter of time till I held my baby and was in a state of (drug-affected) shock when I was told that I was having a caesar.
Good luck with your search for answers. I have finally accepted that I will never know whether more time or a different approach would have changed things and tried to grow from the journey that has followed.
Take care.
Sarah
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<Sarah>
unregistered
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posted 14 January 2006 10:29 AM
I don't know the answers to your questions, but I thought I'd just share my experience as I know the frustration of having a c-sec at full dilation.
My first baby was direct OP (face up, spine to spine) and delivered by caesar at full dilation. My records are confusing also, but I know for sure that I was fully dilated for about 1 hour 45 mins before going into theatre, and for at least one hour of that I was pushing. The pushing was said to be effective, but I had an epidural in and was sitting up.
My labour was induced with prostaglandin and I was having very frequent contractions from the beginning, which were double-peaking as the labour progressed, hence midwife's insistence on first pethidine then epidural.The pushing was a failed attempt to get my daughter to descend enough for high forceps. She was "still above spines" when I was taken to theatre.
My second baby was OT at the time of (spontaneous)labour, but my records do not show right or left. I had no drugs, and felt only a late, weak urge to push for most of my second stage. Second stage was 1 hour 28 mins and my record indicates that my daughter was ROT and "at spines" after 1 hour 10 mins. Around this time I changed positions -incredibly to a sitting position again - and her head descended. The doctor announced that I was having my VBAC and she was born 18 minutes later. My records document a "delayed" second stage, whatever that means.
Like you, I still wonder about my first birth, and whether more time and different circumstances would have led to a different outcome. Although my second baby was not posterior, overdue or induced I was still very lucky that the obstetrician at the birth - who was not my own doctor but covering on the day - did not draw a line in the sand and call time after one hour. Posterior labour is a rotten thing and doctors don't seem to know how to deal with it. I really feel for you and know the sadness of being so close - throughout my first labour I thought it was just a matter of time till I held my baby and was in a state of (drug-affected) shock when I was told that I was having a caesar.
Good luck with your search for answers. I have finally accepted that I will never know whether more time or a different approach would have changed things and tried to grow from the journey that has followed.
Take care.
Sarah
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JenBen
Member
Member # 520
Rate Member
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posted 15 January 2006 11:45 AM
Hi,
I too have no answers to your questions, but thought I would share a little of my story as there are some similarities. My son was posterior and 2 weeks overdue. I had a very long prelabaour (33 hours) and by the time I was at four cm dilation I had an epidural as I was too exhausted and dehydrated to cope with the contractions. I reached full dilation o.k but pushed for 2 hours 45 mins and he did not get past the spines. When they cut me open they discovered he was not engaged at all and had a deflexed head (not tucked in.)(the whole labour took 46 hours)
I am now pregnant again and when I discussed my last pregnancy with my midwife she said there was a possibility that the epidural interfered with the baby trying to turn around and tuck it's head in as it relaxes the pelvic floor. In my case if I had been better supported in my pre-labour I might have been in better shape and not needed a epidural which might have meant the baby would have been able to turn. However it is all a lot of "mights". We never know what may or may not have happened if things where done differently. I can certainly understand why you are upset however as one hour is not very long (I believe transition can take that long anyway.)
all the best Jennie
Posts: 33 | From: perth | Registered: Sep 2005
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