So I had my 'confrontational' ob appt today about delivery. The doc was not happy. Now I could have sworn that chance of Uturine rupture was like .8% for a VBA2C but he said no, that's after 1. Ok, whatever. So then it should be more like 1.6%, still fine with that. He implied it was more like 5%. I can't but feel that he was trying to scare me without being a big bully about it, but nah. He asked me over and over if I was dead set on my VBA2C plans and I assured him that I was. So he told me it really depended on who was on duty when the time came. I held my tongue in saying "good luck. You can't force me into a c/s unless its life threatening so there" It looks like my plans of laboring as long as I can at home is not my primary plan.
The only parts of my appt I liked were getting a script for a belly band to help with the hip pain I've been having, a growth scan to make sure baby isn't too big for me (lol) and then fundal measuring @ 31w!
And out of curiosity, does anyone know about if UR were to happen when it would happen? I'd think it'd happen while pushing, but would it be more during dialating? I plan on looking too, just thought I'd ask in case someone knew. Of course I didn't think to ask the doc till I was already to the car.
Tiff + Bobby 8/22/04
He is full of *^%&* when he says the rupture rate it 5%. Here is a nice vbac article that is all about uterine rupture:
Here are some nice articles from Henci Goer about vbac:
Christy birth doula, Hypnobabies instructor, small business owner & most importantly MOMMY.
I just did a little searching, and I came across this great page from the Plus Size Pregnancy site that looks in depth at the literature on UR in VBA2C: http://www.plus-size-pregnancy.org/C...after_2_cs.htm
The highest UR rate for VBA2C in any of the studies was 3.4%--but when they pooled the data from all the studies, and found an overall UR rate of 1.4%
Man! Well, Tiff at least you went in firm and knowing it'd be a battle. I'm SO glad that that part is over at least. And you're so right... they can't make you do anything. I just know things will turn out OK!
Woo hoo on the belly band! I hope it relieves some pain for you for the last few weeks here!
thanks ladies for the info and support. I hate having to fight for what I want but a vb is worth it for me for many many reasons. I feel like I've made it through the first guard at the bottom of an up hilll battle. Hopefully the others aren't much harder. Either way I have info in my head and in my hands. I took my papers with me if I needed back up if the doc was too unreasonable. Maybe I should start a notebook, might not be such a bad idea. Hmm, I can see it now. Bullet points on a sheet with corresponding articles filed behind it. I'm trying to imagine the looks on their face if I showed up with such a thing
Tiff + Bobby 8/22/04
FYI -- I know someone who started to have a UR during a VBAC... but her 1st pregnancy was a little nuts with HELPP... after several hours and no progression, she and her doctor decided on a repeat c-sec. As it was explained to me, they found the start of a UR (few inches long) during the c-sec... I don't think they actually knew she had a UR until the c-section. Not what you want to here, I'm sure... just thought you should know...
Way to stay strong at your appointment...
with DD I was more nervous about UR due to how bad healing went with DS but healing went perfectly for DD's c-sec so I'm not worried this time about it. DS's it took 3+ months for the incision to just close and start to heal, but thanks for the info.
Tiff + Bobby 8/22/04
I have no idea but jay my opinion of what I know on rupture unwound guess if it were to happen it would be at the point of strongest contractions so like transition I guess. ?!
I do know someone who ruptured after 3 sec in 5 years. It happened to her during dilating. Her baby did pass away ( please know that I too am goin for a VBAC so I just want to share all info I got. Not scare anyone)
Tyler James born via c-section May 29, 2008 7lb 8 oz 20 inches
Bradley Christian born in the water April 10, 2011 8 lb 6oz 20.5 inches
Oh hun I'm sorry to hear he's being a dork about this... I have no idea what the rupture rates are for VBAC or VBA2C... but I've been led to believe by my midwives that since I've ruptured twice (last two) that my chances are like 50/50... and they're not booking me for a c-section! geesh... They -do- have ways of fixing it if it happens... *headdesks*
And as far as I know, I only rupture post birth, when delivering the placenta? I dunno, they don't exactly take the time to explain these things to us in the moment, there's just a flurry of shots and pressure and once a trip to the OR... LOL Its all sorta hazy, but I'm sure you'll be fine!
Adam and Eirinn
Ashleigh Jun 3 2000, Mackenzie Sept 21 2001, Jayde Jul 9 2006, and Liam Jun 9 2011
Sounds like you are going to have to fight for the VBAC! I'm glad everything else is going well though!
Ethan - June 21, 2009
Olivia - December 5, 2010
5w3d - October/November 2012
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