Breech at 37 weeks

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Breech at 37 weeks

I have a friend who is pregnant with baby #2. Her baby is still breech at 37 weeks. Her OB told her last night at her appointment that if baby is still breech when she goes into labour that she's sorry but a c-section will be required.

My friend is currently planning an all natural labour and delivery at the hospital. She's frightened at the thought of a c-section.

I sent her the link to Spinning Babies about turning a breech (http://spinningbabies.com/baby-positions/breech-bottoms-up/flip-a-breech). If anyone has any other things for her to try to flip her baby, or encouraging words that I can pass on (maybe a breech birth story?) that would be helpful.

I really hope her baby is just being cheeky and turns soon!

Marite13's picture
Joined: 08/07/09
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My DD was breech from 34-37 weeks... I did EVERYTHING to try to get her to turn. I drank massive amounts of fluid, laid upside down on an ironing board, put ice at the top of my belly, shined light at the bottom of my belly, had acupuncture, did moxibustion...can't think what else, but if there was anything else, I did it. In the end, she didn't turn on her own... between 37 and 38 weeks I went in for an external version. It was virtually painless and by far the easiest version any of the attending medical staff had ever seen (it took literally 30 seconds and no one in the room could believe it was done and accomplished when it was). I am convinced that even though she did't turn on her own, everything I did set myself/her up for being able to be turned that easily. She ended up being born naturally at 39+2.

Any chance your friend could have a version? Or do any of that other stuff? Good luck to her! I was devastated at the thought of a c-section as well!

Spacers's picture
Joined: 12/29/03
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Send her to Robin's "Breech Birth Coalition" webpage! If her first birth was vaginal, and if baby is in one of the "good" breech positions (i.e. butt presenting, not feet or knees first) then she should absolutely insist on a trial of labor because vaginal breech is usually a safer delivery for both mom & baby. They can't force her into surgery against her will *unless* the baby is in severe distress and even then they'd legally be required to honor her wishes or face repurcussions. She has as much right to refuse a routine c-section as she has the right to consent to one.

I always recommend Spinning Babies and a chiropracter trained in the Webster Technique, and if those things don't work, then an external version. Be sure to ask for an ultrasound along with the external version to check the position of baby's cord. That seems like a really logical thing to do but it's not always standard practice. Good luck to your friend!

AnnaRO's picture
Joined: 07/06/08
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My DD went from head down to breech at 37 weeks and stayed that way. Nothing worked to turn her and I ended up with a c/s. In hindsight, I think we could have tried harder and done more, but the past is the past.

momw (Christa) had her youngest DD about a week before my DD was born. Hers was a VBA2C and I'm pretty sure that she was born butt first, and I'm she'll come by here and share that story with you.

There's always a chance that they'll turn on their own, but if not I know there are ways (as mentioned above) to get them to turn. Hopefully you can get your LO turned around and still have the birthing experience you planned.

Starryblue702's picture
Joined: 04/06/11
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There is an acupuncture technique that is specifically designed to turn a breech baby that she could try: http://www.susunweed.com/herbal_ezine/May05/childbearing.htm

Other than that, here are some other tips:
http://pregnancy.about.com/od/breechbabies/a/turningbreech.htm

I sure hope that things work out for the best and that baby will turn for her!!

ange84's picture
Joined: 12/28/09
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:lurk:
DS turned breech on 7 September, 20 days before he was born (I felt him turn, trust me that was unpleasant). I had an ECV done around 38 weeks but it didn't work, I was also seeing a Webster trained chiropractor daily as well as spinning babies and an accuprssure pont, playing music to the bottom of my stomach, cold peas on top of my stomach, basically everything except accupuncture/ moxibustion. There are a lot of ways to try and some babies turn when labour starts. That was my last effort. Sadly DS had turned and engaged his butt pretty quickly so nothing worked for me, but it's worth trying everything to avoid a c section when possible

momW's picture
Joined: 09/29/09
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I got a surprise breech delivery with my last baby. She was, as Anna said above, my VBA2C baby as well. Since her birth I have delved pretty deeply into research and information about breech delivery. There are lots of suggestions above about how to turn baby. Another one I've heard is to really talk to the baby about how important it is to turn. One thing I have found over and over and something that was really upsetting to me when I had my baby girl is that most, almost all, OB's do not know how to safely deliver breech babies. My dr cut an episiotomy as soon as he saw her butt coming out and actually held her in me until the nurses were able to find a special pair of forceps used for breech just in case. Her 1 minute apgars were a 3, she ended up coming around but I have a really hard time not blaming the staff and their idiocy.

I was standing up while pushing but they made me lay down on my back (stupid idea #1), the dr held her in while waiting on the forceps (stupid idea #2), it was a hands on delivery (stupid idea #3), and they cut her cord to deep suction her when her 1 minute apgar score was low (stupid idea #4).

I hope your friend can get her LO to turn!!!

Joined: 11/29/06
Posts: 1316

Thanks for all the advice ladies, I've passed it all on. She's now (almost) 38 weeks and baby is still breech. She has been trying everything.

What I don't understand though is her OB told her that she is going on vacation on March 15 - 2 days before my friends due date - and that she wants the baby born before then. My friend is feeling pretty bullied into a choice (c-section or induction-then wait and see if he turns). I feel so badly for her. She's scared to object, but she's also scared to have another ob deliver - especially if she winds up with a c-section. Sad

gardenbug's picture
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My daughter was delivered (in Toronto) by a different OB than anticipated and he was amazingly good! Your friend could be happily surprised. Why do we always anticipate the worst?

cactuswren's picture
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"gardenbug" wrote:

My daughter was delivered (in Toronto) by a different OB than anticipated and he was amazingly good! Your friend could be happily surprised. Why do we always anticipate the worst?

I agree. I didn't know who would be delivering my baby until I showed up--granted, it was a birth center so I knew all of the midwives were at least reasonably in line with my preferences, but the one who ended up delivering my DD was the ONE I had not ever met AND had heard bad things about. And you know what? I LOVED her.

Personally, I'd rather take my chances with another OB than *definitely* get induced or have a section just trying to fit into my current OB's schedule...but of course, it's a really personal decision! Good luck to your friend. Glad she has you for support Smile

tink9702's picture
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"cactuswren" wrote:

Personally, I'd rather take my chances with another OB than *definitely* get induced or have a section just trying to fit into my current OB's schedule...but of course, it's a really personal decision! Good luck to your friend. Glad she has you for support Smile

Ditto! I also had a group of midwives with both kids and didn't know which one would be at my birth. They were both great.

Is the baby positioned quite high, or really down low? The lower the baby is the harder it would be to turn. My DS was breech until right before 38 weeks and then he turned on his own, he was born 4 days later. He was always very high though so hadn't engaged into the pelvis.

hiddenblue's picture
Joined: 03/27/07
Posts: 67

I don't have any personal experience, but just the other night my friend was talking about her experience, so I thought I would share. Her son apparently flipped into breech WHILE she was in labor and her labor went into a complete halt. Her midwife sent her to a chiropractor that was educated in the Webster Technique. The chiropractor apparently flipped her baby in a matter of minutes using the technique and she has her baby naturally several hours later. So I guess this is just my vote for the Webster Technique and a chiropractor!

Spacers's picture
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"azin_may" wrote:

Thanks for all the advice ladies, I've passed it all on. She's now (almost) 38 weeks and baby is still breech. She has been trying everything.

What I don't understand though is her OB told her that she is going on vacation on March 15 - 2 days before my friends due date - and that she wants the baby born before then. My friend is feeling pretty bullied into a choice (c-section or induction-then wait and see if he turns). I feel so badly for her. She's scared to object, but she's also scared to have another ob deliver - especially if she winds up with a c-section. Sad

With that kind of attitude from her OB, I think anyone else is the better option!

AnnaRO's picture
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"cactuswren" wrote:

Personally, I'd rather take my chances with another OB than *definitely* get induced or have a section just trying to fit into my current OB's schedule...but of course, it's a really personal decision! Good luck to your friend. Glad she has you for support Smile

Ditto this!

"Spacers" wrote:

With that kind of attitude from her OB, I think anyone else is the better option!

and Ditto to this!!

With an induction she is MUCH more likely to have a c/s even without baby being breech. I think her chances are better with an on-call OB rather than the one she's seeing. Baby can still turn on it's own either before or during NATURAL labor. Good Luck to your friend. KUP on what happens.

momW's picture
Joined: 09/29/09
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So, a friend of mine who has 3 other children was pregnant with her twins. She just had them this morning. They were going in to do a c/s because both babies were breech and well, there's no options around here for a breech birth. Anyway she went in and told them she wanted one more u/s just before her c/s because her belly felt different and sure enough baby A flipped to vertex. She was already dilated to a 5 and had already delivered 3 other babies naturally so they started a little pit on her and she delivered both babies naturally after a very short labor and the twins were HUGE, one was 9lbs and the other just a tad smaller. Baby A flipped last week from breech to vertex and this week back to breech and sometime last night back to vertex. There couldn't have possibly been very much room in there but he managed to do it!

cactuswren's picture
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"momW" wrote:

the twins were HUGE, one was 9lbs and the other just a tad smaller.

:shock:

MrsMangoBabe's picture
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My baby flipped from head down to transverse lie at 37 weeks and I got her to turn back by putting hot and cold things on my belly.

A doula client of mine had a baby who went from head down to breech during labor. Also slowed her labor way down. She chose to have a cesarean, but just mentioning it to reinforce that there is always time for them to turn.

IzzysMama's picture
Joined: 10/08/07
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A timely thread for me! I found out at my 37 week appointment that my baby had flipped to breech sometime in the previous 2 weeks. This is super stressful to me, because I had been planning a natural delivery (like my first) and now am faced with a C-section if baby doesn't turn back to vertex. (The midwives at my practice don't offer to delivery breeches vaginally because they don't have enough experience/training with breech deliveries to make it a safe option.) I've been doing the spinning babies stuff for three days, and have a consultation scheduled for tomorrow morning for a possible external version attempt. I can feel that baby is moving around quite a lot in there, so that gives me hope. The first night after doing the Breech Tilt I was in bed with a hot pack at the bottom of my belly and I swear he turned transverse, trying to scrunch down toward the heat. However, by morning he was back to breech.

I do know one of the midwives had a breech baby with her first pregnancy, and scheduled her own c-section for 41w+1d, so I know they will be amenable to waiting as long as possible before cutting me open.

momW's picture
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"IzzysMama" wrote:

A timely thread for me! I found out at my 37 week appointment that my baby had flipped to breech sometime in the previous 2 weeks. This is super stressful to me, because I had been planning a natural delivery (like my first) and now am faced with a C-section if baby doesn't turn back to vertex. (The midwives at my practice don't offer to delivery breeches vaginally because they don't have enough experience/training with breech deliveries to make it a safe option.) I've been doing the spinning babies stuff for three days, and have a consultation scheduled for tomorrow morning for a possible external version attempt. I can feel that baby is moving around quite a lot in there, so that gives me hope. The first night after doing the Breech Tilt I was in bed with a hot pack at the bottom of my belly and I swear he turned transverse, trying to scrunch down toward the heat. However, by morning he was back to breech.

I do know one of the midwives had a breech baby with her first pregnancy, and scheduled her own c-section for 41w+1d, so I know they will be amenable to waiting as long as possible before cutting me open.

do you have any Webster chiro's you can see?

Spacers's picture
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"IzzysMama" wrote:

A timely thread for me! I found out at my 37 week appointment that my baby had flipped to breech sometime in the previous 2 weeks. This is super stressful to me, because I had been planning a natural delivery (like my first) and now am faced with a C-section if baby doesn't turn back to vertex. (The midwives at my practice don't offer to delivery breeches vaginally because they don't have enough experience/training with breech deliveries to make it a safe option.) I've been doing the spinning babies stuff for three days, and have a consultation scheduled for tomorrow morning for a possible external version attempt. I can feel that baby is moving around quite a lot in there, so that gives me hope. The first night after doing the Breech Tilt I was in bed with a hot pack at the bottom of my belly and I swear he turned transverse, trying to scrunch down toward the heat. However, by morning he was back to breech.

I do know one of the midwives had a breech baby with her first pregnancy, and scheduled her own c-section for 41w+1d, so I know they will be amenable to waiting as long as possible before cutting me open.

Watch how you're sleeping. Make a nest of pillows & sleep elevated on your side or belly (lots of pillows!) to help keep baby head down. And remember that babies can turn during labor, so it's often worth waiting for labor to start and see how baby responds. If he doesn't turn, then you have a c-section. No emergency, no rush, but at least you give baby & body a chance to work together. Good luck to you!

cactuswren's picture
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I think it's really something to hold on to that he's still really active...it's stressful, but babies really do turn super late and even in labor....sounds like you've got a supportive team working for you, so hang in there, mama...

That said, I did the chiro thing, and even though it wasn't technically Webster, I still think it helped a lot to get my pelvis all correctly aligned. Definitely doesn't hurt!

IzzysMama's picture
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Update to my thread hijacking...

They did the external cephalic version this morning. It was extremely easy. It took less than 30 seconds and I felt no pain... just a little uncomfortable pressure. I was surprised when the doc said "OK, he's head down now." I didn't even realize he'd already done it. I'm going to assume part of the reason it was so easy was that I'd been doing inversions and Breech Tilts for three days prior to the version.

gardenbug's picture
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Terrific! May he stay put!

momW's picture
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That's fantastic news!!! Thanks for the update!

Joined: 11/29/06
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as for my friend.

She had her 39w appointment and baby is still breech. Her OB gave her until Thursday (the day before the OB leaves on vacation) to flip. If baby is still head up then she's going to perform a c-section. If the baby's head is anywhere else they're going to wait.
Her OB is not even entertaining the idea of a breech delivery and when my friend asked about a version her OB told her that it probably wouldn't work. I told her she should at least try!

She's so scared of the thought of a c-section. She was asking me what she did wrong that her baby doesn't want to flip. Even with all the tilt-board/light/hot-cold compresses/chiropractic her baby doesn't want to budge. I reminded her she did/is doing NOTHING wrong.

I guess I'll have to wait and see what happens. I hope that her OB tries a version at the very least.

It really irks me, that with my friend's first birth she as induced (cervadil) at 38 weeks because the U/S showed the cord around baby's neck and the OB didn't want to risk going another 2 weeks of pregnancy - just in case. She went for a while without an epidural but ended up getting one near the end and hating it!
So this time she wanted a completely natural birth. Her OB was "all for it" and now suddenly when there is something she can do to try and help my friend (a version) she's practically refusing by telling my friend that it probably won't work.

I'm so angry, frustrated and scared for her.

Sorry for the vent. I just don't understand not TRYING to do a version. Even if it "probably won't work" at least TRY!

Joined: 05/31/08
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Oh, that is so frustrating her OB won't even try a version. I would be so mad. Can she try to be a bit assertive and just tell her OB she wants her to try anyway, because why not try ANYTHING that even has a chance of working? I know it is intimidating to insist on anything with a doctor, but they are people too and screw up sometimes just like anyone. It kind of makes me wonder if she (the OB) just doesn't know how to do it. Sounds like several women have had that work when all the tilting and compressing didn't do anything, but it may have prepped the baby to be easier to flip. If I were her, I'd insist on a version and ask the OB to refer her to someone who would do it for her if her own OB won't/can't. Or I'd call around to other OB's and see if I could find someone who would agree to do a version! She doesn't have to tell her OB....

Marite13's picture
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For real, I also find it VERY frustrating that OB won't even try a version. I was in exactly that same boat- everything I did didn't work to get baby to flip, but the version worked SO EASILY- it was totally worth it. I know personally I wasn't willing to give up and just have a c-section without trying the version- but my midwife, and her supporting OB were supportive of the plan. I would really urge her to either insist on it with her OB, or to look for another who is willing to try!

ange84's picture
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I had to request a version and research it on my own as the doctor would not even discuss it. My hospital is low risk and will not even attempt them so I had to be reffered to another hospital an hour and a half away for it and that was only at my request and begging. I think the doctor hated me because I would not schedult the c section willingly. I would be saying no c section until a version was conducted

AnnaRO's picture
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Wendy, I still wish I had tried harder to get mine to turn from breech. I allowed them to schedule the c/s.

I agree that your friend should do everything possible to try to get baby to turn. And even if the version doesn't work, don't schedule a c/s. They can still sometimes turn during labor so I would say let her go into labor on her own and if baby doesn't turn she could be looking at a c/s, but try everything first. I hate that our society is so very c/s happy.

Joined: 11/29/06
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Yahoo BABY IS HEAD DOWN Yahoo

She showed up at the hospital for her OB appointment and the nurse handed her an intake form to fill out and my friend said "No thanks, I'm not staying, I'm just here for an appointment". She had decided that no matter what position baby was in she was going to wait until the last possible minute to make the "c-section or not" decision.

But as it turns out, the baby is head down, little guy took long enough her due date is in 2 days! She's so happy! I'm so happy for her. She now just waits for labour to start! Her OB is off on vacation tomorrow so she's not sure who will be attending her birth. But she doesn't care because she's got a head down baby! LOL!

krazykat's picture
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AMAZING!!! WTG baby! And boy does she have a story to tell. I am praying with everything in me that she goes on to get the birth that she desires. You HAVE to KUP on what happens.

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Hooray! Great news!

Marite13's picture
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That is fantastic!!! Did she feel the baby flip?? (I'm getting more and more nervous about my baby again, after having to go through all of this last time...)

Definitely KUP as to how she ends up going!!

TiggersMommy's picture
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Woooohooooo!

AnnaRO's picture
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Yahoo What a huge relief!! And how awesome for your friend for standing up for her rights!

momW's picture
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That's fantastic news! I can't wait to hear how everything goes for her, please KUP!

cactuswren's picture
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YAY!!!!! And another success story to help out future mommies with late turners. Please do KUP!!

hiddenblue's picture
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That is such great news!!! What a little bugger to stress his momma out for all this time! Wink

Marite13's picture
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Can I just add to this thread of celebration by saying that I found out today my baby is definitely head down too! I know it's still early for me- I'm only 29 weeks, and anything could happen- BUT, I think Beni was breech pretty much always...so to know that this kid is head down now really settles my mind. Now I just will keep being conscious of good posture to KEEP him/her head down. But that feels a lot easier than trying to get him/her to turn!

cactuswren's picture
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That's awesome! Peace of mind is a beautiful thing Smile

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yay Mara!
A head down baby is a wonderful ease of mind!!

My friend is now 3 days "overdue" and no signs of labour, but she's totally relaxed and willing to wait as long as baby wants. She's just pleased as punch that baby is head down! LOL!

cactuswren's picture
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That's awesome.

"azin_may" wrote:

yay Mara!
A head down baby is a wonderful ease of mind!!

My friend is now 3 days "overdue" and no signs of labour, but she's totally relaxed and willing to wait as long as baby wants. She's just pleased as punch that baby is head down! LOL!

Joined: 11/29/06
Posts: 1316

My friend had a beautiful baby boy this morning at 1:16am, 8 day past his "due date", 8lbs 5oz of baby boy bliss. Born via c-section. Not sure of the details, but Mommy and Baby are both doing well.

She's very upset she didn't get the birth she wanted, but she's still emotionally numb from the whirlwind of a birth last night. I'm not sure how she arrived at having a c-section. Update later.

Welcome to the world baby boy! Biggrin

ETA:
she was checked at 10:30pm 7cm, checked again at 12:30am 7cm, they told her she wasn't dilating and needed to do a c-section.

momW's picture
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"azin_may" wrote:

My friend had a beautiful baby boy this morning at 1:16am, 8 day past his "due date", 8lbs 5oz of baby boy bliss. Born via c-section. Not sure of the details, but Mommy and Baby are both doing well.

She's very upset she didn't get the birth she wanted, but she's still emotionally numb from the whirlwind of a birth last night. I'm not sure how she arrived at having a c-section. Update later.

Welcome to the world baby boy! Biggrin

ETA:
she was checked at 10:30pm 7cm, checked again at 12:30am 7cm, they told her she wasn't dilating and needed to do a c-section.

Sad

AnnaRO's picture
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I'm so glad that she has a healthy baby boy!! Congrats to her on that. I'm also very sorry that she didn't get the birth she wanted after waiting so long for baby to turn.

I'm not trying to start a debate on this at all, but not dilating any more for 2 hours, is that a valid enough reason to go to c/s? Maybe she would have dilated more had they just waited a bit? I have no experience, so I'm asking.

alwayssmile's picture
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Sad Sorry to hear that about your friend.

Anna, I keep reading that some mamas take longer to dilate, even at that point, than others. As long as mama and baby are doing fine it's okay to wait longer. It's definitely something that I plan to ask my practice about - how long I get to stay in labor and what they consider to be "no progression", aka slow dilation. Definitely a concern of mine since I stayed at 4cm with DS for a good 10 hours (pretty sure had I been allowed to move around, therefore move DS into a better position and out of sunny side up, it would have gone better). I can't find the source right now (but I'm sure it came from one of the places Christa sent me lol) but many OBs are taught that it should only take x amount of time to dilate once in active labor and obviously all woman don't follow this model.

cactuswren's picture
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Oh, that's really sad, and makes me SO, SO THANKFUL for my birth center, because in a hospital I definitely would have ended up with a c-section but they were patient (and I was educated about NCB enough to be patient even when they mentioned transferring for pitocin if I wanted to) and I got my NCB. I was "stuck" at 5-6 cm in active labor for--oh gosh--12 or 13 hours? Maybe more? A good five or six of those were even after my water broke. And then they gave me some black and blue cohosh, and I went from 6 to complete in an hour and a half.

Glad she has a healthy baby boy, though, and I hope her healing (both physical and emotional) goes well.

TiggersMommy's picture
Joined: 02/14/10
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"cactuswren" wrote:

Oh, that's really sad, and makes me SO, SO THANKFUL for my birth center, because in a hospital I definitely would have ended up with a c-section but they were patient (and I was educated about NCB enough to be patient even when they mentioned transferring for pitocin if I wanted to) and I got my NCB. I was "stuck" at 5-6 cm in active labor for--oh gosh--12 or 13 hours? Maybe more? A good five or six of those were even after my water broke. And then they gave me some black and blue cohosh, and I went from 6 to complete in an hour and a half.

Glad she has a healthy baby boy, though, and I hope her healing (both physical and emotional) goes well.

I thought of you, Leigh, when I read about her "failure" to progress. Its totally irresponsible of the doc, IMO, to push for a c-section for this reason (especially after just 2 hours!) if both mom and baby are doing fine. I'm so sorry your friend is upset over how her birth went down. I hope she can find solace in the joy of her new little man.

tink9702's picture
Joined: 09/28/08
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I'm sorry to hear she didn't get the NB she was hoping for. I wonder if the baby's HB was dipping, or there were other reasons than no progression for having the c-section? Just a thought.

One way to avoid this type of c-section if you have a doctor you just aren't sure about it to decline being checked every 2 hours. If they are doing intermittent heartbeat readings and there is no concern, there is no reason to get checked that often.

AnnaRO's picture
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"tink9702" wrote:

One way to avoid this type of c-section if you have a doctor you just aren't sure about it to decline being checked every 2 hours. If they are doing intermittent heartbeat readings and there is no concern, there is no reason to get checked that often.

That's what I was thinking! If I was told I wasn't 'progressing' and being pushed for a c/s, in that intense kind of moment, I don't know that I could/would say no! Part of my birth plan is to not have regular checks.

jolly11sd's picture
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Posts: 3327

Yay Mara for having your LO flip already!

Congrats to your friend on the arrival of her LO! I'm so sorry she didn't get the birth she wanted. Of course not knowing any of the other details surrounding the birth, it makes me sad that she was sectioned for failure to progress after only 2 hours at 7. I wish more doctors would be ok with women that are slow to dialate. There are tons of us out there that still get the baby out in the end even if it takes much longer than the average.

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