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Can I change mind about vbac in labour?

(160 Posts)
Divvy Mon 14-Jul-08 21:04:33

Do you think its rude to ask for cs when I get there? Should it have been booked before hand, or can I say I have changed my mind about vbac?

mumofdjandbabies Mon 14-Jul-08 21:09:03

ooh i dunno my love
have you changed your mind and havea vbac planned I think it may be safer to tell them in advance if you have def decided then you wont labour too??

Divvy Mon 14-Jul-08 21:13:09

Do you think I have a choice?

I think I am in very early labour now.

fourlittlefeet Mon 14-Jul-08 21:15:21

yes I think you have a choice if you are quick. what makes you want to not go ahead?

2point4kids Mon 14-Jul-08 21:16:08

Have you definitely changed your mind or do you think it is cold feet and nerves now you are in early labour?

If you are positive you want a CS...Call the hospital now and say so!
If you are in labour and they are able to change it then that will give them time to book you in.

Good luck.

Ellbell Mon 14-Jul-08 21:18:46

Good luck Divvy. Why have you changed your mind? (If you don't mind me asking.) I was nervous when I went into labour with my VBAC and definitely wondered if I'd done the right thing. But it all went really smoothly and I had great care and no problems at all.

But you do still have a choice, of course, if you're certain that's what you want.

Divvy Mon 14-Jul-08 21:19:14

I just cant do it.

Think I had this sort of pressure with last labour, and the head just wouldnt come down.

Pushing away at 3cm dilated due to the pressure...not good.

Divvy Mon 14-Jul-08 21:20:34

its going to end the same, an emcs..cant do that again

Pinkveto Mon 14-Jul-08 21:23:21

Sorry divvy, if you think you are in labour now any c section now is classed as urgent.

I'm sure you know this already but if you go in well established you have an 80% chance of a vaginal delivery, if you aren't and fail to get well established you have a 70% chance of section.

An epidural is very helpful to stop the urge to push inappropriately early.

Ellbell Mon 14-Jul-08 21:24:09

Get on the phone and give labour ward a ring. A planned section (even if planned at very short notice, iyswim) is better for them than a real emergency. I have to go now, but will be sending positive vibes through the ether to you tonight.

Like this ~~*~*~*~*~*~*~*~*~*~*~*~*~*~*~~

Good luck!

Ellbell Mon 14-Jul-08 21:25:04

Epidural not a good idea with VBAC, Pinkveto, as it can mask unusual pain from scar.

FAQ Mon 14-Jul-08 21:26:31

ooooo DIVVY!!!!!

I wondered if this was you when I saw the thread title.

you CAN do this - good luck (whether it ends up with CS or you do the VBAC)

Pinkveto Mon 14-Jul-08 21:46:44

Ellbell I appreciate that, but low dose, mixed opiate/local anaesthetic is used with regularity in VBAC in the unit where I work.
(as an anaesthetist)

Its a risk benefit equation. If the woman is committed to VBAC but struggling there is a valid place for it.

Scar rupture is identifiable with the epidurals we use.

Ellbell Mon 14-Jul-08 21:57:29

Eek blush. Had no idea you were an anaesthetist, obviously. It's just one of those things that no-one in the hospital told me when I was planning my VBAC, and I had to find it out for myself. Was not told about low-dose possibility; indeed, I got the sense that they'd have given me a full epidural if I'd asked (which was a bit worrying). Anyway, sorry for being inappropriately patronising.

More to the point... Divvy... are you OK?

Pinkveto Mon 14-Jul-08 22:01:49

No worries ellbell, I probably should have made that clear in the first post!

Divvy has disappeared - ? gone to hospital?

Hopefully on the phone to a sympathetic midwife.

Good luck whatever happens.

And remember Divvy if your section was grim before it doesnt have to follow suit that it will be the same this time. If you are early on and do decide to have a section things will be a lot calmer.

Divvy Mon 14-Jul-08 22:08:33

Yes thanks, off to bed in while to see if i can sleep.

if it is real labour going bed will do no harm right now.

My cs scar is quite achey inside, but think its more to do with having had a bad chest and coughing alot for the last 4 weeks.

I did a thread in preg about pressure in bum today, and its just getting worse.

Had scan last week and baby is head down, with spine to front, so its in the right place.

I dont feel as panicky now

FAQ Mon 14-Jul-08 22:10:14

good luck - hope you don't sleep - IYKWIM - hopefully not long until there's another addition to your family smile

Divvy Tue 15-Jul-08 00:02:10

contractions are 8 mins apart now, cant lay in bed as dh is fideting and its annoying me!

He did rub my lower back for a while, but even that annoyed me!

Wonderful back labour, oh joy!

Divvy Tue 15-Jul-08 00:04:02

oh and baby is moving around LOTS!

When should I ring labour ward?

Do I tell them I had cs 16 months ago? Would it matter at this point?

Ellbell Tue 15-Jul-08 00:12:24

If you ring, Divvy, they will tell you to go in (because of previous CS). But the sooner you go in, the sooner they are likely to start wanting to intervene, so if you want a VBAC, try to put it off for a bit more if you can. 8 mins apart doesn't sound as if birth is imminent (though I know all labours are different - my contractions were every 3 mins right from the start but only ever lasted 30 seconds each).

You could try having a bath. I spent most of first stage of (VBAC) labour in the bath. Alternatively, have you got a TENS machine that you can put on? Or you could just distract yourself with MN! Or you could tell your dh that his fidgeting is distracting you and make him go and sleep on the sofa. After all, your need is greater than his wink. (I like that idea!)

If you go in, try not to let them force you into continuous monitoring. Tell them you want to be monitored with a hand-held device every 15 minutes and that you don't want to be strapped to a machine unless there is cause for concern.

Ellbell Tue 15-Jul-08 00:19:49

Have to go to bed now, Divvy, but bumping this one more time for you in the hope that someone else will come along and chat to you soon. Will look out for your birth announcement!

FAQ Tue 15-Jul-08 00:25:00

ooo good lucky Divvy - I'd wait a while if I was you.

the longer you manage at home - the more likely you are to be able to tell them to sod off when they start trying to pin you to the bed and monitor you CONSTANTLY.

FAQ Tue 15-Jul-08 00:28:04

as for the monitoring - they (where you'll be going) only monitored me hourly - slightly more regularly as delivery was more imminent.

PInkyminkyohnooo Tue 15-Jul-08 00:29:56

Just wanted to wish you

mydisguise Tue 15-Jul-08 00:35:00

i had a very succesful vBAC so its possible. fingers crossed hun, xxx

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