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Childbirth

Can I change mind about vbac in labour?

159 replies

Divvy · 14/07/2008 21:04

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?

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mumofdjandbabies · 14/07/2008 21:09

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??

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Divvy · 14/07/2008 21:13

Do you think I have a choice?

I think I am in very early labour now.

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fourlittlefeet · 14/07/2008 21:15

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

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2point4kids · 14/07/2008 21:16

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.

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Ellbell · 14/07/2008 21:18

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.

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Divvy · 14/07/2008 21:19

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.

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Divvy · 14/07/2008 21:20

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

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Pinkveto · 14/07/2008 21:23

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.

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Ellbell · 14/07/2008 21:24

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!

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Ellbell · 14/07/2008 21:25

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

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FAQ · 14/07/2008 21:26

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)

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Pinkveto · 14/07/2008 21:46

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.

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Ellbell · 14/07/2008 21:57

Eek . 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?

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Pinkveto · 14/07/2008 22:01

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.

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Divvy · 14/07/2008 22:08

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

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FAQ · 14/07/2008 22:10

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

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Divvy · 15/07/2008 00:02

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!

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Divvy · 15/07/2008 00:04

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?

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Ellbell · 15/07/2008 00:12

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 . (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.

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Ellbell · 15/07/2008 00:19

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!

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FAQ · 15/07/2008 00:25

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.

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FAQ · 15/07/2008 00:28

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

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PInkyminkyohnooo · 15/07/2008 00:29

Just wanted to wish you luck.

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mydisguise · 15/07/2008 00:35

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

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Divvy · 15/07/2008 00:43

Its breaking the waters that worries me the most as thats where it went tits up last time. They did it too early, with no real reason, only that its done once you are in active labour. Which may be fine for other woman, but its dont suit me.

I am sat here very comfy with my lappy now.

Dont want to be in bed now, as youngest is restless tonight and even that is annoying me! So i am sat here listening to dh go into her to settle her back down! That will teach him for fidgeting

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