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38 week induced vbac - please help

(18 Posts)
StarlightMcKenzie Thu 15-Oct-09 17:02:18

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StarlightMcKenzie Thu 15-Oct-09 19:43:01

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LiegeAndLief Fri 16-Oct-09 09:38:52

I'm no expert but had obstetric cholestatis and pre-eclampsia in my first pg - had to have early cs because of the PET. When planning a VBAC in my second pg I asked my consultant what would happen if I got OC again, and she said that it would not mean early delivery or induction.

Think opinion is divided between hospitals/consultants on whether induction is necessary for OC - there is very little data on levels of still births in actively managed patients past 37-38 wks because common practice has been to induce all known cases, so still births have mainly been in non-managed unknown cases. Definitely worth further research but I don't know where - maybe a google will get you somewhere?

Good luck to your friend, I really understand why she wants her VBAC so badly!

Toady Fri 16-Oct-09 10:17:47

Can you ask on the uk midwifery list on yahoo, heres the link, groups.yahoo.com/group/ukmidwifery/summary.

Would defenitely be worth joining, loads of experienced midwifes on there who will be able to give you some advice.

twirlymum Fri 16-Oct-09 10:21:19

I didn't think it was advisable to have an induction with a vbac?
That's what I was told when pg with ds.

Rosebud05 Fri 16-Oct-09 13:47:49

I thought the same as TM regarding it being inadvisable to have an induction with a vbac, though there might be variations.
One thing that I would definitely recommend is acupuncture if your friend can find a pregnancy specialist nearby.

sarah293 Fri 16-Oct-09 14:03:42

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StarlightMcKenzie Fri 16-Oct-09 15:20:58

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liahgen Fri 16-Oct-09 18:45:40

thing about OC, (from someone who's had it 3 times so far) is that sometimes baby is ready to be born as the Oc is a foreign body and therefore the body reacts well to induction iyswim

Hope all goes well. Info is very divided on OC at mo, some cons still like to induce, others are happy to wait and monitor, there have been recent studies that show OC babies are no more at risk of sudden stillbirth than any other baby.

Lulumama Fri 16-Oct-09 18:50:59

agree with Liag. however, i would see what her bishops score is, and then go from there

a bishops score of say 3, is going to , in all likelihood lead to a differnt birth to a bishops score of 9

i would ask for a second opinion from another consult . as i though that the mode of thinking of death after 38 weeks was no longer valid

an induction is going to be a more 'gentle' as she's had a c.s before

and unlikely to give her as long as if she had a spontaneous start to labour

she needs a second opinion before things go furher

toady is that really you"? smile

StarlightMcKenzie Fri 16-Oct-09 19:51:16

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Lulumama Fri 16-Oct-09 20:14:01

not sure where to find the research,poss the cochrane review.. thikn it was linked to on here

MW sounds great, and clealry tempering some of the scariness from the consultant

liahgen Fri 16-Oct-09 20:22:21

Just searching stats for you star but in the meantime is she having URSO?

StarlightMcKenzie Fri 16-Oct-09 20:25:41

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liahgen Fri 16-Oct-09 21:18:55

tablets hopefully will be VitK and Urso then.

Don't know what the injections would be, I never had injections except steriods at 32 wks 2 lots, 24 hrs apart

Urso will probably reduce the itching and helps baby too. I was also prescribed Piriton but didn't work that well tbh

Was induced 2 of the 3 times, (although not a vbac) and induction was smooth

3rd time bishops score was 4 (iirc) on the monday at 37 wks, had a sweep and was 4 cms, (5th baby) and very favourable

dd arrived of her own accord on the Friday am, Was due to be induced the following Monday at 38 wks.

This was 2 and half years ago and the new research has been since then, can't bloody find it in my archives now, am asking on the DUK forum, sure it's on there somewhere.

StarlightMcKenzie Fri 16-Oct-09 21:31:30

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Toady Fri 16-Oct-09 21:50:59

*Hi Lulu*

Yes its me have seen you around on various threads, not been on for while although have lurked on and off.

Life is getting back to a more 'normal' pace so have more time on my hands, although not for long, am expecting my fourth little one in April.

Sorry about the quick hijack everyone, have not spoken to Lulu for about three years now, lovely lovely lady that she is.

Lulumama Sat 17-Oct-09 08:33:10

great to see you back and congratulations on your pregnancy xxxxx <<hug>>

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