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ELCS or Natural Birth???

7 replies

TheMulledBloodsOnMe · 15/10/2010 21:21

Pretend you are me, or maybe you have been through similar? What did you/would you decide?

EMCS for DC1 due to long labour, baby OP, not progressing.

Options for DC2:

Either:
Trial of labour, continuous monitoring and limits to length of labour being 4-6 hours. So possible natural birth or EMCS.

or:
Induction at 40+10 so either natural birth or EMCS but high chance oflater due to induction.

or:
ELCS.

OP posts:
Beanie4 · 15/10/2010 21:49

I chose ELCS after a traumatic EMCS - best thing I ever did! Had no worries ( was still nervous of course! ) and recovered really quickly, so personally for me the outcome was fab and I never regretted not doing it any other way. Good luck with what you decide.

violethill · 16/10/2010 12:08

Why would the labour have to be limited to 4-6 hours? Hmm

I would seek a second opinion if you've been told that

I wouldn't go for induction, as it's risky with a scar - and besides, why assume you would go ten days overdue?

Ask your consultant which is the lowest risk for you. My consultant said vbac was the safest option for me - the reason for needing a cs the previous time didn't apply with this pregnancy.

It's possible to have a reasonably low tech vbac. They are keen to monitor, though not necessarily continuously, and a good midwife will support you to do things naturally rather than being pushed to deliver within a 6 hour time slot!!

TheMulledBloodsOnMe · 18/10/2010 12:57

I'm very tempted Beanie!

The time slot is because they don't want me to labour for too long therfore placing more strain on the scar, violet. I'd hate induction and the type of person I am, I would really like to keep things as natural as possible plus I think I would regret not having expereinced a natural birth if I decide on the elective.

It's all a bit scary and I feel a bit alone as the consultant is naturally more leanient towards the medically managed route and I won't know which midwife I'll get untill I'm in labour and I'm worried that she won't be suportive of my decision! Thanks for your replies.

OP posts:

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violethill · 18/10/2010 19:05

Definitely go for the second opinion. I have never heard of the 4-6 hours maximum rule. When would they measure it from anyway? Many women labour for quite a few hours at home, and may get quite far before even coming to hospital! If there is no medical need for another cs and you feel you want to try for a natural birth, then I would insist on talking it through with someone else. BTW I laboured in hospital for at least 8 hours with my VBAC, and prior to that my waters had broken with meconium, and I still had a natural drug free delivery. There is no need for them to panic you into thinking it has to be otherwise.

TheMulledBloodsOnMe · 18/10/2010 19:20

I'm glad you have a positive VBAC outcome, violet, if you would like to share your story then I would love to hear it! I think with the time 'rule' you can be a bit crafty and not let them know until you really need to go in because as soon as you do then the clock starts ticking IYSWIM.

I intend to labour at home for as long as I like and try my best to do it my way. I would really appreciate some +ve words of encouragement and other people's stories though as it's these that will inspire me with the confidence to go with what I really want. Grin

OP posts:
IloveJudgeJudy · 21/10/2010 13:37

I wouldn't go for the ELCS. If I were you I'd go with trial of labour, no induction.

I've had 2 EMCSs and 1 ELCS. With first EMCS I was awake with epidural. No2 I tried to be awake, but had to have GA as epidural had not worked 100%. No3 they told me I had to have ELCS which I think was detrimental to my child.

The other two DCs were late in coming. With DC3 I had to have the ELCS 12 days early (only did them on Mondays!) and DC3 was an extremely difficult feeder and still is. I still think that he was quite badly affected in some othe small ways from being "ripped" out of me too early (he is now 12).

violethill · 22/10/2010 16:27

TheMulledBloodsOnMe - my VBAC was for dc3. DC1 was a totally natural vb, then dc2 was Csection. The main reason for going for VBAC for dc3, was that the consultant was quite frank, and said that on balance, although we're talking very low risk factors anyway with all this, there would be a slightly higher risk in having another CS. There was no medical need for it this time round, and that's what triggered my decision to try for it.

I went into labour about a week before my due date, which was lucky as I know they won't want to induce you due to the risk that presents when you have a uterine scar. They are also not keen for you to have an epidural, as if the mother can feel the contractions totally, it's a lot easier to monitor the scar and how things are progressing. My waters broke with meconium in them, but the hospital were fairly laid back, and just said 'have a shower, then come in when you're ready'. By this point I was having some contractions. I got to hospital about two hours later, and continued having contractions for around another 7/8 hours, though they weren't regular, all over the place really, some very close together and very painful, and others less so. I was allowed in the bath to relax (which surprised me, as I thought once the waters had broken they might be keen to avoid that).
I had a venflon in my hand, because the risk of CS is greater, and they want to be able to pump drugs in if necessary. I laboured most of the way through entirely drug free, then had a few puffs of gas and air for about the last hour. I wasn't monitored continuously, just periodically, but insisted that I be allowed to keep mobile. Towards the end, the baby's heartrate got a bit worrying, and the doctor insisted on monitoring with foetal scalp monitor - ouch, takes a bit of prodding to get that in place, but once again, nothing horrendous, and I just used gas and air. That was probably on for around half an hour, and when they took a reading, the heart rate was dropping still and they started talking about possibly a cs, but again, no great panic. At that point I was ready to push, and second stage was very quick - too quick, as I tore quite badly, which upset me, as it was a smaller baby than first time, and I did feel the birth could have been better managed from that point of view. Unfortunately with a VBAC you will get a lot of doctors around, which actually wasn't what I needed at that point - I just wanted a good midwife to guide me slowly through the crowning. However, once the baby was out and I was stitched up, I was so relieved to have had a VBAC, as I was off the bed and in the bath, and home later that day.

In terms of recovery, it really is easiest if you have a VBAC. I looked on it as short term pain for the sake of getting up and out of hospital within hours.

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