Can you be induced with a VBAC?

[PSL1990]

Can you be induced with a VBAC? If so, in what circumstances? What are the criteria and constraints? Thanks

It seems to depend on the hospital and on the consultant. I understood that they would only consider induction with a balloon catheter and/or breaking of waters. But my
hospital was also willing to use the synto drip, although my understanding is that it can increase the risk of scar rupture.

I was told no at my hospital as induction first time round led to emcs

Yes but they will limit what they will offer. Any induction is more likely to end in an emcs and a partial induction even more so.

No they won't at my hospital. I'm currently pregnant with DD2 and was told by my consultant that if I decide to have a VBAC they will only let me go to 41 weeks, after that they will book me in for an ELCS.

I was told no.

I was, but it was around 14 years ago. Mine ended up as an emergency section unfortunately.

I had my waters broken and then the drip with the understanding it increased my chance of uterine rupture. I had a successful vbac.

I had an EMCS with my first and decided to try for a VBAC with my second. They told me they wouldn’t induce me because it increases the risk of uterine rupture. It’s something you’ll need to discuss with your consultant really

My hospital said I could have the drip but not the pessary. Drip didn't work so I ended up with emcs.

I hate it when they say they'll 'let you' go so long or they'll 'induce you'. It's your body and you choose, of course with advice from doctors.

Everywhere will be willing to break waters to see if that starts you off. Usually with balloon catheter.

Some places will give you pessary or drip on low dose. Induction drugs cause stronger contractions which increase rupture risk.

As I remember (I researched a lot before my vbac), going post term doesn't substantially increase rupture risk. The placenta may become less efficient by about 42 weeks but that's the same risk for any pregnancy.

For my vbac I decided I didn't want to start down an intervention route as it would be more likely to lead to a birth I didn't want (CS, epidural, forceps etc) so I would have gone for elcs rather than induction. In the end I had a straightforward vbac.

I was induced for my VBAC with the propess pessary. Had waters broken and also used synto drip once fully dilated as wasn’t contracting very frequently. My IOL was at 39+4 due to acute polyhydramnios and likely late onset diabetes.

I was induced with syntocin at my VBAC because things weren't progressing fast enough. They said they'd give me four hours and if I hadn't delivered by then they would do a section. DS2 arrived by vaginal delivery 4.5 hours later.