What are the criteria for a vbac turning into a c section?

[RainbowSlide]

I'm 36w with baby #3, and have opted for a vbac preferably, but will do what is safest for baby and me when the time comes.

First birth was induction, 24 hrs of established labour and emcs as baby was posterior and got stuck and distressed. Traumatic.

Second birth was elcs as I was pretty traumatised by the first and baby was posterior at 37w.

This baby is in a good position, and I'm feeling supported to at least try for a vbac. There's a chance my vbac-supporting obstetrician will be away for the birth (not ideal), and the person covering him is dead against vbac after two cs. I am concerned that the covering obstetrician won't let me labour, or will make a call early on to just do a cs.

If I'm labouring, what are the triggers to go for cs? I want to be able to advocate for my choices but obviously not to the detriment of baby or my health.

Thanks so much

Anyone?

They cannot 'make' you have a cs, only advise, and each time anyone says to you that you must have a Cs you must come back with 'what are the immediate risks to myself or baby if I don't have one now?' And see how they answer. Obviously if there is an immediate danger then their advice should be followed, but you should definitely be supported in trying for a vbac. They would advise to go to CS in a vbac situation if there were signs of fetal distress on monitoring, signs of compromise to you, if the labour is not 'progressing' or if you request it.

Try and get your birth partner to be your advocate also, it's really hard when you're in labour to stand up for yourself as you're so vulnerable and easily swayed.

www.google.com/search?q=brain+acronym+labor&oq=brains+acro&gs_lcrp=EgZjaHJvbWUqCAgCEAAYFhgeMgcIABAAGIAEMgYIARBFGDkyCAgCEAAYFhgeMggIAxAAGBYYHjIICAQQABgWGB4yCAgFEAAYFhgeMggIBhAAGBYYHjIICAcQABgWGB4yCAgIEAAYFhge0gEIMzI2MGoxajSoAgCwAgA&client=ms-android-samsung-ss&sourceid=chrome-mobile&ie=UTF-8#imgrc=g56Cr2y-j4_jAM

This link has a good acronym for how to advocate for yourself or for your birth partner to do so for you. This way you are not going against medical advice but just ensuring that you are fully informed of all the facts.

I hope you have a midwife that is more supportive than this potential obstetrician, all the best with your birth 😁

Usually any sign of you or the baby being compromised/unwell. This would include things like scar pain, vaginal bleeding, signs of distress in the fetal heart rate monitoring, you becoming unwell, or slow/no progress in labour. Or if you request it. Ultimately the doctors can’t just do a section if you don’t consent but they can advise it based on any concerns that may arise.

I attempted a VBAC and got to 5 cm. However babies heart dipped with every contraction and changing position didn't help, so I ended up with a emergency c section.

Thank you so much for these replies.

I guess I'm concerned that I won't be able to fully trust my ob in making the cs call that it's the best thing for baby and me, if you get what I mean. I'm going to talk to my ob tomorrow and see what he can do to get the covering doc on board (or suggest another who is vbac supportive) as its an added layer of stress that i don't think will help.

I'll also get my dh on board with those questions so he can advocate for us. I'm hoping the midwives will be more supportive too.

Thank you!