Posts Tagged ‘uterine rupture’

My VBAC Was A Success!

Monday, January 24th, 2011

I had a doctor’s appointment when I was 39 weeks pregnant. The doctor told me I was only dilated 1-2 cms, and he was going to strip my membranes and try to stretch my cervix to jump start labor since he knew I wanted a VBAC (Vaginal Birth after Cesarean)- I had that done with my first daughter, even though it didn’t help start labor then. The doctor this time didn’t make me bleed from stripping my membranes, but it was really uncomfortable and hurt a bit (not bad though). That night I started doing acupressure on myself on key points that are supposed to help induce labor (on the ankle and on the hand). It’s supposed to work within 48 hours. Well, the next evening in the middle of the night I started getting some mild cramping, which is like menstrual cramps. The next morning at 8am I started getting contractions, and as with my first daughter, they were immediately 1.5 minutes apart, but only lasted 20-30 seconds. I wanted to stay home as long as possible, so I didn’t go to the hospital until around 4pm, which is when I couldn’t talk through the contractions any longer.

The hospital told me I was 3-4 cms dilated at that point, and I was a little disappointed because I was hoping to be further along. As the contractions got stronger, in the back of my mind I kept thinking that I hope they don’t cause my c-section uterine scar to rupture. Then the pain got so bad that I forgot all about the chance of rupture and just wanted each contraction to be over with. I eventually couldn’t take it any longer and got the epidural at 6-7 cms dilated. One of the reasons I didn’t want an epidural was because I didn’t want it to lead to another c-section, which is common. But this time it was different: no complications! The baby’s heart rate was good the entire time, I kept dilating, my contractions stayed consistent, and I wasn’t bleeding excessively. Yay! I started to feel contractions again and was worried that my epidural was fading. That was when the nurse said that I reached 10 cms and could start pushing. I had heard from people that even with an epidural you can still feel the pushing and “ring of fire” from the baby being delivered. Luckily, that wasn’t the case for me. The contraction pain actually went away as I was pushing, so I was more than happy to keep pushing. They didn’t have to turn down my epidural because they said my pushing was very effective and I had strong abs. I felt the baby moving down and could feel her head. The entire time I had my ipod going, and the doctor said that the baby was coming so I should pick a song I like for the baby to be born to. haha. I did a few last minute pushes to “Sweet Dreams” by Marilyn Manson and the baby was pushed out to “Anything, Anything” by Dramarama. The total pushing stage was an hour and a half, but it only felt like maybe 15 minutes. The doctor said I did tear in 2 places and stitched me up.

My daughter was covered in vernix and crying loudly, and I was one proud mama. I had a VBAC! I can’t describe the feeling of pushing her out, except that it felt awesome, even though that sounds weird. I was just happy it didn’t hurt. My husband said that it was probably the coolest thing he’s ever seen. She was 8 lbs and 3 oz- a little smaller than my 1st daughter who was 8 lbs, 9 oz (and 2 weeks late).

So, 48 hours after doing the acupressure on myself, I had my baby 3 days before my due date at 11:25 pm- 15.5 hours of labor. It could have been the acupuncture; it could have been the stripping of the membranes/stretching of the cervix; or it could have been just nature. Either way, I was thrilled that I had a successful VBAC and would recommend it to others. :)

I’m Going To Attempt A VBAC Next Month

Sunday, December 19th, 2010

Today I am officially 36 weeks pregnant. My due date is January 16th, and I’m starting to get anxious. Actually I’ve been very anxious for the last 2 months. Not the kind of anxious where I can’t wait for it to happen and for me to be home with the new baby. I’m the kind of anxious where I just want to keep her inside until everything in my life is just “perfect” and organized, and then I’ll be ready for her to come. Of course that will never happen, and I can’t be pregnant forever, so I have to face my Type A personality and try to relax a little bit. Last night we finally took down all the size 0-3 months clothes from the attic, and they’re now in the baby’s dresser. We also took down the infant car seats and have to put them in our cars, along with moving my 22-month old’s car seat over. At least I feel like I have a few things accomplished.

With my first daughter (The Diva), I had to have a C-section after getting to 9 cms because they thought I might have had a partial placental abruption. I was bleeding too much and even at only 3 cms my body was heaving everywhere with non-stop contractions, and I’m told it feels equivalent to being at “transition” phase, which you normally don’t get until towards the end. I had my heart set on a natural, no pain medicine birth, but I caved at 7 cms when I couldn’t catch my breath anymore. As I expected it slowed down the progression of the labor, and eventually when I was getting contractions, my daughter’s heart rate wasn’t going up as it should. So all those factors lead to the C-section, which I was very upset about. My recovery was easy and not really painful at all, but it was the fact that I had my heart set on a regular, natural birth that made it so disappointing.

My hospital is one of the few that performs VBACs (Vaginal Birth After Cesarean). They’ve told me that not a lot of people attempt them, but they do them. If a person meets the criteria, then they can attempt a VBAC, but they do have certain rules for safety reasons. One rule is that they don’t induce since the Pitocin medicine gives you stronger contractions than the natural body does, and they don’t want to increase the chance of having your uterus rupture at the C-section scar. Another rule for VBACs is that they don’t let you go more than 41 weeks, and at that point they will do a C-section. In 3 days I have an appointment with the head doctor of the department, so I”m going to ask him all my VBAC questions. I have some weird ones, like should I be afraid to push too hard because of the scar ripping open. I have to admit that I am a little nervous–I don’t want me or my baby to die if my uterus ruptures and they can’t get me into surgery fast enough, but I also don’t want a 2nd C-section. There are also risks involved with 2nd C-sections, but nobody every talks about those. Plus, I have a daughter who will be 2 in February, and I can’t imagine not being able to lift her up for EIGHT weeks, which is the normal recovery time for a C-section. It’s impossible. I have to get her in her high chair, car seat, etc, and I’m home by myself most of the time. I shouldn’t even be really worrying though, because knowing my luck, I’ll be a week late anyway (my daughter was 2-weeks late), and I won’t have the choice of having a VBAC at that point. I’d love to hear if anyone has any successful VBAC stories, and if you did it with or without an epidural. I’m going to try again for no epidural, but I’m not going to be so hard on myself this time if I can’t follow through.