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Normal Birth Forum Featuring Henci Goer
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Posted By n/a on 10/8/2008 10:59:37 PM
Subject: VBAC & electronic fetal monitoring
Message:
I read your book The Thinking Woman's Guide to a Better Birth and have a question for you.  I am having a VBAC (second pregnancy, first ended with a c/s due to failure to progress) and am due Oct 24.  In chapter 10, Elective Repeat Cesarean, one of the factors you list that promotes a safe vaginal birth is to consider having continuous electronic fetal monitoring since an abnormal fetal heart rate is the most common indication of uterine scar problems.  I'm puzzled by this since having the belt strapped around your tummy during labor makes it harder to move around & do what you need to do during labor.  You also say to avoid EFM every other place in the book (I think).  The paragraph I'm referencing does leave it up in the air a bit, but I am wondering what your advice on EFM with VBACs is - do it to catch the potential problem or avoid to avoid the risks of EFM.

 

If it matters for my specific situation, I am 38, my son will be 20 months at my EDD, this is my second pregnancy and I have a low transverse scar with a triple closure.

 

Thanks for your insight!
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