I am planning a vbac after having a cesarean birth 2.5 years ago for failure to progress, unengaged baby (She was still floating) and no dilation after high dose pit and amniotomy. My daughter was only 7 lbs and I did go into labour on my own. There were no decelerations at all. I had contractions 1-2 minutes apart 45-60 seconds for 24 hours. My MW doesn't have much of faith and tells me my chance is very low (less than 5%) if I started labour at 41.5 with an unengaged baby. Feeling my pelvis, she feels it is misshapped. I see a chiropractor weekly for pelvis treatment and he will try to help, but states my pelvis is very out of alignment. Prior to my first pregnancy I was a nationally ranked marathon runner and had a very intense training schedule. I continued to jog throughout my pregnancy, workout, swim, yoga , ect... truely believing my physical fitness would help me during labour. The MW and Chiro believe I had muscles that were too tight and combined with my pelvis issue. I just don't beleive my body isn't capable of a natural birth. The problems are the road blocks In order to have a vbac, I must see an OB at 30 weeks and normally they will not let you go over 40 weeks... I can't find any research that indicates going post 40 weeks (which I really beleive I will) increases the risk of uterine rupture. I plan on acupunture, moxibustion and nipple stimulation to induce labour naturally. I know prostaglandins are contraindic08/28/2008ated, but they will allow oxytocin in Canada. Do you have any research that indicates it to be a higher risk after 40 weeks so long as baby is good?
The other issue is they want you to be admitted as soon as you are in early labour. I was planning on prolonging calling the midwife so I can stay home a little longer...Noramlly uterine rupture would occur in active labour anyway? The other issue is of course CEFM which i think I can deal with... we don't have any water proof ones.. but maybe I can convince the midwife to allow me to labour in the tub and have very frequent monitoring with a doppler.
I also do not want oxytocin for induction or augmentation and will try to avoid.
So, I will continue with chiro, breast stroke, jogging and remaining physical. I will try to naturally iduce labour, i will have a doula and plan to go without an epidural (Had one after 18 hours last time, after augmentation) and hope to not go into the hospital until active labour. My main question is research on going post dates... what can I present to the OB when they want to induce with pitocin go right for the c-section. Also, is it safe for me to consider staying at home in early labour?
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