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    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

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    Oct 28
    2011

    Vba2c Labors Longer, more difficult?

    Archived User

    A Doula friend who has attended three Vba2cs in the past two months has observed that her Vba2c clients have had much longer labors, days of irregular contractions, and overall a much longer process than that of her non Vbac clients. Is there a reason for this? Physiological or Psychological? Any research on it?

    Henci Goer

    I don't know whether VBA2C vs. VBA1C makes a difference, but we do have studies showing that VBAC labors tend to be longer compared with women who birthed vaginally the first time. Here is one, and here is another. I can think of both psychological (increased anxiety, for ex.) and physiological (women with prior c/sec would be more likely to be women who progress at a more leisurely pace, for ex.) reasons, but the take-home pay is that clinicians should expect VBAC labors to progress more like 1st labors than labors in women with prior births. 

    ~ Henci 


    All Times America/New_York

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