I am contemplating a VBAC despite a CPD diagnosis, if anyone has a similar story or anything they can offer. I would love to hear your thoughts. (Long but hopefully not too boring story)
With my first I was at a country hospital with a local OB who i saw throughout my pregnancy. I had been in and out of hospital since 20 weeks due to a bleed. Although the bleed resolved itself it made me (and I suspect my OB) nervous so I was calling the hospital at the first sign of anything wrong and being asked to come in. At around 35 weeks I had a brief high BP episode and while attending hospital for tests showed that I had trace proteins in my urine. So technically threatened pre-eclampsia but it never went further than that and I was back home. At 38 weeks during a routine OB visit he offered to induce me early the next week on a day only 4 days before my due date. I said yes it was a hot summer; I was over it all and excited to finally meet my baby. In hindsight it was the wrong choice but I was young and keen and it never occurred to me that there would be a problem.
On the morning of my induction I arrived at hospital, an internal by midwife showed no signs of cervix being ready and I was told it would be a long day. I was never given any gels; it was straight onto the drip at 8.30am and by midday I had dilated just enough to have my waters broken and a probe. I was having frequent contractions 3 minutes apart and being constantly monitored meant I couldn’t move much, by mid-afternoon the midwife said I was only about 4 cms and I had some pethidine. By dinner time I was in serious pain, feeling like I was being drilled from the inside, I was on gas but it wasn’t helping much, the only thing that offered any relief was stretching out on my side, bowing my back. In the aftermath I realise that this gave some relief because it was lifting my baby’s head off my pelvis. By 8pm the midwife thought I had dilated 6cms but the OB rechecked and said 5 at the most. They were about to give me an epidural and leave me for the night when the OB noticed that baby’s heart rate had started to drop with every contraction. An emergency c-section was ordered due to foetal distress. At the time I was scared for her safety and I was happy for them to do what they needed to do, I was hastily catheterised and rushed to theatre. They even kicked out an appendectomy to make way for me so I do believe it was a genuine emergency. I had a spinal block.
After they lifted Emily out of me the OB said that I would need a Cesar every time that there was no way she was going to fit through. Recovery was awful, as my baby was taken away and after only 5 minutes of feeding and greeting my family I was given two sleeping tablets and told to go to sleep. I didn’t see my baby again until 11am the next morning.
I asked the OB during rounds more about his comments, he explained that my baby had done her very best and her head had attempted to fit. (And this is true as her head did have a very severe cone shape when she came out, but it settled into a lovely round head within 24 hours) He said she was never engaged properly and said that he had only ever seen a pelvis like in someone who had been in a car accident.
At the 6 week check and we asked him again about my situation, he hadn’t written any notes so he didn’t have anything to refer to. However, he did say that he thinks that if I was to go into labour again around 36 weeks then I could trial labour. My official reason for induction was pre-eclampsia and the official reason for section was foetal distress and this is what my current hospital found when they requested the file.
Fast forward 15 years later, I’m pregnant again, I have GD but my baby is normal sized although set to be bigger than my first, but still average. With all my research I know that my first labour must have been severely compromised by the induction. I’m not a small woman; I have big hips so it’s just the issue of the pelvic inlet if there is an issue at all. I am now wondering if I am allowed to go into labour naturally could the hormones work on my ligaments to help expand my pelvis to accommodate a baby. I also think it would be wonderful to at least experience natural labour onset and to allow my baby to choose his own birthday. This time I will be at the Royal Women’s in Melbourne and my OB is fine with me having a trial of labour, especially when the notes she got form the country hospital didn’t mention CPD. However, she has also said that she doesn’t think the OB would have made the comment he made in the theatre if there wasn’t an obvious problem.
My concerns are that a trial of labour could damage my baby; as much as I really want to try I want to put his safety first. Right now I am researching into the risks to him of having a trial and I know that at the first sign of distress I’ll be screaming for a section but then I’m also hoping that I will turn up to hospital with lots of dilation already and if given time and nature my pelvis can shift and fit.