Wanting VBAC after EMCS will they induce

[Kay0102]

As the title says. I am due to see the consultant 5/9 I am totally swaying towards VBAC and never really considered another section. I wanted things to be as natural as possible so as to reduce intervention and reduce risk of further CS. However, I had a thought today, with the risk of rupture would they usually induce on due date and not let you "grow" anymore hence reducing the risk of rupture or will it just be labour as normal when it happens. I REALLY want to avoid induction I believe its the main reason for most complications. Xx

 

[Banshee]

I was induced for my attempted vbac at term +7. they probably would have left me longer but there were issues with the placenta with my first son and I was very concerned about complications related to the placenta if I went too far overdue.

 

[biliboi2]

I think my failed inductions led to my emcs too. Hadn't thought about the inducing to avoid rupture thing before. Hopefully some other people with more knowledge will post!

 

[Tor]

No they wont induce to reduce risk of rupture as induction actually increases the risk of rupture so normally they will let you go upto around 41+5/6 weeks before induction as its best for VBAC if you go naturally obviously this is only in a complication free pregnancy.

I wanted VBAC with my second and I had IUGR again wih him so I had to have him at 37 weeks she checked to see if I would be favourable for induction but I wasn't at all the same as with my first so I had a planned c section, im still gutted I didn't get to have a natural birth but the elcs was sooo much easier and nicer than the emcs.

 

[Laura80]

Some hospitals will induce, some won't. I was offered partial induction where they would break my water and put me on the drip but they wouldn't give me a pessary. Other hospitals would give a pessary but not a drip. I found massive inconsistancies so I refused induction and asked for a repeat section at term+13.

 

[ttcnewbie123]

Some will, my consultant says its up to me. Induction when trying for a vbac isn't ideal though I don't think, I'm going to try as many sweeps as poss an hope that works! Good luck!x

 

[Claudia83]

My induction lead to my c-section. I KNEW I wasn't ready, but there was protein in my urine at 40w3d so they admitted me and started me on PIT. I got to 7cm (stayed at 7cm for 4 hours) before they wheeled me off for a c-section because baby had a big bowl movement (probably from being forced into contractions from PIT for 26hours) so they had to get him out for fear of infection. I have read A LOT on VBACs and one thing is clear; stay away from being induced to avoid the possibility of a tear or another possible c-section.

 

[Misstrouble19]

my induction lead to a c section too sucks but oh well!

 

[Citrine29]

Some hospitals will induce, some won't. I was offered partial induction where they would break my water and put me on the drip but they wouldn't give me a pessary. Other hospitals would give a pessary but not a drip. I found massive inconsistancies so I refused induction and asked for a repeat section at term+13.

What's a pessary?

 

[Laura80]

It's a tablet put in your cervix to soften your it.

 

[baileybubs]

I'm interested in this subject too as I will hopefully be planning on a small age gap. We will be ttc when dd is 9 months so there will be 18 months between births and I would love a vbac. I know ideally it's better to wait longer between births for successful vbac but I'm not a young mum.
Like many of you ladies I also think my induction is what lead to the EMCS and because my body and baby were nowhere near ready for labour, but due to raised bp and being on my due date they induced me very quickly by giving me a sweep with the gel, then 6 hours later breaking my waters even though I was still only 1cm dilated then whacking me straight on the drip (evil sintocinon) on full dosage.

I swore I'd never ever be induced ever again. I have also read about the increased risk of uterine rupture with induction and so was wondering if anyone knows whether I could state that I want an elective c section at about 41 + 6 weeks if I hadn't gone into labour already rather than have them induce me? Coz if my options are elective c section at 38-39 weeks or face the possibility of induction if I don't go naturally then I would rather have the elective c section!

 

[tristansmum]

Absolutely you can request that. You can wait and see if labour begins and have a section date booked I'm for 40+12. I believe this is quite common. Luckily I went into Labour myself at 40+6 and got my vbac but if it had gone on I could have choosen induction or elcs. Good luck x

 

[baileybubs]

Thanks tristans mum that's great to hear! And fantastic that you got your vbac!

 

[Tor]

Yeah you can defionitely request that, I said I would have had a c section at 41+5 if I hadn't had DS2 before then, rather than induction.

 

[baileybubs]

This is great news, I'm so glad that's an option because I am so worried about what an induction would do and that it would only end up in another emcs. If I have another c section I'd prefer it to be elective as my emcs experience was traumatic, especially when my LG got stuck and had decels. Obviously I am aware that with a vbac attempt there's always a chance of c section anyway, but I think an induction would really increase that risk.
Did you manage your vbac then Tor?

 

[patch2006uk]

I shall have to be induced for this delivery (unless medical reasons dictate, I won't be opting for a c-section). My consultant has said he will use a Foley catheter, which is non-hormonal and is showing very promising results, especially in VBAC labours. Worth asking about if you do face an induction process.

 

[baileybubs]

That sounds interesting ive never heard of that form of induction. Does it make any diffence the gap between births as we plan on only having 18 months between? I'm more worried about uterine rupture than anything to be honest, which I know is only a small risk but I know induction increases the risk and so does small gaps between births.

 

[patch2006uk]

I don't think gap between births makes a massive difference. It's more induction, labour position, that sort of thing that contributes to ruptures. A spontaneous labour is the safest in terms of rupture - around 0.5% - whereas an induction carries a 6-8% rupture rate, depending on method (pitocin is probably riskier than syntocin, but some say the opposite) Catheters are as effective, and less likely to cause a rupture, according to some research that's come out.

 

[baileybubs]

Thanks for that info patch, really helpful and makes me feel much more positive about a vbac in the future (hopefully not so distant future either!)

 

[Tor]

No unfortunately I didn't even get to attempt my VBAC Both my babies had intrauterine growth restriction, so after the first they kept a close eye on my second and he stopped growing as well so I had to have a c section at 37 weeks, she did check to see if I was favourable for induction which I wasn't at all and even if I was I wouldn't of been induced anyway so I guess it just wasn't meant to be but my ELCS was sooo much easier and relaxed that my EMCS so it wasn't all bad .

The surgeon did say afterwards though that she was really amazed that I had hardly any scarring from the first c section and only 20 months were between mine so I don't think it makes too much difference unless it was say 12 months age gap and even then people do it and are fine.