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“You are a perfect candidate for a repeat cesarean section. If you do want to try to have a vaginal birth, we could determine if that is possible towards the end of your pregnancy. If we think you are capable of pushing the baby out, since your last baby was big, (7 pounds 15 ounces), that may be an option.” – OB to mother after a cesarean for failure to progress.

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 November 3, 2012  Cesarean, OB, prenatal, VBAC  Add comments

  13 Responses to ““You Are A Perfect Candidate For A Repeat Cesarean…””

  1. If this mother was an “imperfect candidate” for a repeat C, would the doctor be encouraging VBAC?

    And what makes a woman a perfect candidate for surgery?

    The whole quote just sounds like a big set-up for the woman to feel as if she’s doomed to failure if she works on her own, but specially designed to require surgical assistance.

  2. Puh! Of all the idiotic reasons to force a section on a woman, the “big baby” card annoys me more than anything! Ultrasound and palpation is only an estimation, people! It’s not an exact science! I have to bite my tongue when I hear a friend say, “I had an ultrasound and my baby is five pounds and 2 ounces already!” (Or whatever.)

  3. My boss’s sister is scheduling a repeat c-section for her second child. The first was delivered via (actual) emergency c-section and the doctors say she has “a lot” of scaring.

    I would have asked if the scars were in a bad area to stretch? Why does having “a lot” of scars make me a bad candidate for VBAC? What constitutes “a lot” of scars, anyways? Are you scheduling this section simply because it’s more costly for me and “easier” for you? Can I have a trial of labor first?

    Anything but blindly walking into more major surgery.

    • I had a lot of scar tissue after my c-section. I mean every cramp moving certain ways was painful. I was told by an ob different than the doctor that did my surgery( long story was making sure in his hurry go on vacation mind that cost me my ds

      • I had a lot of scar tissue after my c-section. I mean every cramp moving certain ways was painful. I was told by an ob different than the doctor that did my surgery( long story was making sure in his hurry go on vacation mind that cost me my ds

        Oops hit send on my phone anyway. That he hadn’t messed up my chances for a vbac. He told me the extent of the scaring it would be Be in my best interest to have another baby to break it up and to avoid another c-section. I did have another baby. A little girl born at home. It helped amazingly.

    • Scar tissue isn’t as pliant as unscarred tissue; it doesn’t stretch as well and is more likely to tear than healthy tissue. However, unless it was a T-scar or classical scar, the part of the uterus that’s under stress in a normal birth is largely unaffected by uterine contractions. (If it was a genuine emergency c-section, and an old-school OB, the scar is likely classical or a T-scar, which would explain excessive scarring.)

  4. This is my story :( and yes, the first thing they said was that I would be a perfect candidate for a repeat c – section. As a follow up, I saw the midwife in this practice a week after this visit. She told me I had a poor chance in having a successful VBAC. She actually said I was in the group of women with the poorest chance of succeeding!!! They said since my last baby was large and never decended that I probably have a small pelvic openening. Way to deflate a womans confidence!

    • I’m sorry. I’m sure they’re doing that deliberately (the early rooting-out of any idea of a VBAC) because they just don’t want to deal with it. You might want to get other opinions about your chances.

    • That was the same bs I was given after ds1. He never descended, so it was obviously all my fault for being small (& nothing to do with him not being ready yet) and I would never ever be able to give birth.

      I’ve had 3 VBACs. My youngest baby was over a pound bigger than my “too big” baby, with a 15 inch head, same as ds1. Labour, including pushing, was about 8 hours. Pushing was longer and harder than with my nearly 3lbs smaller baby, but he still came out.

      Great video if you haven’t seen it http://www.youtube.com/watch?v=Dw5hYjxajN4&feature=plcp

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