So, I think I'm going to ask to be induced for VBAC
I was very surprised recently when I had an appointment with one of the head Ob's at our local hospital who said that they WOULD allow the use of syntocinon to induce for VBAC.
I have insulin controlled GDM this pregnancy and a baby that is on the larger side. The head Ob said he wouldn't feel very comfortable letting me go beyond 40 weeks, and personally, my intuition tells me the same.
I have also recently read through ACOG's latest VBAC Clinical Management Guidelines that my lovely student mid sent through to me, which states that induction of labour for maternal or fetal indications remains an option for women undergoing a trial of labour after caesarean. It then goes on to talk data about several studies. One study of 20,095 women found a rate of uterine rupture in spontaneous labour to be 0.52% as opposed to 0.77% for induced labour (without prostaglandins). This to me, doesn't seem to be too much more of a risk witht he use of a little synto IYKWIM.
So, if I get to 40 weeks I'm seriously considering asking for a low dose syntocinon induction instead of heading straight for an elective repeat caesarean. Obviously this would depend on whether my cervix was "favourable".
Has anyone else had a VBAC or attempted VBAC with the use of syntocinon?
So, I think I'm going to ask to be induced for VBAC
My ob refuses to do it, he says the risk isn't worth it, even though it's now been three years. He supported me through a vbac last year with dd2 even though I had gd. We have talked it over and I can try for another vbac but I will be prepped for a c sect jic.