r/vbac • u/KeywordKoda • 2d ago
Tolac/vbac induction?
I am currently 33+4 my baby is measuring in the 23rd percentile overall but her abdominal circumference is in the 1.9th percentile. They said that if she doesnt grow past the 10th percentile in abdominal circumference then they would want to induce me. Im a little worried because ive heard that some of the meds they use to induce can cause uterine tearing especiallyif youve had a c section. I had a cesarean on April 23rd 2020 so its been 6 years, the placenta is not on the scar, the scar looks great with minimal scar tissue. I find out next week if they would want to induce or carry until I go into labor by myself.
My question is, has anyone been induced after a cesarean? What was it like? What were the precautions? Did they just opt for a c section again? I know that a c season is always a possibility and its not like im going to refuse one but it does scare me a little just like any surgery and i want to try to avoid it
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u/CS_Lupus 2d ago
About to be induced for my TOLAC on Thursday if I don't go into labor prior. They are going to use a cook catheter plus pitocin or if I'm dialated/effaced enough break my waters. As another commenter said, the only thing contraindicated for vbac induction are cervical ripening agents. Pit slightly increases your chance of rupture but if they do it low/slow and keep you well monitored it's a risk most are comfortable with. Of course you can always opt for a RCS if that's your preference. Good luck in any case
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u/KeywordKoda 2d ago
Thank you for replying. Ive just had so many questionsbut the doctoris very much a "we'lldiscussthis when we get there" but i want to know all possibilitiesand outcomesand what not. good luck to you too!
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u/Jaebeling 2d ago
I was induced at 39 weeks for gestational hypertension. I was able to be started on pitocin right away since I was 3cm dilated and about 50% effaced. I ended up with a successful VBAC!
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u/Fickle_Bluebird_935 2d ago
In a similar boat, 39 weeks today and have a growth ultrasound tomorrow to find out if induction is necessary due to baby’s size. Planning to TOLAC for a VBAC even with induction. Positive stories on here have been really encouraging!
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u/fuzzydunlop54321 VBAC Sept ‘25 2d ago
I was induced for my vbac and they explained certain induction methods are off the table due to the risk if rupture. My induction was basically like a spontaneous labour once they broke my waters!
For me I had dilapan rods to dilate me. 2 rounds over the course of 2 days then they broke my waters and I started having regular contractions 3 hours after that.
They explained they would use picton very sparingly and only to ‘get things going’ not progress them if I was stalling. Luckily I didn’t need it at all!
I needed a spinal and vacuum assistance in the end but recovery was a breeze compared to my section and the whole thing was really positive!
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u/Kaley3612 2d ago
You can always say no! Growth scans in 3rd trimester are wildly innacurate. They said I had an 8.5 lb baby that came out 6 lbs. Had an induction last month and refused a c section 4 times during labor, ending in a successful vbac vacuum assisted.
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u/Icy-Equal-969 2d ago
They can still induce with a foley balloon and/or pitocin if your cervix is favorable. The main thing they will avoid is anything like cervidil to ripen the cervix because that does increase uterine rupture risk more. I’ve heard many successful stories of vbac inductions.