I'm 38 weeks pregnant with baby #2. I had a c-section with #1 due to her size (she was 9 lb 13 oz, but the estimated weight was 10 lb 13 oz). I have been in excellent control with this pregnancy (last A1c was 4.5), but at my last ultrasound at 36 weeks, the baby's EFW was 8 lb 3 oz, with her belly measuring bigger than her head.
After that 36 week ultrasound, one of my docs basically told me there was no way she would recommend a VBAC, due to the risk of shoulder dystocia, even if I were to go into labor early. So we scheduled a c-section for 39 weeks.
Well, I saw one of my other OBs the other day (I love both of them, by the way), and he was much more optimistic that I might still be able to have a VBAC, if I go into labor any time soon.
OB #1 is saying that the risk of a shoulder dystocia is just too high, and OB #2 is saying that as long as the baby is estimated to be under 4500g (just under 10 lb), if would be safe to try labor, and then if it is not progressing well, go for a c-section.
I had to make this decision while in labor with my first baby and ended up having a fairly traumatic c-section experience under general anesthesia, largely due to the fact that there was no clear plan in place when I went into labor. So I really want to avoid that situation this time and try to make up my mind as to what I feel comfortable with now, as I could go into labor at any time (baby #1 was born at 37 wks, 4 days).
Has anyone else had to agonize over this? Am I just being silly and should I just go for the safe decision and have a c-section even if I go into labor?
Just hoping for some shared experiences or maybe just some words of support. I feel kind of exhausted from trying to research and think and talk about this. I realize that another c-section would be a fine outcome, I just have always wanted to have the experience of a vaginal birth, and I just firmly believe that it is better for the baby and the mother, in general.