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Unable to dilate?

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LTLFAERY
Posts: 9492
4/14/07 9:32 P

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"CPD" and "FTP" are catch-all terms used now a days to justify a a section that a lot of times didnt need to happen. You should see the countless women on the ICAN list who were "diagnosed" that and went on to give birth to bigger babies later.


CPD/FTP a lot of times translates into: mom was in bed on her back and baby didn't/couldn't turn and rotate and decend properly. It can really be a result of a cascade of interventions, or of "failure to wait", or of an induced labor before mom and baby are ready. OR, of being too numb to push properly.

OTher times, there's a fetal malpositioning, that causes the baby to get 'stuck'. not that it wouldn't have fit if it went in right.


*remembering the triplets*

RAES4BOYS
Posts: 9168
4/13/07 11:56 P

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Copied from Sarah_Carol's post in the Natural Birth forum:

"CPD (cephalo-pelvic disproportion; the medical term for "the baby couldn't fit thru the pelvis") only occurs in 1 out of 250 pregnancies, or 0.4% chance. CPD is widely used as an excuse by drs to comfort moms who end up w/ unnecessary c-sections."


Jack Finley: Homebirthed, Waterbirthed, Non-circumcised, hardly vaccinated, exclusively breastfed, cloth diapered and perfect in every way!



MY_DIAH
Posts: 16825
4/13/07 5:23 P

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70% of women who attempt VBAC after a cesarean for CPD go on to deliver *bigger* babies vaginally.

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"A newborn baby has only three demands. They are warmth in the arms of its mother, food from her breasts, and security in the knowledge of her presence. Breastfeeding satisfies all three." -- Grantly Dick-Read, author of Childbirth Without Fear


KAYMINNIS
Posts: 9721
4/13/07 4:07 P

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thats the joys of this country, we can not agree and yet still all be happy with what we believe. I know what I have experience and what others I know have, and what doctors have said, and that is what I trust. to each their own, and I hope OP is able to have her baby exactly the way she wants and not have to have a section.



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DD- 5/2/07
ANGEL- 2/14/08
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KAYMINNIS
Posts: 9721
4/13/07 12:40 P

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remember, there is a difference between dilating fully, and being able to give birth to the child.

All of my friends/relatives that had to section or whatever due to being to small had dilated fully. They just were not large enough, hips/pelvis did not spread enough to let the baby through.

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DS- 2/14/96
DD- 1/1/99
DD- 5/2/07
ANGEL- 2/14/08
DS--5/9/10

I am not perfect, just FORGIVEN!!

LTLFAERY
Posts: 9492
4/13/07 11:18 A

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I didn't dilate completely for close to 2 days, total labor was 3.

Given enough time, which varies with everyone, and moving around and doing position changes, with a knowledgeable care giver, most women would dilate completely unless there's something really really wrong...which is HIGHLY unlikely.


*remembering the triplets*

MAMABURF
Posts: 361
4/12/07 11:16 A

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That's what I said! I told my mom that now they will wait longer before doing a c-section. I know and told her that for first time moms it can take 12-14 hours. She said that's ridiculous and no woman should be in laber for that long. The way people thought then is amazing. But, at least I got some info. My sister didn't fully dilate until she was 7 hours into it. My mom was not dilates at 5 hours. So, it looks like I might be in for a long labor if I follow them. We'll see!!


Jonathan Robert born July 3, 2007 via C-Section

Charlotte Rose due September 8, trying for successful VBAC

RAES4BOYS
Posts: 9168
4/11/07 10:03 P

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In my opinion, there is no way to tell if a baby is too big to make it out of the birth canal. Most natural birth advocates believe that a woman cannot grow a baby that is too big for her pelvis, unless she has gestational diabetes or a pelvic injury of some kind. The reason you can't tell ahead of time is because the baby's head does some SERIOUS molding as it comes through the birth canal. There's no way of telling how much molding will happen unless you try it out first!

Also, wow...5-7 hours is not a long time. The average length of labor for a first time mom is 14 hours!


Jack Finley: Homebirthed, Waterbirthed, Non-circumcised, hardly vaccinated, exclusively breastfed, cloth diapered and perfect in every way!



NEANOE
Posts: 3888
4/11/07 3:10 P

 
 
I actually had a friend who ended up having a c-section on Sunday for this reason. She had a 6lb 9oz baby, but was unable to push him out - not enough room to allow him through. She pushed for 2 hours and couldn't get him past a -2 station even with being fully dilated.

One thing from her experience is that she knew from the very first appointment she had that she might have trouble delivering vaginally. She told me they actually need to use "kid sized instruments" when she goes in for her annual exams, and when she went for her first prenatal appointment her OBGYN said "This is going to be interesting!" So they had been discussing the possibility all along.

Has your doctor said anything to you about this being a possibility? It seems to me that if you are worried about it and it is a cause of stress during your labor that it would make it more likely to happen because of tension you are holding in your body. I think it'd be a good idea to discuss you concerns with your doctor. At least that way if it does happen that the vaginal birth doesn't work, you will be prepared with information about what will happen from that point.

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KAYMINNIS
Posts: 9721
4/11/07 2:32 P

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I went to the hospital after being in HARD labor for 7 hrs. I was only dilated to 1 cm. Another hour later, only .5 cm more, it took me 21.5 hrs to have my son.

my daughter I had been in labor for 5 hrs, and was only at a 1, it took 11.5 hrs to have her.

so, it might take a long time to dilate.

but you also might just be too small. I am tiny, but my hips/pelvis spread plenty. Have you asked your doctor what he thinks the chances are of you not being able too cause of your size?

BabyFit Community Team
DS- 2/14/96
DD- 1/1/99
DD- 5/2/07
ANGEL- 2/14/08
DS--5/9/10

I am not perfect, just FORGIVEN!!

MAMABURF
Posts: 361
4/11/07 1:41 P

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RAES3BOYS, My mother told me she was in labor for 5 hours before they did an x-ray. They determined that her hips were too small, so she was unable to deliver because of that and because she hadn't dilated within the 5 hours of her labor.
I am very small framed like her, so that is why I am concerned. I talked to my sister and she said she didn't dilate until after 7 hours, and even then, they told her that if her daughter were any bigger (6pounds) then she wouldn't have been able to deliver her vaginally. So, it sound hereditary, maybe.


Jonathan Robert born July 3, 2007 via C-Section

Charlotte Rose due September 8, trying for successful VBAC

KAYMINNIS
Posts: 9721
4/11/07 12:36 P

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My pregnancies and deliveries were SOOO different from my moms. So, just cause your mom was one way, DOES NOT mean you will be too.

As far as not being able to dilate, well not sure of that. We all dilate to 10 to push. Now, I have know people who could not have a vaginal delivery cause their pelvis was too small for the babies head, that kind of thing. One of my friends is a very big girl, big bones, all that, and had a 6lb baby and oculdnt go natural cause of her pelvis. A cousin had to have her pelvis broken in order for the baby to come out. (was too late for a section). Me, I am tiny, and had a 8lb 9oz baby just fine. It is all about how your body is and how it does during labor.

BabyFit Community Team
DS- 2/14/96
DD- 1/1/99
DD- 5/2/07
ANGEL- 2/14/08
DS--5/9/10

I am not perfect, just FORGIVEN!!

MAMABURF
Posts: 361
4/11/07 10:29 A

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My mother was not able to have natural childbirth because she wasn't able to dilate large enough to deliver a baby over 7 pounds. Granted, this was in 1976, but does this still happen and can this be inherited? I am very much like my mother in a lot of ways physically. So, I'm concerned. Anyone else have this problem or know someone who did?


Jonathan Robert born July 3, 2007 via C-Section

Charlotte Rose due September 8, trying for successful VBAC


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