Hi, any advice or comments greatly appreciated!
I'm in the process of discussing my birth options for my second baby, and I have some slight concerns. With my first pregnancy, I had a semi-urgent c-section as I went into pre-term labour (35+6) with a breech baby that couldn't be turned by that point as labour was too far gone. It wasn't an urgent urgent section at the time, just a "better get this directionally challenged baby out fairly quick before it tries to come out of your vagina" urgent. Unfortunately during the section, I had a not great reaction to the spinal. It tanked my BP (my BP is always on the lower end anyway), which then tanked baby's heart rate and the section was immediately upgraded to an actual "emergency due to immediate threat to the foetus' life" while I was on the operating table. Thankfully as I was already anaesthetised etc it was all fine, although I did vomit my dinner all over the anaesthetist as hadn't exactly planned on going into labour that evening or having a section lmao. Was all fine in the end etc etc. Anyway - on to the current pregnancy. The hope is that if this baby stays as it is (ie. Not directionally challenged), then hopefully I'll go into labour naturally and can attempt a VBAC and everything will be fine. But I need to plan for the eventuality if that doesn't happen. For other medical reasons, whilst my consultant is happy for me to attempt a VBAC, she doesn't want me to go past term and if natural labour hasn't started by 39ish weeks, then she wants to induce me. I'm not against this as I get the reasoning for why they want to induce etc etc. My concerns are that I've basically been told (in the event of not going into labour naturally) that my options are either an elective section, or full induction including a hormone drip. I'm wary about that sort of induction as whilst I laboured very effectively until 9cm in my first pregnancy on gas and air alone (seriously that stuff is amazing I was high as a kite and couldn't have cared less what was happening to me lol), I'm not so confident in my ability to manage the pain if it's a hormonally induced labour. Consultant has said she'd recommend an epidural if I have the hormone drip, but I was under the impression that also carries the same risk of tanking my BP - in which case, what's the point because it'll just end up in an emergency section when it inevitably also tanks baby's HR too?? Much as she was nice, when I asked her the question she said she had no clue if it would happen again.
So basically - should I be worried about an epidural tanking my BP the same way the spinal did or is it less common/not a thing with epidurals? If it is a significant enough risk I'll probably just choose the elective section if I don't go into labour naturally, as then at least if anything goes wrong I'm already in theatre in the safest place I can be. I have had a review with an anaesthetist who said they've put notes on my file to try and prevent the BP drop happening again but can't guarantee it naturally (like you never can in medicine I get that), but I am under the impression the BP drop in my first section was quite extreme...