C-section for arrest of descent after an hour of pushing — could I have kept going?
I recently had an unplanned C-section for arrest/failure of descent and I’m still trying to understand whether things realistically could have gone differently.
I was unexpectedly induced at 37 weeks for gestational hypertension. I made it to 10 cm/100%/+1 and pushed for a little over an hour. Baby was OT, had a 95th percentile head, and wasn’t descending despite pushing and position changes. My OB tried manually rotating him a few times but couldn’t get him rotate. I was contracting every 2–3 minutes with an epidural and couldn’t really feel the contractions.
Eventually they recommended a C-section for arrest of descent. I agreed, but afterward I’ve struggled with feeling like I “gave up” too quickly because I hear about people pushing for 2–4 hours. I keep wondering whether I should have advocated to keep pushing longer.
For OBs/L&D nurses or anyone who had something similar — does the lack of descent + persistent OT position + failed attempts at rotation make it unlikely that another hour or two of pushing would have changed the outcome? Or could I realistically have had a vaginal delivery if I’d kept going?