Mom's membranes ruptured without contractions for 18 hours before I called Dr. Wonderful (who was also seeing the client) to chat about what to do next. He verified what I thought we needed to do and that was go in for a "whiff of pit" - just the tiniest amount to tip the uterus over into a productive (and successful) VBAC. Happily, her cervix was very effaced and soft, although only about 2 centimeters dilated. (I only did the one exam right before calling the doc.)
Of course, my client was worried about the research that says 1) induction leads to cesarean and 2) induction is contraindicated in VBAC women. I have seen pitocin do wonders, even in VBAC moms. (The only two ruptures I've seen were with primip moms being induced with enormous amounts of pit.) When pitocin is used judiciously, it can work safely and efficiently.
So, in order to preserve my client's VBAC possibilities, we went in to the hospital.
By the time the pit was hooked up, it had been 24 hours post-rupture. Contractions began pretty quickly after that and you can now see her birth unfold in the following pictures. Dr. Wonderful is in the white tee shirt.