If you have a had a c section before do you have to have another one? If not how dangerous could it be to have a vaginal birth?

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Tiffany - posted on 01/19/2012

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I had a c-section in December of 2008. I got pregnant again, and had my 2nd little girlie by c-section on October 17th, 2011. My doctor told me that when he opened me up, the scar in my uterus (from the last section) was starting to come apart. If i would of went to term, or tried to have her naturally, it would`ve been VERY bad...both of us could of died. If you did try for a VBAC, my best advice, is to get your doc to check EVERYTHING first, to make sure nothing bad like that can happen!

Tina - posted on 01/24/2012

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No matter how you birth there are risks. It just depends on your circumstances as to which is the safest option. People can debate all they like but it's not up to us to tell this lady what is best for her and her baby. It's between her and her doctor. We can share our experience and that's it. But what is best one person isn't necessarily be what's best for another. In most cases natural is best. But what needs to be considered is if you've had a c section before and depending on the circumstances if you try to have the baby natural there is a risk of having another emergency c section. I know it can be hard emotionally. Don't feel bad if you can't do it. All that matters is that you and the baby are healthy.

Joyce - posted on 01/24/2012

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Baby #1 was 12 years ago, completely natural vaginal delivery. Baby #2 was an emergency c-section 27 months later. Baby #3 was a "mandatory" c-section due to the risks involved being only 15 months later. Now, I am due in early May with baby #4 after nearly 9 years since #3. I have been told by 4 doctors now that I canNOT attempt a VBAC under any circumstances. As such, a C-section is my only choice.



Edit: I should have mentioned, also, that my 1st section was because baby was breech. I have no further mitigating health concerns now than I did 10 years ago...it's just policy where I live that none of the hospitals in the area will allow a VBAC.

[deleted account]

Well my mom naturally delivered 6 9-12lb babies (shes only 5'1 maybe 100lbs herself). Women can most definitely deliver those ten pound babies unless they have OTHER medical reasons interfering with the delivery, like weak bones or something.



C-sections are not nature evolving...its doctors interfering with natures intentions. Evolving to not be able to give birth? Thats devolving if anything.

[deleted account]

Being sliced open and having an organ taken out, sliced open the reassembled is a hell of a lot more risky then walking across the street. People play off a c-section like its no big deal when it IS. http://pregnancy.about.com/od/cesareanse... heres a list of the risk to mother and baby. Don't get me wrong, I know that c-sections are extremely necessary, but unless your high risk, vaginal birth is always safer than a c-section.

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Deborah - posted on 01/23/2012

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No, you don't HAVE to have a second C-section. you'd have to ask your doctor about the risks of it though. Some women should, some women don't have to. If you want to try for a vaginal birth, you might have to 'fight' for that right... but it's possible for most women. Doesn't always happen but that's why I think they're called Emergency c-sections, in an emergency, they can still be done. So you can try and if you can't, that option is still on the table.

**Jackie** - posted on 01/18/2012

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As illuminating as this on going rant of yours is....I have laundry to do. You win. Have a great night.

**Jackie** - posted on 01/18/2012

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I'm saying there is a risk in EVERYTHING we do. Nature may have intended women to have vaginal births 100 years ago but babies weren't 10 lbs and women didnt smoke like chimneys back then. Nature has evolved. Next. time. read. carefully.

[deleted account]

Oh ok, so since you live on a major highway that means major abdominal surgery is safer in general than having a baby the way nature intended. Nice logic.

Andrea - posted on 01/18/2012

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it depends on why you had to have a c-section in the first place [in most cases]. my son was born vaginally with complications that almost caused me to have a c-section. when i went in to have my daughter they planned on a vaginal birth [i was induced] but it wound up being an emergency c-section due to complications. my doctor told me if i decide to have another baby i can do a vaginal birth if i choose to. it's best to discuss it with your doctor so you know your options and risk's involved [if any].

Rebecca - posted on 01/15/2012

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I had a emergency c-section for my first and my second was a vaginal birth it all depends on why you needed the c-section and what kind of incision you have only you doctor will be able to tell you how dangerous it is since every case is different

**Jackie** - posted on 01/15/2012

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aww Kim! My heart goes out to you! Good luck with everything and I will pray that everything goes just as planned and you can heal up very fast! God Bless and congratulations :)

Kim - posted on 01/14/2012

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I had my son via C-Section, 1: because his heart rate was dropping after 8 hours of labor 2: He was too large to be born vaginally, because he was a large baby and because my body frame was way too small for him to go through anyway.



I am currently 26 weeks pregnant with my second, the doctor that I have this time around is the only one in the area that I live in that even offers VBAC's I am hoping for a vaginal delivery (seeing how my husband is due to leave for a year deployment to Afghanistan for 1 year just 2 weeks after our baby is due, and I'd love to be able to heal faster to make the trip out with him when he leaves for the airport) but nothing will be certain until it is much closer to my due date. My doctor has already informed me that he will not even attempt a VBAC if this baby shows to be as large as my first. But it is totally an option after C-Section!!



He also explained the differences in % of having your uterus rupture after C-Section vs. having it rupture during natural delivery with no previous C-Section and you'd be suprised at how close they are!

**Jackie** - posted on 01/14/2012

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Having a stroke during vaginal birth could be fatal.. and I live on a major highway

Natalie - posted on 01/13/2012

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I tried to have a VBAC after my 1st born, but I had a uterine rupture and had to have an emergency C-section. As your in labor they monitor you for a rupture because when you do it puts both you and the baby at risk. I have since had 4 C-sections and there wasn't many issues with any of them. Both a vaginal delivery and a repeat C-section carries it's own risks....the most important thing is to do what is safest for your baby and what you feel is best for you.

Victoria - posted on 01/13/2012

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i had an emergency c-section with my 4 yr old daughter but when i fell pregnant with my son my 2nd child they said i can have a natural birth or another c-section but because my birthing canal is to small i have to have c-sections but theres no risk only if you have more than 3 c-sections as il be having my 3rd c-section in may

Shemika - posted on 01/12/2012

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a v-bac is usually an option after your 1st c-sec as long as your uteran incision is side to side, however i was told after my second (c-sec 6 months ago) that a v-bacs are not an option after 2 and If i have another child it would need to be by c-section again

Brittany - posted on 01/12/2012

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i have always heard you have to have another if you had one. but i may be wrong. talk with your OB/GYN for sure and see what the situation is

**Jackie** - posted on 01/12/2012

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Ashley, why would they be sued? I had to have a c-section and although it was necessary, I would be open to the idea of having a vaginal delivery.

Ashley - posted on 01/10/2012

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oh fyi i had a very successful vbac and know of many others who have also. be warned though that you'll have to call around because many doctors refuse to do vbacs (scared of being sued) so you'll have to fnd one who does.

Ashley - posted on 01/10/2012

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NO you don't have to have another one. and don't let the doctor tell you otherwise. you should watch the documentary the business of being born . depending on how far apart your 2 kids are supposedly ups your risk of uturen rupture the farther apart the better but do your own research on it. google it, talk to midwives and duelas.

Doreen - posted on 01/09/2012

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I had a c-section with my first and VBAC'd my second (vaginal birth after c-section). There are a few considerations: 1) why did you have the first c-section was it a complication that is likely to happen again (my first was breech, and second had turned). 2) How was your incision closed - I had a double closed incision. The concern it that a single closed incision can rupture during birth if attempting a vaginal delivery. Your doctor or midwife can request your hospital file to determine which method was used (if the doctor that performed your c-section is not your current doctor). 3) Dotor's preference, if you are looking to have a VBAC ensure that you state your intentions as soon as you get a chance, then you can decide if you want to seek a different health care provider.

Alycia - posted on 01/09/2012

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It's possible to have a natural birth after a c-section, it's called a VBAC. Talk to your OB about it if you have any questions, it all depends on how you healed and if you had to have a vertical or horizontal cesarean scar.

Missy - posted on 01/08/2012

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I think it depends mostly on the reason for your previous section and your doctor. Some doctor's don't do VBACS but most larger hospitals do. I had a c-section with my first after a long labor to find out that my pelvis is narrow and , unless I have a little baby, it's not likely in the cards for me to go vaginally. My doctor , who is very supportive of me either way, says that 9 out of 10 women who've had previous sections are good candidates for vbac. Unfortunately, I'm not one of them. There are risks for both VBAC and repeat c-section but I think the risk for uterine rupture in VBAC is 1%.

Tina - posted on 01/08/2012

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Your best option is to talk to your doctor and find out what is best for you and your baby. It all depends on your situation. Like why you had a c secion and how close the pregnancies are.

[deleted account]

My eldest daughter was born via c-section as she was breach and my second was born 6 months ago VBAC. Where I live doctors prefer you try for a VBAC if you meet the criteria. It will depend on the reason for your c-section, the type of incision made in your uterus. Horizontal is safe, vertical cut is a big no no as your risk for uterine rupture goes through the roof. (the only way to know for sure what type of incision you have is to get the surgical protocols as your exterior incision is not always indicative of the way the surgeon opened your uterus). There are risks associated with a VBAC namely uterine rupture which occurs 1/200 deliveries. Children born vaginally are less likely to develop pneumonia at birth, you have a better chance of success breastfeeding etc... so the positives are much better. My OBGYN said that you should wait a minimum of 12 months post c-section before trying to conceive again in order to give your uterus time to heal properly. I have to say that I loved my VBAC and bounced back so much more quickly. A cesarean is major surgery after all and the more c-sections you have the more dangerous it becomes for you. The one main important thing to remember when having a VBAC is that you cannot be induced. Any doctor willing to induce you is putting your safety and that of your child at risk because contractions caused by inducement are much stronger than naturally occurring contractions and greatly increase your risk of uterine rupture and sending you right back to the O.R. for the c-section you were hoping to avoid in the first place.

Christine - posted on 01/03/2012

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I have 1 child, and he was born via c section. It was a long and hard recovery and I want 5 kids so I have looked into the VBAC option for the next. It very hard to find a doctor willing to do VBAC's. Hard, but not impossible. Most of them will only do it if your a good canidate for it. For example, if your first c section was a T cut or a vertical cut your risk of tearing are higher and so they are not likely to accept you as a VBAC canidate. Also time between pregnancy's can be a major factor. They want you too allow at least 18 months between pregnancy's to give the scar tissue time to fully heal/develope. You can look up more info online as well. I know for me, I will have to drive 2 1/2 hours to a doc willing to do vbac, but i think its worth it. I know many doctors who don't offer/do vbac's advise against it just as the doctors who do encourage you do go for a vbac if your a good canidate. I think its best to do your own research as well as taking in multiple doctor's opinions in order to make the best decision for youself. Good luck!!

Melanie - posted on 12/28/2011

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Depends on the situation. I had a c-section and 2 VBACs. My kids are 15, 12, and 9. So it was quite some time ago, and the medical community gets smarter and better at what they are doing. My c-section was because my son flipped breach during labor (they had him, and whoops! Didn't know where he went...a U/S later revealed he had gone from head down when we went in to head up). Anyway, because it wasn't due to MY plumbing, there wasn't any reason why I couldn't try for a VBAC as long as they had made the incision on the uterus correctly.

I will tell you that my OB was gunshy about letting the first VBAC go through. I wasn't allowed any drugs until I was really far along into the labor, because if I had had an epidural, I would have had to be knocked out completely for the c-section, rather than the spinal and being awake. And when labor seemed to stall for a bit, they wouldn't give me the drugs to help the contractions increase for fear of uterine rupture. My midwife for the 3rd child was different. I had drugs (no epidural) and they gave me stuff to get the contractions going a little better. But both VBACs were basically pretty straight forward, and the healing was SOOOO much faster.

[deleted account]

Trying for a vaginal birth is always safer than a scheduled c-section, with a very few exceptions. A c-section is MAJOR surgery, people act like its just a minor procedure when its not. I had a section with my first and my OB told me the best thing is for an infant is to go through some labor. It stimulates their circulation/respiratory system, so even if in the end another section is required, the baby gets the advantages of labor.

Leah - posted on 12/06/2011

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It isn't necessarily more dangerous to have a Vbac. I know many woman who have had great success with this. Some even had home births. It all depends on what you want. Check with you OB though as some will refuse. My sister had a C-section with her twins and then had another daughter a few years later via Vbac and I do believe that one was close to 8 lbs!

Aarin - posted on 11/30/2011

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I have the option of a VBAC, but there are qualifiers for me to be able to have one. The first is the size of the baby, my doctor doesn't want me trying it if the babe is over 7ish pounds. I laughed. My son was 10. The chances of me making a smaller babe this time around is slim. But I still have the option.

Stacey - posted on 11/27/2011

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Hi I'm an Australia and procedures may be different, but I am pregnant with number 6. The first four birth were vaginal but number 5 was an emergency c-section because he was presenting brow first. My Dr said there is no problem with a VBAC as I have previously had 4 successful "natural" births and have had no problems with them c-section scar. It also depends on the reason for a previous c-section.

Julia - posted on 11/18/2011

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Have you talked to your doctor about it? I had an emergency c-section for my last son (first two vaginal) because he was breech, but he was a preemie so he was small. I am hoping for a vaginal birth this time. I haven't spoken to my dr yet to see if he and the hospital do it. I will probably bring it up at my next appt. this coming week. I have read about many successful VBAC.

Audrea - posted on 11/16/2011

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I'm not honestly 100% sure but pretty sure that you'd have to have another c-section. My sister had to have 2 as well. It's hard to find a doctor or hospital for that matter that would let you try a vaginal delivery after c-section but I don't know the dangers or why...

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