What did your doctors tell you about VBAC?

Erin - posted on 01/31/2009 ( 25 moms have responded )

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Iam curious to know what inofrmation is gioven to mothers considering VBAC. I have heard 3 different htings from 3 different providers and no one seems to have consistent information. Basically what is the chance of having a rupture? What can make that risk go up or down? What characterisitcs of your first birth did your docotr (or midwife) use to determine if you would likely be successful or not? Any responses would be helpful

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Erin - posted on 03/16/2010

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thanks for all of your info guys!

I am proud to say that since I first posted this thread I conceived and carried my third child. I delivered her vaginally on Christmas Eve 3 days after my due date after only 6 hours of labor without any artificial hormones to help me along. I took only one low dose of IV pain medication b/c my contractions were right on top of each other and the pain was continuous instead of intermittent. She weighed 7 pound 6 ounces. The only complication was that my daughter was meconium stained from having moved her bowels in utero and they didn't know until her body was delivered. She also had a true knot in her cord. Either of which could have happened to anyone VBAC or not. But she had no problems with either condition and they let me leave the hospital after only 27 hours.



I have to say that it was the easiest birth for me of the three and the next day I was home hosting a christmas party for my family. My sister in law -who has had 2 children both with epidurals - couldn't believe I was even up out of bed. I felt like living proof that natural childbirth is the way to go. I am so proud of myself, the decision that I made, and my ability to stand my ground that I feel like I glow with accomplishment.

Brenna - posted on 08/17/2010

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Get this, my doctor told me that the reason most doctors dont do it is because they dont want to wait there at the hospital while you are in labor. I know in california they passed a law that any doctor doing a vbac has to remain there the whole time in case of uterine rupture. So that is why most doctors dont do it because it takes a lot of their time up. My doctor told me if I offered an 'incentive' (extra money) I may find a doctor that would do it. This is the same doctor that made me get a c-section the first time around because she had a schedule to get to and I was too tired after 22 hours of labor to protest....really sad but true most doctors could care less it really is just a job to them they dont care about you as a patient.....sad sad sad....

Julie - posted on 02/10/2010

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I tryed for my vbac and I failed. My water broke at 39 weeks, I got admited at 2 cm and they pushed for pitocen, I tryed for 4 hours without it and nothing, so they taked about a folie bulb I said no so they did the pitocen. I was on it forever till they forced a internal monitor to see how strong my contractions were, I said no about 3 times until finally after 17 hours and 4 cm later I said ok. Well that was the most uncomfotable thing ever so with that an pitocen contrations I got my epidural. In all I was 48 hours in labor and fed up bc I was only 5 cm by that time... the dr would have let me keep going but I opted for the section, In the end I had a healthy 9lb 7oz baby girl!! Im kinna glad I had the csection that baby wasnt coming out of me lol! But a vbac is well worth trying, I am so happy I tryed and I feel so much better about this section then my 1st!

[deleted account]

Oh Julie, what a jerk you had to deal with! My Nurse-Midwife was the one on call when I got there so I was lucky. Labor is treated too much like a condition or disease these days. With our next one I plan on having him/her at home (with a midwife, of course).

Erin - posted on 02/05/2009

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That's the impression Iget too. I work as a labor and delivery nurse and Ido think that some docs are just afraid of malpractice. And their insurance rates go up if they agree to do vbacs and their insurance companies catch wind of it. Everything I have read on the issue says that VBAC is safe ans it is even safer if the docs or midwifes leave labor the hell alone.



I have read research that suggests the risk of rupture is about 0.25 % if you labor and delivery without any synthetic hormones to start your contractions or make them stronger. But if you are induced then the risks goes up to about 1%. If you have had more than 1 surgery AND are induced it goes up to about 2%. If prostaglandins are used (cervidil, cytotec, etc) it can be anywhere from 4-6% chance of rupture. If I am not mistaken I got that from ICAN's website.



Let's face it many primary cesareans, and most repeat cesarean are for the benefit of the doctor, not the mom. Many mothers are not even told that VBAC is an option.



Anywya I started this post to see what doctors are telling their patients and if their is any validity to what they are saying.

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Danielle - posted on 12/10/2013

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Leah How far along are you now? I'm 8 weeks pregnant with my second child and my first was a Cesarean. My 1st son is 8 yrs old now and I'm devoted to having a vaginal birth this second time around. My doctor however said immediately NO VBAC because I had already had a C-section. It bothers me tremendously that they mark us instantly for continuous C-sections with out giving us the chance to try. I was NOT pleased at all. I feel robbed of my first birth because I feel I could have done it vaginal. They induced me, popped my water and I stood at 6cm for about 4hrs and then they wanted to say we can't wait we are gonna have to do a C-section cause your pelvis is not opening. I truly believe if I had not been induced and have allowed the birth to do as it should naturally it would have progressed and everything would have been fine. I'm seeing a VBAC doctor in 2 weeks that was recommended to me by a family member and hopefully all goes well. Keep me posted on your experience being that you ahead of the game than I'am LOL. And I heard that squats particularly and exercise itself is a great way to prep for the vaginal birth so I'll be on my total gym. Prepping awayyyy ;)

Leah - posted on 06/21/2013

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Tomorrow I'm going to see my dr again, that has recommend a VBAC. So I did some research. This link is a scientific review that has a lot of "dry" statistics but if you scroll threw cab help you make an educated decision.
http://www.ncbi.nlm.nih.gov/books/NBK445...
I also spoke to a friend that is a hospital mid-wife not in the US. The risk of rupture (low cut) is less than 1%. The percent of women attempting vaginal after c/s and succeeding (with no previous vaginal delivery) is about 65%. The rest have another c/s. Mortality rates are low. It seems that the rate is higher if you let the labor take its course slowly with as little induction as possible. unfortunately, this often means standing your ground in the hospital when you are not at you best.
The sad thing is that apparently in countries where doctors are not payed by procedure, and are not on tight schedules (since it is their shift in the hospital), VBAC is the regular method and a pre-scheduled s/c is chosen only if there is a specific reason.
But, recovery from a pre-scheduled is still easier than from another energency one (and there is still a 35% of that happening).
I hope this info helps someone, we still haven't decided...

Tessa - posted on 02/16/2010

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I was told I had to have c sections from now on by all the nurses and doctors, and they all raved about how it will be SO much better next time because I can have a scheduled section with no labor. Sorry, but I wanted a natural unmedicated birth, and still do for any future children.

Ruth - posted on 02/10/2010

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I'm trying for VBA4C, my OB was telling me stats from 20 years ago...so hubby and I did some research and found this site. http://www.plus-size-pregnancy.org/CSAND...
It is really good, spend time reading over it.
What we found out was......
1) Don't get induced....that will increase rupture rate.
2) Stay at home as long as you can (have midwife there if possible)
3) Be monitored but try to move round, different positions, walk etc
4) If you believe then pray about it. We did and have had very encouraging verses to read. Proverbs 3:5-6

Be encouraged, let me know how it goes.

Julie - posted on 01/18/2010

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I had a horrible dr with my first, he didnt listen to any of my wishes, I was induced at 38 weeks for high blood pressure( which was FINE the entire labor) I ended up with a csection for failure to progress, just what he wanted so he could take his dec 20th vacation, I was due christmas day! Any way, I am now delivering in another state at a highly qualified hospital! My dr told me about vbacs an she told me about the 1% chance but if something should go wrong they are FULLY prepared and can get the baby out in a min! I am now 37 weeks an 2 cm dilated, she did my percentage based on MY pregnancys and I have a 51-57% success rate!! No complications, diabetes nothing. I did read horrable stories about death of the infant or hystorectomy but I think my dr has made me fully confident in there vbac success. The hospital has a 50% success rate. Im going to the hospital as soon as I feel im in labor bc I dont want to rupture at home and lose my baby, even thought I would LOVE to labor at home. If I had it to do all over agian I would have my baby at a birth center like I wanted too but it was my first and everyone was scared something would go wrong, well it did go wrong anyway!!!!

Yelena - posted on 01/17/2010

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I am currently pregnant right now with my second child. My first child was born c-section because he was breach and my water broke 5 weeks early. Now with this pregnancy I told my doctor from the beginning that I want a VBac because to me having an unneeded C-Section is a horrible idea. For the past 6 months since this was a conversation I have had nothing but jokes about the fact that I'm crazy and he doesn't understand why I would want to do something "So RISKY". I went home and did research and I also read the factst that were indicated above int he recent statistics. I just think it is the easier option and the doctor could care less if you have another child that needs to be taken care of after you leave the hospital. For many mothers laying down is not an option with the second child. Now with the head of this child being down I refused to schedual an emergency c-section date and only agreed to a c-section if my life or the babies life was in danger. So I am looking forward to attempting a natural birth this time around. But I hate how doctors dont encourage you to try it even though health wise they really should. There is more of a risk with a c-section then with a VBAC

Jayna - posted on 10/23/2009

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They just started doing VBACs in Monterey County (CA) at Natividad Hospital. I mean, they JUST started in May of this year!! Before that any one interested in a VBAC had to go to Santa Cruz (45 mins away). I am still too distrustful of the OBs. I want a midwife and VBAC at a birth center or at home. My previous OB really betrayed me and I am still working through my birth trauma 21 months later. Good for you for going after what you want! Unfortunately, VBAC is a huge liability! The insurance companies are so afraid of VBACs. The doctors have to bend to them or they cannot afford their own insurance coverage for malpractice. With the way our health care system is set up in this country - no wonder our c-section rates are so high. Only we, the mothers, can change this trend. Demand VBACs!

Lorraine - posted on 05/06/2009

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What my Dr told me was there is a 1% chance of uterine rupture after a low transverse c-section (not old school when they cut you up and down). Internal or external bleeding could occur requiring a blood transfusion and or hysterectomy. In most cases a VBAC is less risk than a repeat c-section. As long as your pelvis can handle a vaginal birth, and you don;t have placenta previa a vaginal birth is recommended. Thant is the info I got from my Dr. She is saying as long as my baby is not over 9lbs again I should be able to try a VBAC, but she is not crazy about it.

Erin - posted on 04/23/2009

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Well, hear I am and it looks like I will have to prove that I can walk the walk and not just talk the talk. I am pregnant again (3rd baby) and I am planning on a VBAC. So far I have met little resistance from my midwife (she is the one who talked me into the c-section last time). Since my last birth she and I have become firends as well as colleagues along with provider/patient. And I think she is more in tune with how I feel about such things and how I feel about some of the decisions she made with my care. She had talked me into a c-section b/c they thought I was carrying a 10+ pounder and she was afraid of a shoulder dystocia. She told me the horrors of shoulder dystocia and I became scared too. So I agreed to the C. My baby was only 8# 4 oz and I went through post partem depression b/c I was so angry. Since then I have educated myself more thoughly and have started working as a LDRP nurse. I have been involved with at least 3 shoulder dystocia so far and all have resolved without injury to mom or baby. I have learned that even ACOG does NOT support routine cesarean or even induction for the suspision of a large baby. My midwife and I have talked about this and she acknowledges that she made the decision out of her own fear and not based on what was best for me. So she is trying to be more rational this time despite the fact that VBACS also scare the crap out of her. But I think she knows that if she doesn't at least agree to letme try I will find someone who will even if I have to drive hours away to pittsburgh or Philly.



However not all thepeople I work with are as supportive. The other midwife on staff, although she has not said it outright, thinks I am nuts. I know this because I have heard her counsel other paitients on the risks of VBAC's and she was not supportive of them. The other nurses I work with are also worried and they joke that I will be the worst patient ever. I joke back and say that that's ok b/c I can labor myself. ha ha. But even still I hope that I will have the courage and the strength to stand my ground b/c I know in my heart that I will have the most beautiful birth if they will just let me try.

User - posted on 04/16/2009

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I had my VBAC at a birth center with amazing midwives. It was the best experience and they were so supportive and believed that I could do it. That support is so needed. I did a lot of research beforehand and have heard so much misinformation from people and many doctors use so many scare tactics that some of my friends thought I was crazy to even attempt it. Luckily I had done my research and knew how to respond. There are more risks with having a c/s than with a VBAC but most doctors don't even talk about those. Our c/s rate in this country is astounding and I feel bad so many women are misinformed or not even given the choice.

Nancy - posted on 02/21/2009

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The doctor who did my c-section tried to tell me it would be easier for me to just have another c-section.  I switched to midwives who deliver at a local hospital immediately and had 2 successful VBACs!!!



Doctors like c-sections because they are easy to schedule and fit around their lives.  VBACs, like other natural births take time and some don't want that "problem".



 

Erin - posted on 02/10/2009

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And they wonder why so many women WANT a home birth. Some go so far as a freebirth b/c they are so afraid of the treatment they know they might get at the hospital and they can't find someone to attend them at home.



Sad, so sad

Erin - posted on 02/10/2009

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Julie,



That is abuse and you should report him to the hospital and to the state medical board!!!!



A family who decides to "Do not resuscitate" a loved one wold never get that kind of treatment even if the doc disagreed with their decision.



It is not right. It is your body and you have the right to make whatever decisions you see fit without fear of punishment.

Julie - posted on 02/06/2009

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I would have loved to have ours at home but our first birth was the worst scare of our lives. We almost lost our first born due to severe meconium asperation. He was in the hospital for a month before we could take him home on oxygen. He's a lucky guy and only has to deal with mild asthma due to the lung issues he had. After I had him and when we were having our next I told my OB that if I got that other doctor i would walk out of the hospital and have the baby on the sidewalk if I had to. I am not one to hate anyone but that was the worst case of bedside manner I have seen.

Julie - posted on 02/06/2009

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You are right. But the bigger problem is dealing with the doctor on call when you go into labor. The one I had was miserable and just assumed I was going to have another c-section just to make his life easier. He wasn't to happy when I disagreed with him after telling him my doctor and I decided to give it a try. The baby's head was stuck transverse so he had to get the forcepts out. Even with the epidural he was being very rough and told me I asked for it because I decided to try a vaginal delivery. It doesn't make you feel good about our medical community when you are going through one of the most important things in your life which should be a very memorable good experience.

[deleted account]

I couldn't agree with you more. I went VBAC and am so happy I did! My midwife told me that she couldn't even deliver me because I had a previous c-section. So I went to a 'hospital' midwife who told me that I was taking a HUGE risk (rolling my eyes). I told them I didn't care if I split in two, I was having my baby vaginally!!! I was also given pitocen because once I got my epidural (another one of those things I HATE...spinal headache...ugh) my contractions slowed down. Anyhoo, I wish more women followed their gut instincts when it came to this sort of thing. Women need support and proper education from their doctors...not a bunch of wienies who are afraid of the 'what ifs'!

[deleted account]

Chances are SLIM. Doctors have to tell you this stuff to save their butts in case anything happens. It's like reading the pamphlet on a medication you're prescribed, and reading all the scary things that 'could' happen if you take the medication. VBAC is SO worth it and most women succeed unless their are complications such as breech or severe distress, etc...but most women make it just fine! :)

Julie - posted on 02/04/2009

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My doctor at the time told me that there is always a 1% chance of uterine rupture and the percentage goes up after each c-section. I have had 4 children, first one being a c-section, the next two vbac an the last one a c-section. I think it all depends upon why you had the c-section. Mine was due to distress and meconium asperation. My doctor saidthat I could give it a go and if anything was looking like it was not going normally the I'd have to have the c-section. I thought that was fair and all I could ask for. The recovery is way easier especially when you have other children at home.Hope this may help any thoughts you were having.

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