VBAC's, what do you think about them?
Meg - posted on 08/24/2011
I had a homebirth after two caesareans, it was AMAZING! Basically, doctors like caesareans because it's convenient to them. The slogan "once a caesarean, always a caesarean" was first said in 1911 ... as you can imagine things have improved out of sight and yet they're still chiming in with their catch phrase!
If you were a famous footballer and you had knee surgery you would be up and playing again very soon afterwards. It's no different for a uterus giving birth! Seems to me that surgeons must really lack confidence in their ability to stitch us closed properly ;-) And when you think about it, giving birth is the most natural thing a woman can do .... football is an unnaturally demanding act.
I suggest speaking to a midwife if you aren't happy with what your doctor suggests! Or speaking to another doctor.
Elizabeth - posted on 06/13/2011
There is a lot of misinformation out there about VBAC. (Such as them being very dangerous.) VBACs are generally safe. You risk of uterine ruptre with a VBAC is .5% ... less than .05% greater than a rupture caused by an induction. A c-section is major surgery with danger to mom and baby. Why go through it unnecessarily?
Look for a local ICAN chapter (International Cesarean Awareness Network). They have lots of evidence based information on the pros/ cons of VBAC and repeat c-section. I would also suggest reading The Thinking Woman's Guide to a Better Birth. It has info on ways to avoid a c-section, if that's your wish. Unfortunately many OBs still follow the old "once a c-section, always a c-section" rule. The American College of Obstetrics and Gynocology has issued new guidelines that dismiss the old idea.
Nyssa - posted on 05/27/2010
I would go for the vbac. I really, really didn't want a c-section with my 1st born. (I think they had told us in our birthing class that 1 out of 5 women have to have a c-section due to complications, and it was kinda funny that out of the 5 or 6 of us in it, all but one of us had a c-section. I had an emergency c-section with my 1st due to HELLP syndrome, and really didn't want to do it again. Thankfully the doctor who performed the c-section did the safest cut on my uterus to try for a vbac with my next pregnancy. I have had 4 vbacs since my c-section, and for all of them I have worried a little over the complications, but you just have to tell yourself not to think about it. After a c-section any pregnancies after are considered high risk. For my first vbac they made me wait until I was 36wks, so they could do an internal ultrasound to check the thickness of my uterus, before they would even let me attempt the vbac. If it was under 3mm (I think, it's been awhile.) they wouldn't have let me try it. I think they said it was 6mm, so I was real good. The risks of tearing would have been higher is what they said. I just got a little scared when my waterbroke and I wasn't really having contractions. They needed to give me pitocin, which can increase the chance of rupture because it makes you contract even harder. I also had pitocin with my last one because I was induced. And, I know, being induced increases the chances a woman will need a c-section. (I don't think I will go for an induction if we do have another, though.) It might depend on the hospital you go to and your doc, also. Not all hospitals will do vbacs. I had to go to a different town for my 1st vbac because the local hospital wouldn't do them. My neighbor had a c-section for her first and opted for another with her second, but I find myself wondering what her doctor told her. She made me think he wasn't, too, keen on them, but maybe it was just her being scared of the complications.
Kathy - posted on 05/27/2010
I am happy I had a vbac. I took control my second labor. I was 5 weeks early and knew going to the hospital I was already close to 5cms. I didn't let any of the residents talk me into stopping my labor. I tok iv pain meds when I needed to. Refused pitocin until after my epidural. Couple set of pushes, the last with the vacuum and my beautiful baby boy. I recovered fast and felt great.
Charlie - posted on 05/27/2010
25 years ago i had a c-section, 4 years later i delivered vaginally. 10 years later, vabc again. 7 years later, vbac. 14 months, again, vbac. i had what they called the bikini cut, across left to right type, not the up and down type. i never felt in danger or that is was going to hurt my babies. As has already been said, your own circumstances will determine which way to go. God bless you in this joyous time!
Melanie - posted on 05/27/2010
My 1st birth was vaginal but it was long (36 hours) and in the end she was distressed so they used forceps to get her out. When i had my 2nd child i had an elective c-section. He was breach and as i had had a mild stroke at 29 weeks they didn't want to risk me going into long labour. I preferred the c-section i was up and about within 12 hours and able to hold my son. On my daughter because it was a long labour i had to have an epidural to be stitched up and wasn't able to hold her for 24 hours. I suppose it depends on your circumstances and which you will recover easier from. Good luck with whatever choice xx
Jayne - posted on 05/27/2010
It depends on what caused a c-section the first time.... my 1st child went into distress and passed away 24hrs after birth due to meconium in his lungs, I really didn't want to risk it the second time. To me statistics are all fine and good but when u find yourself in the situation of being that 1 in however many 1000's you do what you can live with and forget about the rest of the population. Best of luck with everything xx
Nicola - posted on 05/27/2010
Years ago when they were still doing the old midline Caesarians it was contra-indicated to try a vbac but with the current incision techniques it is now a real possibility with much less risk of complication. The biggest risk would be that your uterus tears along the line where it has been previously cut and the scar tissue has formed. This could be potentially life threatening to both you and your baby. This risk is however very small especially if your baby is not very big and you are in a unit where your second stage labour progression can be closely monitored throughout. There are well established protocols and certainly you should not be scared to try it if it is what you really, really want. The best is to discuss it with your Obstetrician who will have a better idea of your personal risk. If he or she is willing to help you with this then you should do what feels natural for you. Many mothers succesfully have happy vaginal births following previous c-sections. Trust your instincts on this.
Pia - posted on 05/27/2010
My VBAC was one of the most fantastic things I've ever done. Labour and vaginal birth were amazing, life-affirming experiences that I would have regretted having if I hadn't given it a go. It was wonderful to be able to start breastfeeding immediately. A very big plus was that the recovery was soooo much easier.
Leslie - posted on 05/27/2010
I had 2 VBAC's with my 2nd and 3rd children. I'd rather go through a vaginal delivery than another C-Section. I had a C-Section with my 1st b/c I stopped dilating at 9cm. I was never worried b/c I knew the hospital had the appropriate staff on hand to handle any problems. However, I didn't need them.
Dianne - posted on 05/27/2010
i think they are great, i havent had one but i saw how happy my cousin was after hers and there are risks with everything to do with childbirth, what they dont tell you is that the percentage of rupture is still tiny (0.4% i think compared to 0.2% when you havent had a csec before)
My second child was an emergency c-section(didnt dilate due to passing cloths&turned out the placenta came away to) and we are thinking in the next two years to try for a third child and i was just wanting to know whats the risks to birth vaginally after a c-section as i did realize it could be dangerous.
Shayne - posted on 05/27/2010
I had an emergency c-section for my first, then with my second i wasn't sure what i wanted to do. So with doing some research i decided to have a planned c-section. I read that it can be quite dangerous to have a vbac for you and the baby. So that made my mind up. not to mention the pressure can tear your scar. If you research it you may get the answers you need
Join Circle of Moms
Sign up for Circle of Moms and be a part of this community! Membership is just one click away.Join Circle of Moms