VBACs! I am now pregnant with #2

Jerrica - posted on 04/21/2010 ( 110 moms have responded )

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I am now pregnant with my 2nd child, I have asked a few times about VBAC's before just to get opinions and ideas. I am DEFINATELY going for te VBAC this time and I found a great supporting OB, I just want to know how other moms VBAC went. Any input is greatly appreciated =)

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April - posted on 04/22/2010

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Jerrica - I felt compelled to respond. I really don't want to rain on your sunshine and I think it's great that you are so excited about this. I am a cautionary tale, however. My uterus ruptured during a VBAC attempt and my daughter only lived four days. It was the worst four days of my life. To make matters worse (if that's possible) - now my husband and I are not able to get pregnant again (they were able to save my uterus but that isn't always the case). I never truly thought about the risk of my daughter dying. All of the info "out there" says that VBACs are safe and that even if you rupture, as long as you are in a hospital you and your baby will be just fine. I'm here to tell you that this is not necessarily true. There aren't always warning signs (there there were with mine - my doctor just missed them) and even if there are it is only minutes that the doctor has to get the baby out if you rupture.

Once again, I'm not trying to talk you out of it. I still think women should consider it - honestly. I just think the information out there is really skewed and this decision needs to be an INFORMED one. If you knew that drinking coffee increased the probability of your child dying in utero by 1%, would you drink coffee? Probably not. You have a 1% chance of rupturing with a VBAC. Seriously. I have to live the rest of my life with the guilt of knowing my decision resulted in my daughter's death. It is a tough existence. Thank God my husband doesn't blame me. I belong to a support group for rupture survivors though and I can tell you that isn't always the case. A lot of marriages break up over it too. Sorry to sound so down about this but it is a very real danger. Good luck with your decision. If you do decide to go for a VBAC - NO PITOCIN - it is linked with ruptures, and don't let your labor go on too long (mine was 36 hours). ANYTHING weird at all and go for the C-section - seriously - the most important thing is that that baby get here safely!!!!!

Michelle - posted on 04/24/2010

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PS. Everyone makes a big to-do about uterine rupture, and indeed, it is a very serious and potentially life-threatening complication. However...

In a mom who has had one previous c-section (though recent research suggests that the risks do not significantly increase for moms with even 3 or more previous c-sections), with a low transverse scar (the bikini cut, and it has to be cut that way on your uterus, too, not just on the outside), and whose labor is not induced or augmented (no drugs to start or speed up labor), there is about a half of a percent chance of uterine rupture. The risk of the baby dying is about 6 in 10,000 (or .06%).

Compare this to the following. The risks of a c-section include:

* Five times as likely for mom to develop an infection, and twice as likely that mom will be re-hospitalized due to infection

* 6% of c-sections result in mom needing a blood transfusion. In a typical c-section, where nothing goes wrong, mom loses twice as much blood as during a vaginal birth. I was anemic after my second c-section, and they were seriously pushing a blood transfusion, but I managed without it.

* 20% of c-sections result in mom experiencing mild bowel paralysis, and in 1% of cases surgery is required to repair injury to mom's bladder or bowel

* About .2% chance of injury to mom's ureter (a tube that passes urine from the kidney to the bladder)

* .5%-2% chance that mom will develop a blood clot in the leg after her surgery. This is called DVT and is very serious, and potentially fatal. I've been through this, and it is *not* fun. I was unable to walk, in the hospital for a week, and had to get very painful injections of blood thinner in my hip twice a day for weeks afterward. (My DVT was not due to a c-section, though.)

* 1%-2% risk that the baby will be cut (whether a nick or a serious laceration) during the c-section. My youngest son had a cut about half an inch long on his scalp from the doctor's scalpel. (Worth it since I know the c-section was really necessary, but I'd have felt differently if I thought there was a chance I could have safely birthed him vaginally.)

* Increased risk of placenta previa, placental abrution, and placental accreta in future pregnancies, all of which put the lives of your future children at risk. My second c-section was due to suspected placental abruption since my baby was going into severe distress and the placenta was attached to my old scar. We weren't able to get a clear picture on the ultrasound, so we ended up in the OR trying to prevent my son and myself from bleeding to death -- all because of my previous c-section.

* It's also important to note that the increased risk of placental problems, and the increased risk of uterine rupture (12 times more likely than an unscarred uterus!) is not due to VBAC, but it is due to the previous c-section. A woman who opts for a repeat c-section still has an increased risk of uterine rupture -- it can happen on the table or even before labor begins. And every c-section increases that risk.

* C-section is also associated with an increased risk of future miscarriage, stillbirth, and secondary infertility (that's when someone who previously had no trouble getting pregnant develops fertility issues).

I'm not saying this to scare or upset anyone. I chose a c-section with my youngest baby because he was in serious distress and we'd tried everything else. I know it was the right decision, and I would do it again in a heartbeat. But I think it's important to have the facts, since a lot of people seem to think c-sections are inherently safe and that the only risk to think about is a uterine rupture during a VBAC.

Donna - posted on 04/23/2010

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Hi Jerrica, I had a vaginal childbirth...so I cannot speak from personal experience. However, as a labor and delivery nurse for over 10 years I can speak from professional experience. You have responses mostly from successes and from what I skimmed through, one from a bad experience. It is a good representation of the "big picture".
When I first started as a labor and delivery nurse every hospital did VBACs. The vast majority were uncomplicated and positive experiences. There were a small handfuls that were what I called "avered disasters"...meaning that a person tried a VBAC and it was not happening for one reason or another (but nothing emergent) and when we get them into the OR for a C-section we found the utereus was beginning to give. The OB doctor may have found a very thin section of the uterus or a "window". Mommy and baby were fine, b/c we got there in time. I am happy to say I can count on one hand over those 10+ years the number of times it was a true emergency and ever fewer where it was a true emergency with a bad outcome.
Around 10 years ago the New England Journal of Medicine put an article out saying that the risk of uterine rupture from VBACs was ver high and hospitals should not do them. Of course there was a bit of a commotion with this...but what finally came of it was that if you did not have OR and anesthesia in house (physically present in the hospital) you could not offer VBACs. So many hospitals stopped offering VBACs.
April stands as a truth...it can happen. Also, as she has stated...I am not saying you should not do it...you just need to weigh the risk vs benefit. I agree with her...it has to be a choice you are comfortable with. So here are some questions to ask your doctor.

1. If you have a VBAC and it is after hours will there be an OR team and anesthesia in house while you are laboring. (The answer should be yes.)

2. What is the doctors experience with VBACs? How many has in done over the last 5 years? This is a very important question. When they stopped offering VBACs many physicians were not keeping up their skills and some physicians may not have had much training in residency.

3. This in not a question...just something for you to also consider. One of the signs (although this is not 100% the case...but most of the time it is) of uterine rupture is localize stabbing pain. With the age of epidurals people do not feel any sensation. So the sign that the physician and nurses look for is fetal distress.

I hope this allows you to make more of an informed decision. I have seen many successful and wonderful VBACs. I have also seen the other side of it...and as I said before, I am proud to say I can probably count on one hand those situations.

Good luck, you will make the right decision for you.

Donna

Griselda - posted on 04/21/2010

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I'm so proud of you for considering a VBAC. I was a VBAC candidate up until I was 38.5 weeks pregnant. I too had a great OB that supported VBAC's and ensured that indeed the hospital that I would be delivering was also VBAC friendly (some OB's are but not the contracting hospital).

At 38.5 weeks, I my OB suspected that I had a macro-somatic baby which in turn can be potentially dangerous. She stated that my baby could suffer shoulder dystocia if I did the VBAC. After careful research and an ultrasound later I ended up with a c-section.

I was so disappointed!

Anyhow, do your own research when it comes down to VBAC, also ask tons of questions even if you've asked them before. Find out how long your doctor will permit you to stay pregnant before deciding on another c-seciton. Some OB's don't permit the soon to be mommy to go over 40 weeks but in realty there's no reason for a c-section if you do go over 40weeks. Make sure you set your foot down. Write down all the info in paper and give it to your doctor to put in your file just in case your original OB goes on vacation or she doesn't deliver your baby. You want everyone caring for you to know that you WILL go over 40 weeks (of course if you choose to) and write down your wishes when it comes down to the trail of labor.

Also, don't wait till the end of the pregnancy to get the paperwork from your previous c-section. If your current doctor or office did not perform your c-section then call the hospital so they can send that paperwork to your current doctor. Also, at about 20 week you should be signing a consent form stating that you will be having a VBAC and that you and your doctor have discussed the pros and cons. Don't wait too long for that because your OB or the on-call doctor may use that to push you into having another c-section (no consent form, no VBAC attempt).



Are you familiar with this site http://ican-online.org/

It's such a great resource, you can get tons of first hand experiences there.



Best of luck!

Joy - posted on 04/26/2010

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I have had two VBACs with no problem. Of course it depends why you had the c-section in the first place.

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Amber - posted on 07/31/2011

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i have not had a vbac yet or a second child yet, but plan on it when the moment happens. but i will tell you why i had to have my c-section. went to the hospital cuz i had a amniotic sac prolapse(where the amniotic sac starts coming out before the child) and they had said i was dialated to a 3. they were going to break my water and let me have my son natually but he decided he wanted to stay in and crawled back up (mind you i was only 33 weeks pregnant) so they were going to fly us to the nearest hospital with an impressive surgical team and a stage 3 nicu so things can be taken care of like they should be. well after 45 minutes of pain i cant describe, they checked me and i was at an 8 and since the flight crew had not yet made it they decided to put my into surgery due to my son going into desstresss....so almost, i went thru the pain of a natural birth just to have him cut outa me =( and be resusatated for 15 minutes due to lack of heartbeat from anesthesia.

Amber - posted on 07/31/2011

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i have not had a vbac yet or a second child yet, but plan on it when the moment happens. but i will tell you why i had to have my c-section. went to the hospital cuz i had a amniotic sac prolapse(where the amniotic sac starts coming out before the child) and they had said i was dialated to a 3. they were going to break my water and let me have my son natually but he decided he wanted to stay in and crawled back up (mind you i was only 33 weeks pregnant) so they were going to fly us to the nearest hospital with an impressive surgical team and a stage 3 nicu so things can be taken care of like they should be. well after 45 minutes of pain i cant describe, they checked me and i was at an 8 and since the flight crew had not yet made it they decided to put my into surgery due to my son going into desstresss....so almost, i went thru the pain of a natural birth just to have him cut outa me =( and be resusatated for 15 minutes due to lack of heartbeat from anesthesia.

Jerrica - posted on 11/09/2010

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Hi everyone, a little late but I DID IT!!! I had a VBAC and it was the MOST AMAZING EXPERIENCE EVER!!! I recommend everyone that can consider VBAC to do so. Now I know I am not "broken" I can do this! Cant wait for my next one =)

Shannon - posted on 06/07/2010

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VBAC was the most rewarding experience I have ever had, I was so proud of myself & amazed @ what our wonderful bodies can do (meant to do)! Overcoming many mental blocks during the pregnancy was probably the biggest issue, can I do this, is it easier to just have the c-sect, medical complications etc! Support is the best thing to get you through each different hurdle, your partner, dr & midwife need to be on the same page! I found some friends suprisingly un-supportive saying it is just easier to have the c-sect, mind you some of them hadnt even had a c-sect! Everyone has an opinion on everything when your pregnant & everyone thinks they should tell you all about it. My advice take in only the positive & shrug off any negatives. I found some VBAC videos on youtube that were inspirational & got me through the last stages of my pregnancy when I was scared & doubting my choice.

I had a beautiful baby girl after 8hrs labour with no drugs or intervention of any kind :) I was home having dinner the next day with my gorgeous family, I still have the smile on my dial.

I am all for VBAC & perhaps in time have another one, no hesitation! Good luck, you & your body can do it if that is what you want.

Cathie - posted on 06/06/2010

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I had a VBAC with my 2nd child - after an emergency C-section with the first as he was prem and in distress. I laboured for 34 hours - and would do so again anytime as it was the most amazing experience. My OB was wonderful and said that no way could they give me pitocin (or anything to artificially stimulate labour) as that increases the risk of uterine rupture, and some of the stories above certainly bare that out. I was asked a number of times during the labour whether I wanted a c-section, but because the baby was fine (at all times her health and mine were paramount in our decision making) and I had a fabulous supportive midwife, we had a beautiful natural birth. Find medical staff you trust and be guided by them. Goodluck!

Sarah - posted on 05/11/2010

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Sounds like I had a similar first delivery--induced with pitocin, but my baby kept flipping over, being stubborn. My doc said that my bone structure was causing her to be stuck, and they had to do a c-section. I know how sad, and "robbed" you can feel when you don't have the vaginal experience, I also wanted to do a VBAC for my second daughter. My water broke with this one, my doc on vacation, so I felt a bit alone through this experience. The doc at the hospital said that VBACs are possible, but depending on the reason for your first c-section, may not be a safe choice. He explained that I would most likely have the same issues as with the first delivery, and there are bleeding risks, so I think it all depends on the person (you). Again, I felt robbed of the more natural experience, but when it all comes down to it, all that matters is a healthy mommy and baby in the end! I would consider VBAC, if it were right for me, and if I went through it again, I would pay for a doula, I truly believe it helps to have someone there to encourage you--especially in the case of your water breaking and your doctor being on vacation!!!

[deleted account]

please go to ican-online.org It's the website for International Cesarean Awareness Network. They have so much info and support from mom's who have been there. They;\'re definitely the go to folks for everything you need to know!

Donna - posted on 05/04/2010

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I have 4 kids - 4 C-Sections. With my 2nd child, my doctor presented the idea of VBAC and that was our plan. However, I was 2 weeks past due and showing no signs of labor (again) so we decided to do a C-Section - and good thing. As soon as he opened me up, he shouted to everyone to freeze so he could work quickly. Apparently I had a lot of scarring from the first section that had pulled parts of the uterus paper-thin; if I had gone any longer (or gone VBAC) neither I nor my child would have made it. Consequently, the last 2 children were C-section as well. My case wasn't "typical" though - and my doctor - the OB-GYN that I trusted and believed in more than any other doc I've had before or since - fully believed in the VBAC. (A change in geography is the only reason I ever changed docs.) He promoted VBAC as best for mom and best for baby. With proper support, and the thumbs up from your doc, go for it! (And congratulations!)

Jackie - posted on 05/03/2010

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In Response to Donna (The L&D Nurse) big thumbs up. I too am an L&D nurse, although not as experienced, I have nothing to add but that I agree.
This is your decision, the right one is the one YOU are comfortable with.
Good Luck!

Chris - posted on 05/02/2010

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I have had 2 VBACs at age 36 and 37.........and they were almost 10lb. babies each time...it went great each time. I of course used an epidural each time as well. I would definitely recommend it!

Katie - posted on 05/02/2010

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I had my first boy via CSection following high blood pressure, induction, long labor, op ('sunny side up') & acynclitic (crooked) position. I wanted a VBAC for my second and luckily my hospital still allows it, though I couldn't retain my midwife and was required to switch to an OB (who is/was wonderful). They monitored me carefully when I went into spontaneous labor 17 days early. All went well and I was able to deliver my second son via VBAC. Support and education are crucial. I say go for it (I'm an avid believer in VBAC) if you have supportive medical services. Best of luck!!!

Robin - posted on 05/02/2010

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I would join the ICAN group, which promotes Cesearean awareness. This group of women can offer very useful info on VBAC. Also, find a good childbirth prep class that can educated you completely, I recommend HypnoBirthing!!!!! Know that you can do this and finding a care provider and hospital who supports VBAC is crucial!

Jennifer - posted on 05/01/2010

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I haven't had one yet as I just had my first c-sec after 3 vags, but I definitly plan having a vbac w/ my midwife next time.

Susan - posted on 05/01/2010

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I am a labor and delivery nurse. There are many successful VBACs. It depends on why you had to be a C/section the first time. If it was for a breech baby or fetal distress go for it.

Simone - posted on 04/29/2010

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Hi I am having my third child and have had 2 prior c sections. I am desperate to have a vbac. I was wondering if you could give me the name of your OB. Thanks.

Jessi - posted on 04/28/2010

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I come from a family of successful VBACs so after my first baby was breech and I had to have a c-section I was determined that my future pregnancies would be VBACs. In the 38th week of my second pregnancy I started to feel really anxious and had a bad feeling about the VBAC so I talked to my OB and he said he'd do the VBAC (after explaining all the risks) if it was what I wanted, but that if I were his wife or his daughter he wouldn't allow it, simply because I'd never had a vaginal delivery. As it turned out my second baby had infantile seizures and every doctor we took him to told us that if he would have had to go through the trauma of being born vaginally he would have died in the birth canal. I would suggest you pray and let the answers to your prayers and your motherly instinct guide your decision. Best of luck! :)

Lisa - posted on 04/28/2010

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Awesome- Great for you! Do all you can and accept the gift of birth however it comes. I tried for a VBAC but ended up with a C-section. I went into the hospital for a check a few days before due date and my amniotic fluid was very very low. The hospital admitted me and allowed me to (yup this is pretty amazing) stay in the hospital for three nights trying to gently get my labor going. I had a doula and we really tried everything and finally I did begin labor- but no effacement. No pitocine etc. because of the risk with VBAC and ultimately the baby became distressed and the doctor recommended the c-section. And it was all good because we all felt as though we had tried. The hospital let the baby nurse before the even finished the c-section. Now here is the big surprise lest you think I was with a boutique pampering style hospital- I was with Kaiser LA at the time. Good luck - :0)!

Sasha - posted on 04/28/2010

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Hi, my first daughter is 18 months now and I just had my second baby girl, it was a VBAC. Loved it! So much better than a Cesarian. Everything went well although the gap between 2 pregnancies was very small. You ll be monitored by your OB, and the worst that can happened you will end up with another Cesarian. But you ve been there, right? So dont worry, its worth trying natural delivery, you can use epidural for pain control, and recovery after is so much quicker! Good luck! Hope I could help. Sasha P.

Melanie - posted on 04/28/2010

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My first daughter was in the breech position and born by CS. My second was VBAC with the help of a ventouse but my uterus had ruptured. She was born at 40 weeks and I had been induced. Even though I was in pain with the internal bleeding through labour (the epidural worked with the labour pain but not the internal bleeding pain) I was glad I did it. I was thrilled when she came out. I went into surgery soon after. I am now pregnant with baby #3 and will have a CS.
Looking back, just before I had my VBAC, I knew the risks and had made my decision if it did go pear-shaped and my uterus ruptured and it had to be removed that I could live with my choice and be happy with my 2 children.
Goodluck!

Fiona - posted on 04/27/2010

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I'm based in UK and had a CS for my first baby as she was in a difficult breech position. With baby 2, I was determined to go VBAC, though throughout the pregnancy I was sceptical that medical staff would let me do this. When it was discussed, they always used the term 'keen for trial of labour' so I took it that at the first sign of difficulty, I would be whipped off to surgery. In the end, it didn't work out for me. My baby was back to back and very big, so eventually after trying very hard to deliver as naturally as possible, I had to have a section again. The staff throughout labour were very supportive and allowed me to keep trying probably for a lot longer than was good for me! The baby turned out to be 9lb 14, which had not been picked up in scans as she was very long, so the weight was in the length rather than her being big all over. Docs said that even if she had been the right way round I wouldn't have managed her. 6 months on, I suppose there's still a hint of disappointment that I didn't achieve a VBAC, but the most important thing is that I have a beautiful healthy daughter. Whilst it was torture due to her position, I also don't regret trying for the VBAC even though I knew the back to back position was not favourable, so I say go for it and hope that it works out for you.

Renee - posted on 04/26/2010

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Hi, I had my first son by cesarean, it wasn't an emergency so my doctor said a vbac would be ok. In my opinion, I would go csection any day. I opted for a second csection with my third child because I healed sooooo much faster, my insides didn't seem to hurt for as long and honestly after the vbac, sex was almost unbearable, so were my period. My 3rd son will be 2 next month and I felt so much more strength quicker. Plus I would rather have assistance getting out of a chair because of a csection vs not being able to sit because of stitches...down there. Good luck on your decision and your delivery

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My mother-in-law had a planned c-section with her first child (my husband) because he was breech and went on to have 3 normal vaginal births afterwards. If you're able to have a vaginal birth go for it =]

Ginger - posted on 04/26/2010

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I am so glad to hear you are excited and driven to have a VBAC! I did the same even though my babies were only 20 months apart. My OB was not as excited as I was, but once he understood how passionate I felt, he was on board. When I did go into labor, I did not progress very far on my own. After 20 hours, I was still only a fingertip dilated. They opted to keep me in the hospital after I was in labor for about 4 hours because of the possibility of uterine abruption. It made for a really long labor since I went 27 hours. It was a great experience and I am so glad I was able to experience a vaginal birth. The recovery time was so much less and we actually went to Disneyworld three weeks after our second daughter was born! The vaginal healing took quite a while before everything felt normal again, but it was a great experience! Good luck to you!

[deleted account]

Here in Australia, the docs also say you should wait 2 years to fall pregnant again, so the scar can heal well and VBAC's are only recommended if you had no medical problems which would require a c-section again. They are pretty strict with these requirements and they are very supportive of VBAC's if the requirements are met. They look after you and check on you much more than if you are having a normal birth. They know the risks, and if they are experienced professionals they will deal with whatever needs to be done, VBAC or emergency c-section. I couldn't be happier with my outcome. Congratulations on your impending birth!

[deleted account]

Hi Jerrica,
My experience with a VBAC was wonderful. I, like you, had asked for one for my second delivery, after the first was an emergency caesar as baby was in distress. My mid-wife was very supportive, but talked me through the risks. There was a risk of rupture if I was induced, so they would not perform an induction on me. Also I was over 35, births can be harder. So 40 weeks came and went, I was overdue, so they wanted me to just have the caesar (by the way, caesars have risk factors too, so either way, there are risks you need to be aware of). Caesar was booked on 8 days overdue, so went to bed crying night before as reality hit I wouldn't be having a VBAC. Woke up to wetness down there, my waters had broken naturally! I was so excited, got my husband and drove to hospital straight away, ready to tell them to cancel caesar, I was having it naturally! They were still very cautious and asked if I was sure, and I was, at least I was sure I wanted to try it. I forgot one thing: my first labour was not progressing so my body had not gone through labour properly and so this was like a first time labour! Very long at 26 hours, but my midwives were amazing and helped me through it, monitoring everything (very important) and encouraging me to keep going. They would call the doctor in to check me, and I was asked if I still wanted a caesar a dozen times, but because baby and I seemed fine, they let me keep going. I gave birth to my little girl vaginally and it was the most amazing experience. The whole hospital heard of my experience and many docs and nurses were so happy that it turned out for me.

So if you are monitored properly and everything seems okay, and you have a lot of support, I encourage you to do it. You recuperate so much quicker, I was up and showered and dressed in no time, and she fed from me straight away, unlike my son, who I didn't see for an hour or so. But just be prepared to have another caesar if it is necessary. All the best...

ps, I also studied The Pink Kit, which has details about VBAC and what to expect, you can google it.

Lisa - posted on 04/26/2010

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I think every pregnancy and situation is different and needs to be discussed with the OBGYN. My first delivery was a planned c-section as I was having twins and one was breech. There was a high chance that I would deliver the head down baby and still need an emergency c-section if baby b could not be turned. So, when we decided to get pregnant with our third, we discussed the VBAC option with the OBGYN and were very much encouraged. There were no extenuating circumstances that put me at greater risk as it was not an emergency the first time around. They did refuse to induce me due to the risk of uterine rupture. I had low platelets and was told by the hematologist as well as the OBGYN that my risk of bleeding was greater with surgery. A full 2 weeks late, I went into labor on my own and had a successful VBAC with no drugs to boot. Good luck to you!

Shannon - posted on 04/25/2010

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my first son was a section baby since he was breech. with my 2nd son they told me i had a choice to try a v bac or i could have another c section.. the same visit i had a sonogram and his heart rate was slow ( i was 3 weeks early) and they induced me that day. he was only 4 lbs 11 oz so having the vbac was nothing! labor wasnt even that bad after i had the epidural! congrats!!

[deleted account]

My first child was an 'emergency' C-section. When I got pregnant again when she was only 9 months old, I was worried; I had heard "once a c-section, always a c-section" too many times. I was surprised when one of the first questions my OB/GYN asked was if I wanted to go for a VBAC. I asked if I could really do that; he attitude was: "Why not?" So, my second child was delivered vaginally (I opted for an epidural, though. I'm not a masochist LOL!)
Good luck, and congratulations!

Tenille - posted on 04/25/2010

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I have two children, I was induced with my first and after my birthing plan all went pear shaped due to problems with my epidural i was put under anaesthetic and my daughter was born via c-section, so unfortunately we didnt get to see her birth as my husband was taken out of the room when things began to go wrong. when i fell with my second child my plan was to have a VBAC and my husband supported me all the way! although at 41 weeks pregnant and having a previous c-section i was unable to be induced... so my plan went pear shaped yet again and my second daughter was delivered via c-section also however we were able to witness this miracle. we do plan on having more children in the near future however we are searching for a Ob/Gyn that will support a VBA2C..... it is rare but some Dr's will do it and some women have successfully achieved it..... there of course are many risks involved but a c-section has just as many risks too..... needless to say my need to give birth to just one of my children naturally outweighs them all.... providing both my & babys health is well. many ppl will tell you their horror stories of rupturing uterus and many will have a successful story to tell but its different for everyone and doing your research is the best thing... as im sure you have read that there are many risks either way! all the best

Jaime - posted on 04/25/2010

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I have had vaginal births, BUT if I had needed a c-section I would continue to have my babies that way. I am not willing to risk seriously compromising my babies and my health for a delivery (which in my mind only last a moment compared to the time you will spend with your baby) Also, there are risks in having babies BOTH ways, and some ladies just cannot deliver naturally. With that said, I have not noticed anyone mention a great show that documents a VBAC, and natural delivery.

The business of being born

If you haven't seen it, you should check it out, as it has some helpful advise! And please be safe! Best of luck to you all!

Jana - posted on 04/25/2010

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My first child miscarried, so the doctors gave me an emergency D&C. The second one was proceeding fine until that p-stuff I can never remember the name of (check about the 3rd post, she had it too) - stuff I strongly recommend no pregnant woman ever allow to be used - so I had an emergency C-section.

With the third, I found myself a mid-wife, and a birth center, since the hospitals in my area REFUSE TO ALLOW a woman to have a VBAC. I made sure to go to all the appointments and childbirth classes, and do what my midwife recommended. Lots and lots of stretching exercises and raspberry tea those last few months! It turned out great. Very short hard labor, and no medication. I did have a vaginal tear, but nothing major. Had the kid at 5am, was home with him by nine.

Nikki - posted on 04/25/2010

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Hi Jerrica my name is Nikki and I had the option to do a VBAC, and I DIDN'T take it! I was scared bc of what happened before (my blood pressure went up terribly after I went thru a whole night of Labor and 2 & 1/2 hrs of hard labor pushing, I eventually had to have an EMERGENCY C-section and almost died with my 1st). I wish soooo badly that I wouldn't have decided on a C-section with my 2nd child bc now I CANT have a VBAC (the Doc made me have a ceserean with my 3rd) and now bc i've had too many C-section's (3) my skin is too thin around my ceserean scar, atleast thats what one Doctor told me, (and I definately want more children but i'm scared of what the Doctor said about my scar), so I would DEFINATELY suggest a VAGINAL BIRTH if you want more Children:) Hope this Help's You and Other's thinking of having a VBAC.:) Hope everything turns out WONDERFUL for You and Baby:)

Kelly - posted on 04/25/2010

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Hi. I had an emergency section with my first son so when I was pregnant for the second time decided to try a VBAC. Did have a section booked incase, but my waters broke at 34 weeks. After having steroids for baby's lungs etc and hosp trying to stop labour I then went on for another 6 days in pain before I had my 2nd son naturally. I did tear and it was painful, but once he was born the pain went away - apart from the stitches hurting a little. When I was expecting my 3rd child, a daughter, I decided straight away to have a natural delivery again, which this time was only 1 day early. This time I had to be cut due to possibly tearing again - wound hurt worse this time as not stitched properly, but after 2 months was better. People who know I've had both section and natural ask me which way I preferred - I always say natural. Obviously everyone if different and it's upto each person to decide on their own. Good luck! xx

Collette - posted on 04/24/2010

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I just had a vbac, although I ripped pretty bad, it was better than a c (in my opinion). When I questioned the nurses in the hospital about the success of vbac.they said it was 50/50. A higher success rate depended on how far you got during the first pregnancy. Since I went through labor and ended up with an emergency c, I had a better chance of a successful vbac. Hope things work out for you :)

Sandy - posted on 04/24/2010

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I have three children.
My first was a natural birth, my second an emergency ceasar at 33 weeks. My 3rd was only 17 months after my 2nd and I wanted to go for a VBAC. I luckily had a supportive midwife who said if I wanted to try for it I should. I had to meet with the Obstetrician who looked after my group of midwives, and he was100% behind me. Obviously he advised me of the risks involved, but said as I had done it with my first , I would be able to do it again. There were other obgyn's that would not have given me the chance to try for a VBAC, I luckily had one that that not only let me try, but as I went overdue, also let me be induced which is normally not the practice after a ceasar. My risks increased due to be induced, but I never worried as I was monitored closely and trusted the midwife completely.
I had a fantastic quick labour, and delivery with no problems at all. I was even allowed to labour in a birthing pool, not deliver in one though.
I would definately encourage you to try for it. You need to be aware of the risks, but there are risks with everything. If you never try, you will always wonder. If it doesn't work out, at least you gave it a go.
Good luck with it all.

Crystal - posted on 04/24/2010

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most dr wont do a vback becuas eu and the baby are at rusk of dying i had my daughter by c-section not by my choice she was stuck and wouldnt come out pelvic was not wide enough to have a 6lb baby i wa sin labor for over 12 hours befor ei full dilated to 10 because my daughter wasnt ready to come yet she was born 4 weeks early my dr accidently broke my water checking me at my dr appt 36 week check up

Rachel - posted on 04/24/2010

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I am a VBAC Mum and I was told b4 that I had to consider that the worst thing that could happen was that we could both end up dead!!! Still went for it as when I read the NICE guidelines (I am british) it really made my mind up that although the risks were greater if I ended up with an emergency section i thought that we would give it a go and be sensible if anything was going 'wrong' and be happy to go straight for emergency C. I was so glad I did go for it and of course was so motivated to prove the Dr wrong. It was such a good experience and no regrets. Recovery was so much better and that was really important when having a second child. recovery was different though. My neighbour who after having triplets had another child and she siad she was persuaded to have a VBAC and wished she had not as she did not want incontinence as well as a scar which I have to a certain extent as well but I would not have done it any other way

Alena - posted on 04/24/2010

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I had a C-section w/ my first baby and went on to push 3 more out the old fashioned way. Good luck and Congratulations!

Carol - posted on 04/24/2010

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My fourth baby, third VBAC, weighed 9 pounds 2 ounces (don't know how that
translates to kg). In my experience as an ICAN chapter leader, doctors seem
to worry far too much about the size of the baby. Mothers were built to give
birth even to big babies. If you have a large baby, try delivering in the squatting position, which opens the pelvis and gives more room. Most often, trouble delivering a big baby comes from a malposition, not the baby's size. Essential Exercises for the Childbearing Year offers help for getting the baby into the proper position for an easy birth, no matter how big it is. May God grant you a safe and pleasant birth.

Carol - posted on 04/24/2010

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I had one (unnecessary) cesarean for breech, then 3 VBACs, all of them without medication. The first VBAC was in a hospital, and the other 2 at home with lay
midwives. VBAC is far safer and more pleasant than surgery, and I'm so glad I was able to do this. I also learned how to turn a breech baby around, and did this with two of my VBACs before delivery. I also recommend ICAN, a great organization with good resources and support. Go for it! You won't be sorry. And in the cases where an emergency arises and surgery becomes necessary, it's still better that you tried a VBAC, because labor benefits the baby. It helps the baby become ready to breathe and to be alert for bonding. Be sure you have plenty of encouraging support during your labor from someone who believes VBAC is best. While my labor was pretty long for the first VBAC (which seems to happen a lot), everything progressed normally. My labors were about 35 hours, 5 hours, and 11 hours, in that order. I delivered my fourth in the squatting position, which I found to be wonderfully comfortable and faster. I would definitely do it all again. The method God made is always better whenever possible. God bless you and your baby.

Christie - posted on 04/24/2010

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I had a VBAC and it was the best experience! It's so different from a C-section. My first was an emergency C-section so it was nice to do things naturally. You won't be sorry!

Shantel - posted on 04/24/2010

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thank you for asking this question. i had a csec with my first and now will have my 2nd baby here 2 yrs 4 month later, and i am going for a csec , no questions asked. my first son was 10 lbs and i was too small to push him thru. there are too many risks involved, and the baby's safety and mine are being put first instead of what kind of delivery I would prefer. they say the risks are rare, but on this post, there have been enough stories to persude me that I have made the right decision. good luck and i hope you choose what will work best for your baby and you

Jerrica - posted on 04/24/2010

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Thank you all for your comments and stories, they are all a big help! I'm sorry to hear all the "bad" outcomes...
I was NOT induced with my son... I feel the doctor just wanted me to give birth so he can get out, he didn't let nature take its course. I went into the hosp and was 2 cm dialated, after 2 hours of walking I went to 4cm. Then they kept me in bed and gave me pitocin! I was laboring fine! I didn't need it.... My labor progressed slowly, but it did progress. After 12 hours of labor I was 8 1/2 cm and my sons hear rate started dropping (due to the interventions of pitocin, and breaking my water too early) I was very upset but in that moment in time all you care about is your baby's well being so to c-sec we went. The worst part of it all for me was the fact that I KNOW I could've delivered him vaginally if it weren't for the interventions! So I do plan this time to do everything possible to have a natural birth, but I am also aware that there is a chance that I mightr end up in a c-sec again. I just want to know that I did everything possible to try (without risking the life of me or my baby) My OB specializes in VBAC and I drive an hour to his office because I refuse to go to an OB that doesn't support me! In the end it will all be worth it!

Joann - posted on 04/24/2010

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My vbac went well, but he was my largest baby, so when number three came along My doctor and I scheduled a c section. Now with baby number four, the hospital is small and because the vbac poses a slightly higher risk of uterine rupture, they will do a csection. I Am not a big fan of labor at all. I was in labor for 14 hours with my vbac and ended up hemorrhaging after he was born when i had to get up and walk. He was 9 pounds and 13 ounces though!~

Carley - posted on 04/24/2010

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I think it's great that you are considering a VBAC but you should definately do a lot of research and make sure you have a very knowledgeable OB.
I am an OR nurse and have had to do a hysterectomy on a VBAC patient after their uterus ruptured during delivery. It's a very scary and very dangerous complication. This is why I say have a very good OB!!!
Good luck!!!

Julianne - posted on 04/24/2010

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I had two c-sections, and I had asked my OB about VBAC and she discouraged me from pursuing that because my births would have been too close together. I am kind of relieved I did not have a vaginal birth. Neither way of giving birth is pleasant, but at least with the 2nd time, I knew what to expect and I have had prepared myself, I went on a clear liquids diet 2 days before to clean my self out and the post partum recovery was much better, no bloating and constapation. I also had the baby in the nursery overnight so I could sleep before I had to go home and be sleep deprived.

TRACY - posted on 04/24/2010

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I only have 1 child and like all first time pregnancies you practice for a natural delivery. After 36 1/2 hours of excruciating labor pains , ex-rays, and forceps I was begging for a c-section!! I was upset that I had to endure so much pain, and the result was c-section in the end. Yes , we Moms all feel some sort of "GUILT" because we somehow think we "FAILED" if our babies aren't born the old fashioned way!! I now know better, and I believe that no matter what way our kids come into the world, it doesn't really matter, as long as our babies are healthy!! I have read the above stories and such heart breaking ones I have read!! I can't imagine going through a delivery (hard or easy) and not ending up with a child in my arms!! To even endure the fear that some of these Moms had to go through when the ordeal was taking place must have been "hell on earth!" I'm sure they were thinking to themselves at that momemt, why did I even try VBAC !! why didn't I just go for the c-section!" These are the very serious questions we all must ask our selves when coming to a decision of how to deliver a second child after c-section, if something should horribly go wrong, how will I deal with the guilt of knowing I made a horrible decision that endangered the very child I wanted so badly. I knew emmediately that should my husband and I be blessed with a second child I was having a c-section 100%. I was not going to risk something going wrong just because ,"I wanted to expeerience" what a vaginal birth was like. The bottom line for me was to have a safe and healthy baby at the end of it all!!
I wish all you Moms, all the very best in your decisions,and may the deliveries be the best experience ever for you. Inform yourselves with all the pros and cons and please take your husbands views into account because if you don't and something goes wrong your going to have his guilt as well as yours on your plate and that's alot for one person to handle. I have heard of a situation where the husband was fearfull of vbacs and wanted his wife to have c-section and she pleaded to have the experience of vaginal and the end of story is, she tried, lost the baby due to complications and now her and her husband are divorced due to guilt and anger. How do you live with that I'm not sure. My husband and I were never able to have a second child, but,24 years later I still stand firm on my decision that I would still have a c-section today ! I had a wonderful experience with c-section, my scar is invisible, and like Lisa Scott said above, no bladder or vaginal problems 24 years after. Good luck to all you new Moms to be, all the best in whatever way your babies are born!! May everyone be happy and healthy !!

Angel - posted on 04/24/2010

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My 2nd child was a c-section and 3, 4, 5, and 6 were all VBACs--I told my doctor that was not going the way of a c-section ever again...he just smiled and said we will try it your way. I had little issues with the labor and delievery. Healing is so much easier with a natural delivery and I was able to take care of myself easier. I will say that having a doctor that is willing to help with a VBAC is very important and the bottom line comes down to making sure that mom and baby come through the delivery fine. Good luck

Nicola - posted on 04/24/2010

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I wanted to have a VBAC more than anything. I have a little daughter who is 16 months old and the thought of not being able to lift her properly for a few weeks was horrible. I asked my OB and my last appointment (27 weeks pregnant, I'm 28 now) and she said that as long as the baby didn't weigh more than 3.5kgs then I could have a VBAC. The baby is weighing 1.3kgs already and I've still got 12 weeks to go! My daughter was 4.2kgs when she was born so I'm not very hopeful of this llittle one being under 3.5kgs. I'd love to know if any mums had a VBAC with babies weighing more than 3.5kgs. Did your OB say anything about the weight of your baby or any reasons why you might not be able to have a VBAC? Why did you have a c-section first time? Good luck with your pregnancy and I really hope your VBAC goes well.

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