VBAC potential

Bethany - posted on 12/07/2011 ( 11 moms have responded )

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Charlotte was an emergency caesar, after 42 weeks pregnancy, 3 days regular contractions and 20 hrs in the birth suite, still only at 8 cms, she was staring down my cervix, instead of hitting it with the top of her 95th percentile head and it was declared Failure To Progress. After 3 days with next to no sleep and the last day of labouring, I was absolutely spent and took a couple of weeks to even start to recover, and felt fired and heavy for months.

So now I'm wondering if this one will have a huge head too, and maybe I should go for an inducment early, though that won't make too much difference to head size, or a planned caesar, or just wing it and see how it goes. I'm mostly thinking of just seeing how it goes, but that can get very frustrating and tricky, and might just be easier to go the planned caesar. I've been told that the second one is so much easier to recover from as you don't have the exhaustion of labour, and the trauma of the emergency situation. My sister had all three kids by CS and I myself was a caesar.

Any thoughts?

11 Comments

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Whitney - posted on 06/12/2012

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Up until now, I was aiming for a VBAC...now, I'm 99% positive I'm going to ask for a planned c-section. Go with your gut instinct. I was stuck on a VBAC because I thought I should experience labor. But, I don't think I'm meant to give birth vaginally. I didn't dilate past 1.5 with my first, and I've had contractions since 7 months with this one, and still no dilation. Do what feels right.

Elizabeth - posted on 03/29/2012

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I am going for a VBAC after an emergency c-section with baby number 2. My doctor said that i am a very good candidate because i successfully delivered baby #1 naturally, thought she was big, sunny side up, and a smidge crooked (she had her head cocked to the side). So she knows I can do it and my body can do it. I also has an incident post-op from my csection last time that demonstrated the extreme strength of my uterus and the swiftness of my healing (indelicate and i'd rather not go into it). And I healed form the csection in about record time with no healing complications, so my uterus is in as good a shape as it can be. I really don't want a csection unless its the safest option because i had life threatening complications post-op last time.



The plan is that a whole bunch of things have to be in place - and if they are, natural delivery is the safest option. I have to go into labor by myself and not need induction. I have to be near term or just a teeny bit past it. The baby has to be a reasonable size (I don't actually have a number from her). I have to be exhibiting good general health. The baby has to be presenting well - not breach obviously, but also not sunny side up. And the very first sign of distress, decels, or anything out of the ordinary and they pop me into an OR.



The point is - healthiest route of delivery. Doctors love csection because they have control, but it is still major surgery and is dangerous. Your doctor will hopefully consider each and make sure that whatever you do is the safest route for the best outcome for both of you.

Staci - posted on 02/24/2012

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Oh, and FYI, you cannot be induced after a c-section...the meds they use to soften the cervix can cause uterine rupture. You have to go into labor naturally. Your doc can move things along with stripping the membranes and such, but you can't use the traditional induction meds.

Staci - posted on 02/24/2012

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I attempted a VBAC with my 2nd after a similar situation to yours with my 1st. 1st was overdue, large head, posterior. Labor for 22.5 hours and never progressed over 8cm. With #2, I fully dilated, pushed for a bit but then I ended up with a true emergency c-section with my VBAC attempt due to a placenta abruption. Even though it didn't go as planned and still ended with a c-sec, I was glad to have attempted again. I am expecting #3 and planning a scheduled c-section this time around. I think it's ultimately a conversation to be had between you and your doctor. I can tell you that recovery the 2nd time around is SO much quicker and easier with a repeat c-sec. For me the VBAC was a worthwhile experience, even with the c-sec that still happened. I was glad to have gotten the chance to actually fully dilate and push...even if it didn't proceed smoothly after that. I was always disappointed I never got to that point with my 1st.

Tina - posted on 01/26/2012

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I had an emergency c-section with my first the doctor agreed the second a c section would be safest because of my circumstances. It is easier the second time around for the simple reason you know what to expect and what you can and can't do. Plus with a planned c section they doctor doesn't have to rush like in an emergency c section he can take more time do a cleaner cut. It is still painful and you do need time to recover and it is still a bit nerve racking going into theatre and you have to prepare emotionally for it. For me, it was alot less stressful on the baby. You don't have to make the decision straight away. Just keep up with your appoinments and like I did a few weeks before I was due we made the decision that it was in my best interest to have a c section.

Deborah - posted on 01/23/2012

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I had both my children naturally, and I"ve heard success stories of VBAC. Ask your doctor if you can have a 3rd trimester ultrasound to get measurements of the baby's head; if its going to be another 'big' one, then it sounds like you'd rather have the C-Section. I always encourage moms to go the natural route, or at least try to; the recovery time is a LOT less than having a C-Section.



I know if you put your foot down with your doctor about how you want to handle the delivery, eventually they'll listen to you. I've never heard of a 'weight limit' for a vaginal birth, so it depends on how you want to handle it.



Don't induce early, let the baby grow as much as possible in there, it's the safest place for them before 40 weeks! Talk to your doctor about your concerns and options; if you want to try a vaginal birth, don't let him talk you out of it because it might be 'hard'. Women have been having babies for thousands of years without all this new-found medical technology. I appreciate the options and the safety they offer, but a lot of the time it seems like doctors are in a hurry for more 'wrong' reasons than 'right' ones.



Situationally, you are right and a planned C-Section might be easier, but your recovery time won't be that at all, I don't see why a second operation would be easier than it was the first time around. If I were in your shoes I'd try for natural, because months of recovery (feeling 'tired and heavy') is not worth the 'easier' route.



You can do it, because it has been done :) Good Luck

Angela - posted on 01/18/2012

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I have had two c-sections, and been told that a natural birth will now not be possible for me. At least,though i will get this over with a couple of weeks earlier! My first baby was a footling breech, and my second girl was in the right position, but i went to 42 weeks without going into labour and they wouldnt induce me as i had had a previous caesar. Just as well really, as she was almost nine pounds by this stage.

I am in Australia, not sure if things are done the same everywhere. So, off for another caesar I go. Not looking forward to it, but know that i have no other choice.

Lisa - posted on 01/18/2012

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I had a planned c-section with my first because my dr wouldn't even let me attempt natural because she was over 8lbs. Daughter tried coming at 32 weeks, spent 3 days in the hospital, was given steroids to strengthen her lungs, and meds to stop the labor, left the hospital dilated 2cm and 78% effaced. At 36wks, I started with severe back pain on Memorial Day weekend (Saturday) and didn't want to bug the dr on the holiday weekend, so I decided since I had an appt on Tuesday that I would tough it out as long as I could. Ended up making it to my appt and begged him to check me to see if I had progressed or anything and low and behold, I was 7cm and 100% effaced. He sent me straight in to hospital for c-section (3 days before my planned c-section date). This time, I'm in a whole new city, whole new dr and everything. She said I could have the option of VBAC but I think I will stick with c-section. I already know what to expect and with this one, I'm sure the baby will be just as big (daughter ended up being 8lbs,11oz). So I'm just going to plan on c-section. All my sister's have had c-sections but one, she had all 4 of hers naturually. But everyone is advising I take the c-section.

Jennifer - posted on 01/14/2012

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We had a similar thing with our son. 24 hours of labour. fully dialiated and pushed for 4 hours. At 3 hours of pushing they said "hey lay on your side and don't push for a few hours see if that gets him unstuck". After the pause from hell I pushed for another hour and then his heart rate started dropping. Emergency c we went. Now I had a doula and it didn't do me a lick of good in the end. She was a lovely lady but can't advocate on my behalf and when things got serious and crazy there was nothing she could do. I ended up in the hospital after my son was 1 week with an infection in my incision. OB said it was likely because it was a 'dirty c-sec' (as in my water broke and I had laboured for quite some time). I was pretty traumatized after his birth and cried a lot about it. I'm fairly certain it wasn't post pardum as I was happy with the babe and other things just thinking about his birth sent me crying. Still thinking about the birth of this one I can't imagine going through that again. I'm also undecided but leaning to c-section.

Aniesha - posted on 12/07/2011

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I'd get a doula, then she can help you and talk you through the pros & cons of a vbac, and you'd get a totally different point of view from what you'd get from someone at the hospital. I'm trying for a vbac in a few weeks time. My son got stuck the first time around, he was posterior, and 27 hrs after they induced me I was also stuck at 8cm so got a c section. This time my baby is MUCH bigger according to ultrasounds, but I'm gonna give it a shot. Biggest thing to avoid is being induced coz it lowers ur chances of a natural birth dramatically.

Good luck with whatever you choose!

Kellie - posted on 12/07/2011

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Well my son's head was off the charts and I got him out! I pushed for 2 1/2 hours because he coming out posteriorly. I think it all depends on each certain situation. I'm sure there's always a possibility.

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