Vbac or c-section? Help I can't decide what to do?

Stephanie - posted on 09/29/2009 ( 76 moms have responded )

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I am having some issues deciding on whether to do another c-section or try doing a vbac. I would love to hear form some other moms

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Natali - posted on 08/27/2012

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I had a C-Section with my first baby girl this August 2012 , and iam trying my best to take care of myself revovering. I am scare that by my second child will come by C-Section again n i don't want to again. How long i could wait to have it normal birth for my second child?

Cyndi - posted on 12/05/2011

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My boys were born at 10 lbs and 11 lbs (both early) so I didn't have much choice in the matter. I don't want to be disrespectful to anyone but the idea that you can't bond as much with your baby unless you give birth to them vaginally is a LOAD OF CRAP! I bonded with both my sons from the first moment I held them. Heck I fell in love from 10 feet away as each of them were being taken to the incubator to be cleaned up. Come to think of it I was head over heels as soon as I felt them flutter in my tummy! The method that they were removed from my body has nothing to do with whether I felt connected to them and they to me. (To Marissa: PND is a hormonal imbalance and is no way related to the method that your baby was born). My point is that one method is no better or worse than the other. Modern science gives us the choice and in the end the only thing thats important is that you and your partner are given the greatest joy that you can have. Do what you are comfortable with and don't let anyone pressure you one way or the other. Good luck! :-)

[deleted account]

I am in the same position as you. I had an 18hr labour with my first that ended in an emergency c-section.
I have been told this time round I can try vbac or elect to have another c - section.

I saw my dr last week for the first time who would be there for either option (only dr in the area who does vbac, I have been seeing my normal dr for all other appointments). He said the decision would not be made until I am 36 weeks as it will come down to a few factors including, the size of the baby and the results after he does an ultrasound on my scar.

He said it was a good thing I didnt have my heart set to have a vbac because he may turn around to say I definately have to have another c-section.

He is the dr and the one with the experience so I am going to be guided by him. As much as I would love to give birth naturally, I know what labour is like with no end result (I didnt even get around to trying to push my 1st baby out).

I would make sure you discuss in length with your dr about the options and also do some reading yourself on vbac vs repeat c-section. I was lucky that this dr gave me some reading and was very knowledgable on both options. He didnt pressure me either way. I will find out in about 8 weeks which way I will be going.

Good luck with your decision!!

CHERYL - posted on 11/29/2011

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I had to have an emergency c- section and my other 3 was all natural. I rather have them all natural. I rather have the vbac , it was easy and I recovered quickly also. I was 21 when I had my c'section, and with my vbac I was 22, 25, 27 1/2 . As long as your doctor said it is ok then I would do the vbac. I asked mine and he said it would be no problem. Good luck.

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User - posted on 08/29/2012

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THATS GOOD THE HOSPITAL LET YOU CHOOSE I THOUGHT THEY MAKE YOU DO C SECTION AFTER ONE BEFORE THE QUESTION IS WHY DID YOU GET ONE BEFORE?

Angel - posted on 11/28/2011

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MY FIRST CHILD WAS A C-SECTION....WITH MY SECOND I TRIED VB BUT IT DIDN'T WORK. YOUR DR WILL BE ABLE TO TELL YOU IF THERE IS ENOUGH PROGRESSION TO CONTINUE. IT DIDN'T WORK FOR ME BUT I HOPE IT DOES FOR YOU GOOD LUCK.

Andrea - posted on 11/27/2011

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I had a C-section with my 1st child due to low fluid levels and breech presentation. With my second I had a VBAC (at home, although that part wasn't planned). I had an augmented VBAC (w/ pitocin) at the hospital with my 3rd. Definitely would go VBAC again if I ever had another.

Fran - posted on 11/22/2011

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If I were you I would check with my Dr. My first c-section was because I was in labor for 32+ hrs. and my daughter was in distress. The 2nd time I was a scheduled c-section per the dr. orders due to chances that the abdominal scar & uterus can rupture from all of the pressure of pushing during labor of a vbac. I liked my c-sections for 2 reasons, 1) they both arrived with no problems, 2) it gives you more snuggle time with you baby while you are recovering. Good luck.

Christina - posted on 11/22/2011

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As long as it is safe to do so, you should go for the Vbac, I'm glad I did!!

Katie - posted on 11/22/2011

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i had a vbac and i loved the fact that my doctors actually wanted me to do so. of course there are risks but i feel major abdominal surgery is a bigger one! with vbac there is a risk of uterine rupture, however you are monitored to the hilt so that doesnt happen, and if it does they are on the case and you would just have a csection. I hated my c section with my first and became very depressed at the prospect of a repeat. I also remember my labour and birth with my son because not only did i have a vbac i did it un medicated. i use gas and air and that was it. i was very proud of myself n even enjoyed it(not at the time, it hurt lol) but i felt very good about it. given the choice and if you have supportive team i would defo go for a vbac. there is some misconception about a vbac being more dangerous than a repeat c section. everything has a risk, were you given a info sheet about vbac?? try and do some research. also, you need to take into account what the reasons were that resulted in a c section in the first place. sometimes a vbac isnt possible due to medical reasons. hope this helps xx

[deleted account]

That is not true. The American College of Obstetricians and Gynecologists have issued a new statement in 2011, stating that if a woman wants to VBAC after two cesareans, she should be supported. There is no increase in problems or uterine issues, because the risk of uterine rupture is still 1% or less. So that means that the risk of NO uterine rupture is 99%! Check out www.ICAN-online.org

Jasmine - posted on 11/21/2011

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after having a c-section with my first and two vbacs after, i definetly know which i would prefer, the natural way! i was up and showering, eating etc. within an hour and had left the hospital within 12 hours to be back in my own home and comfortable. (5 days in hospital for c-s was horrid).
i made sure i researched all the pros and cons and found out all the stats and read all the stories i could before making my own decision. My ob-gyn tried to scare me with horror statistics, but i knew what i wanted by this time and i hope i will never have to repeat the c-section experience, however i will if i need to for the safety of my baby.
My best friend just had a successful VBA2C and wants to go back for another so she can improve her performance as a natural birther, lol. Docs tried to scare her as well, but she held strong.
Anyways, good luck with any decision that you make, as long as it is YOUR decision, don't let anyone pressure you either way.

[deleted account]

If possible, always try for the VBAC. You do not have to recover from surgery, can eat right away, hold your baby skin to skin and bond instantly. I work in a hospital that has a 75% VBAC rate and as a Mom with two cesareans already, I would try for a VBAC again if I had another baby. Check out the ICAN website and please consdier the VBAC. Surgery is surgery and there are always more risk of complications after surgery than after a vaginal birth. Good luck.

Ashley - posted on 11/18/2011

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I had an emergency c-section last go around because i wasnt dilating [I was induced at 35 weeks] This time around I was planning on doing a VBAC, honestly it isnt as risky as everyone says, in fact the uterine rupture rate is like .87 percent, the risk for repeat c-sections is around .3 perdent, so it really isnt much of a difference. I was set on VBAC until around 20 weeks when I moved and my new hospital didnt allow vbacs and it was just too inconvenient to drive an hour back to my hospital FOR ME. Also, I'm glad that I'm having another c-section now since I know the exact day baby will be here and I'm a very impatient person. I have 21 days to go!

Meg - posted on 08/24/2011

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I had a homebirth after two caesareans. It was the best thing I ever did! Speak to some midwives as well as just a doctor, get lots of different opinions, see who you feel most comfortable with. Most women who speak to a midwife will prefer her care to that of a doctor! Midwifery care is considered to be the "gold standard" of care for pregnant women according to the World Health Organisation.

Every study ever conducted into the safety of vbac has shown that vbac is safer and has fewer complications. I suggest you read the book Silent Knife, by a woman called nancy Wainer-Cohen. She is the pioneer of vbac and she changed my life!

Pia - posted on 08/19/2011

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well, i guess u read quite a lot about vbac and know the medical risks. i had an emergency csection with my 1st and just 7 weeks ago had my 2nd csection again; i wanted a vbac and didnt prepare myself mentally for another section till i passed my due date again and i had to plan one . recovery (which i was most scared of) was a breeze this time and if i do go mad and decide to have another baby ill defo go for a csection. i think that even if u plan a vbac , prepare urself mentally for surgery x

Becky - posted on 08/13/2011

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After I spoke with my Doc, she recommended VBAC for me. My daughter was born 10 years ago & she was breached. My Doc told me that for me VBAC would be over all safer for me & baby (provided no unexpected complications come up), less recovery time & because repeated c-sections cause additional scaring which may increase the risk of miscarriages in future pregnancies. I'm going to try VBAC with this one, and if there are any issues, there will be medical staff on hand to preform a c-section.

[deleted account]

You will hear a lot of things from other moms. Some will tell you the cesarean is easier, some will say VBAC. Only you can make this decision based on research and what is best for you and your baby. There are risks with ANY pregnancy and birth, and having had a cesarean already does increase some of these risks. Uterine tearing is extremely rare (less than 1%), and true rupture resulting in death is even more rare. In most cases, vaginal birth is still the safest method of delivery for both mother and baby, although a scheduled cesarean is safer than emergency surgery. No matter what you choose, you need to take responsibility for your body and your baby, do some research, ask a lot of questions, be ready to accept the outcome of the choice you make and be prepared for things to go the complete opposite of you plan. Good luck.

Rachel - posted on 10/08/2009

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I'm with Chelsea Sjogren, in the state where I live as well they do not allow it . But however in some cases I have heard of it being done, but it is very risky.Your scar tissue and your scare can bust open and you could bleed internaly. That's why most Doctor's will not do a vbac.But you should disuss it with your Dr. and discuss your options.

Vanessa - posted on 10/05/2009

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I just wanted to say that I'm a nurse and also have 2 children of my own (one I had naturally and one c-section). My thought is this- you should consider this carefully because as I'm sure your dr. has told you, there can be a lot of risk involved. You should know if your hosp. does them for one thing and are you in or very near to a major hosp. that has a trauma unit and NICU? just in case you decide to do this and something doesn't go as planned. I would suggest that you research this and really decide why you want to. Also- how was your first pregnancy? Any complications, how about the birth itself? What was the reason for the c-section? I had mine because I had gestational diabetes and my daughter was too big to come out any other way. Hope I helped....good luck!

Maria - posted on 10/05/2009

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I had a v bac with my 2nd son and honestly, the recovery was much quicker. Then again you should look into the possible complications you may have with a v-bac

Helen - posted on 10/04/2009

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in the uk you can not request a csection and they are only done for breach or emergencies.

Shekida - posted on 10/03/2009

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HEY STEPH. I HAVE HAD BOTH. MY FIRST CHILD WAS W/C-SECTION BABY WAS BREECH. THATS WAS 4 YRS AGO. MY SECOND CHILD WAS VBAC SHES 11MONTH 4WKS. I PREFER VBAC. IF YOU DONT HAVE TO BE CUT DONT BE. ITS A MAJOR SURGURY. THE DOCTORS HAD SCHEDULE MY C-SECTION FOR MY LAST CHILD I REFUSED TO GO IN I WAS DETERMINE TO HAVE MY CHILD NATURAL. SHE IS HEALTH IM HEALTHY ALSO. I WALKED AROUND FOR 2 WEEKS AT DIALATED @ 5CM. C-SECTION RECOVERY WAS AWFUL THE SCARE WAS IRRITATING I HAD TO GET CORTIZONE SHOT TO MAKE THE SCARE TISSUE GO DOWN. EITHER WAS THERE IS STILL PAIN.

Alexandra - posted on 10/03/2009

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Im sorry whats a vbac? I had an emergency c-sec... The recovery for me was horrible. I literally had to have my husband around to wash my entire lower body. I hate my scar as well. I just pray that you have a good doctor who knows what they are doing so your scar will hell good and nothing will go wrong. ALSO my friend had a c-sec 1 yr and 3 mo ago and just had to have surgery cuz something happened to where the tissue started to grow on her stomach. idk but it wasnt good. With my next child I will try to have natural

Kelly - posted on 10/03/2009

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Every one is different. But personally, I did not find out until after my 2nd c-section, that I thankfully did not do a vbac. My dr. informed after the 2nd that I would have been a high risk for complications due to a thin uterine wall and should never be pushing. Glad I made the right choice. Good luck with whatever you decide:)

Adina - posted on 10/03/2009

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I had a planned c-section for my first that became an emergency c-section since he decided he wanted to come early. He thought 2:00 in the afternoon meant 2:00am in the very early morning. My second son was a vbac since I wanted to "enjoy" a traditional delivery. As I was going thru the motions I thought to myself "I am crazy". Of course the labour was alot longer and harder but the next day I did not regret it since the recovery time was soooooo much shorter than with a c-section. Besides I was three years older and surgery is surgery....there are always risks. In the end it is your decision and you need to do what is best for you and your baby. Good luck!!

Bridgette - posted on 10/03/2009

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vbac have been done successfuly. but you should talk to your doctor about the risk. their are some. like I believe rupturing of the uterus at the old incision sight. Personally I have never had a csection. My sister has had two. and I helped her make her decisions on the facts. Way the Pros and cons. I think vbac are risky. But csections take risks to and a longer recovery time.

Karen - posted on 10/03/2009

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I didn't have a choice the hospital I had my second c-section had a no VBAC policy. I had more of a rough time recovering from my second c-section but it could have been because I was 32 the second time around. I think I probably would have went with a c-section anyway.

[deleted account]

I had the same dilema. I decided on a c-section because I just felt there were far less complications and I trusted that my doctor knew what was best for me with my previous c-section.

Theresa - posted on 10/03/2009

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Oh, Stephanie - a scheduled c-section is way different than an emergency one. I had a scheduled c-section with my first and third, and was able to hold my baby in the recovery room after they cleaned him up (this varies by hospital policy). I had my first c-section because he was breech and staying that way. Easy-peasy. My second I tried a vbac, but never dilated past 4 - once his heart rate started dropping out with every contraction they took him c-section. BUT, since I had the epidural in place I was still alert for his birth, and able to hold him quickly after getting stitched up.

My boys are 5 years apart though, which is another factor in a successful vbac. If your baby is very young, your body may not be ready for the stress of a vbac.
Talk to your doctor, each woman and each pregnancy can be so very different! Good luck. :)

Jody - posted on 10/03/2009

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VBAC's do have their risks so fully discuss this with your doctor. Not all hospitals will do VBAC's. My first two children were c-sections and I went on to have 3 VBAC's without any problem at all. Vaginal birth was much easier than c-section. Good luck!

Stephanie - posted on 10/02/2009

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Well I had a c section with both of mine so i think it is easier cause there is no long labor

Cheri - posted on 10/02/2009

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my friend just did vbac and unfortuatly there were many complications at birth. the doctor told her it was due to the delivery. She doesn't even know the extent of brain damage yet, they are still doing test. Please check into this!

[deleted account]

Quoting Stephanie :

Thank you all for the replies. They have been very helpful for me. I think one of the reasons I asked the question was becasue with my 1st I ended up having a c-section and I was totally out of it for about 5 or 6 hours after I had her. I didn't get the special bond like other women have had. I watch all these showes and see all these women having that special bond and it hurts knowing that I didn't get that. I realized that it took me months to get that motherly bond with my daughter. At first it was like I was just babysitting and not being a mom. So I think I am going to do the VBAC but still have a lot more research to do. Thanks Again to All



I too had an emergency caesar after being induced and in labour for 11 hours. I felt the exact same way as you did - I didn't bond with my daughter and felt like a baby sitter more than a mom (which is why i think i got PND).



I have a baby due in 5 weeks and have been mulling over the idea of having a VBAC vs a repeat caesar. There will only be a 16 month age gap between my children and that's why I wasn't sure if I could have a VBAC - coz they say to wait two years before having another child.



This thread has been really helpful for me too. So thank you! Like you I will be trying for a VBAC - I would love to have that experience and I want to "Do it the right way". I know there is no right way and as long as you have a healthy baby at the end of the day that's all that matters. But I just want to experience this incredible thing that we are able to do!!!



Good luck and I hope everything goes well with your delivery!!!

[deleted account]

I had a vbac 19 months apart...only reason to have the C was because the child was breech. If you are fully capable, healthy and understand the mechanics of pushing, there should be no reason to have a C section. If there were serious complications, or reasons for that first C section, then you need to discuss your options with your Dr.

Monica - posted on 10/02/2009

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Well it is always better to give birth vaginal because you are up and about in days versus weeks. But also it is risky because it is possible that you could tear your womb where the incision was made from your prior c-section during labor which could mean you could bleed to death. The womb is very vascular especially during pregnancy. I think the best thing to do is talk to your doctor about the risks and what you can do.

Michaela - posted on 10/02/2009

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I agree about researching your options but dont get too hung up about it. I wanted a VBAC after my first Emergency CS but where I live (Mauritius) they really didnt want to let me or even tell me why I had the first CS. I moved back to the UK and tried hypnotherapy (to get over the birth trauma), laboured in a birth pool and had a doula accompany me. In the end I went for a CS when my baby's heart rate dropped - but the birth experience was still a better one than the first time round, bonding happened naturally and baby suffered no trauma ... at the end of the day that's what counts!! Try and find out exactly why you had the first CS and make your choice from that. In my case it turns out that I have an android (masculine) pelvis, which didnt open, plus my baby was posterior so presenting with the largest part of his head. I'm just thankful that we have the technology nowadays to help with birth and conceiving etc!

Victoria - posted on 10/02/2009

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I wanted to do the VBAC also but it turned out that I ended up having another C-Section after 8 hours of labor.

Goundy - posted on 10/02/2009

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I had an unplanned C-Section with my daughter and I personally plan on having a Vbac with our second. Do what is going to be best for the little one.

Ana - posted on 10/01/2009

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I had a c-sec and at first I felt guilty about it but after a time, I realized it was the best thing for my situation, high risk pregnancy. I am happy with my decision and my son's perfectly shaped head! :)

April - posted on 10/01/2009

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I had a vbac with my 3rd and my doctor really suggested I do so. Although, it would depend on why you had a C-section in the first place. My first pregnancy, I had both vaginally and C-section (the 2nd baby didn't want to come out and they were unable to turn her). Since I had delivered naturally once before, they felt there would be no problem with doing it. I loved the ability to see the baby right away and hold her right away.

Just my opinion. Talk to your doctor and research....

Good luck!

Jessica - posted on 10/01/2009

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I had the same experience when I had my son c-section..knocked out for the whole thing. What an awful feeling to wake from your surgery not pregnant. In recovery not knowing how your baby was, what you had, all the questions....anyway, I had a different doctor for my second pregnancy and he allowed the possibility, so he refered me back to the surgeon who preformed the c-section to get the ok for the vbac...she did a pelvic exam and gave me the ok for a vbac. i should add that there was 5 years between the c-secion and vbac..not sure if that mattered...Having a vaginal birth with my daughter was the most wonderful experience...my claim to fame now is being the only person I know to have tried it...please keep me posted on your outcome, I will be thinking of you

Taira - posted on 10/01/2009

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I have two really great friends who were in the same situation. One was medically able to go vbac, but the other was not. I think you're doctor, along with listening to your own body once you begin laboring, is the best source to let you know what your body can handle. The ultimate goal is a beautiful, healthy baby!!

Maggie - posted on 10/01/2009

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It depends on your doctor and the place you'll be laboring/giving birth. A lot of midwives suggest going with the vbac but it also depends on what type of c-section you had to begin with, how it healed, etc. I would personally try the vbac because it's more gentle for the baby and less traumatic (if you can believe it) for the mother. It also allows for immediate interaction with the baby instead of waiting to get stitched up first. You'll probably heal faster from a vbac, too since you won't have as many stitches if you have any at all.

Stephanie - posted on 10/01/2009

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Thank you all for the replies. They have been very helpful for me. I think one of the reasons I asked the question was becasue with my 1st I ended up having a c-section and I was totally out of it for about 5 or 6 hours after I had her. I didn't get the special bond like other women have had. I watch all these showes and see all these women having that special bond and it hurts knowing that I didn't get that. I realized that it took me months to get that motherly bond with my daughter. At first it was like I was just babysitting and not being a mom. So I think I am going to do the VBAC but still have a lot more research to do. Thanks Again to All

Monica - posted on 10/01/2009

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A friend of mine had 2 vbacs after her c-section, and everything went fine for her. I chose 2 have a c-section with my second and now that Im wanting another baby I talked to my dr and he told me that after 2 they wont let me have a vbac. I was scared to have one naturally after the first c-section, it went so awesome and that was easier for me but I really regret not being able to have a natural birth. Im sure there is a dr out there that may allow it, but the risk increases so much after having two that I may not get the chance.

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