Vertical uterine incision

nekorayne

I was planning a 100% natural birth but due to severe Toxemia had to have a C/S. I got the horizontal incision, but I have a a vertical one on my Uterus due to an emergency. I've been doing tons of research and many places are saying with the vertical uterine incision I have lost all hope of a future VBAC. 

 

Anyone have any  info or experince. 

MoMandA

My OB who does VBACs, but is very conservative IMO, would not even let you go into labor with a vertical uterine incision. I hope someone else can be more helpful.

Edit: She did seem to suggest that a lower vertical incision is less risky than a classical one.

nekorayne

MoMandA:

My OB who does VBACs, but is very conservative IMO, would not even let you go into labor with a vertical uterine incision. I hope someone else can be more helpful.

Edit: She did seem to suggest that a lower vertical incision is less risky than a classical one.

Yea, that is what I was told. We will have to schedule a c-section at 36 weeks with the next. I am hoping maybe I have some type of choice,  but it looks doubtful....

iris427

Why would you have to schedule at 36 weeks?  Is it just because of your scar type, or because of another medical issue?

Laboring with a vertical incision is riskier than with a horizonal incision, but I would question whether it's so risky that it warrants preterm delivery, as opposed to scheduling a c/s at 38+ weeks.  Personally I would get a second opinion on that, if that is the only reason that your doctor would schedule you at 36 weeks.

nosoup4u

This is just with a quick google search, but the new ACOG guidelines released this summer say that a lower vertical incision is okay for VBAC:

https://anthrodoula.blogspot.com/2010/07/acog-issues-less-restrictive-vbac.html

https://doulamomma.wordpress.com/2009/07/01/c-section-with-an-inverted-t-incision-and-face-presentation/

https://doulamomma.wordpress.com/2010/07/25/the-birth-of-stella-rose-home-water-birth-after-inverted-t-cesarean/

And this woman had an inverted t incision with her first child, but went on to have a VBAC with her second - it might be worth emailing her for more info...she was in Korea and had a homebirth with her second, but I think she did considered coming back to the states and dealing with some doctor in Georgia? Have you contacted your local ICAN list? they might be able to help you also with local providers who can give you a second opinion. Good luck!

*LrCg*

Not to doubt you but are you sure you have that right?  I had an almost complete placenta abruption during my pregnancy, went to the ER and 10 minutes later DC was born via ER-c-section (such an emergency I was given no pain meds).  Anyways, I have a vertical incision on the outside but my uterus has a horizional.  When I asked the surgeon, he explained a horizonal insision takes 2 mintes, a vertical takes only 30 secs to cut and clearly we didnt' have 2 minutes.  You might want to check your Operative Report.  If you are correct, contact your local ICAN group- they will have the BEST and excellent info for you!