Uterine Extension

missmodeste

Has anyone had or trying to have a vbac with a uterine tear?

I had an emergncy section after two hours of pushing (and trying foreceps) due to decels and I guess position. Since he was so far in the birth canal they had a hard time getting him out and I was told my uterus had ripped and I would always have to have a section. It caused me to lose a ton of blood but thankfully I didn't need a transfusion and we both made it out healthy.

I haven't investigated further as to where the tear is etc.yet but I'd love to attempt a vbac in the future as my recovery was so awful. As far as I know, my incision is a bikini cut (the scar is but not sure of the internal cut since it happened so fast). I had all these questions for my OB but for my 6 week pp appointment she got called out for an emergency section! Curious if a tear is considered a no-go...

Strawberrywine

Unfortunately I think you will have quite the hunt for a Dr who would take you on as a VBAC.

Once a uterine rupture, the chances of another are much higher. 

I'm a huge VBAC advocate, but in your shoes, I would definitely balance the health of the baby, you with a VBAC and RCS.

I'm sorry that you had to go through that. I hope you have a better experience with your 2nd child. Hugs!

lorryfach

I agree with PP that it doesn't sound very good for a VBAC. Almost everyone I've ever "met" online who has had an RCS has said that recovery from a planned one is significantly better than one that happened after laboring. Two hours of pushing and forceps makes me think you must have been recovering from more than just the section, so I'd think an RCS recovery in your case could be a lot better than what it was before. You might want to ask your OB about that and/or network with other women who have to have RCSs. I believe ICAN would be a good resource for that. If they don't have a chapter in your area, there are forums online as well.

iris427

I have a friend who had the same thing happen during her c/s.  She got mixed opinions on whether she could try a VBAC or not.  She did find one OB who said she would work with her on VBAC.  She is not pregnant again yet so I don't know what she will do but I think she's decided not to risk it and to have a RCS.

I think you definitely need to talk to your doctor and learn more about your specific situation.  

GL 

missmodeste

Thanks ladies for your input. So a tear during a c-section delivery qualifies as a rupture? It didn't spontaneously tear but rather tore against the cut because they had a hard time getting him out. At least this is how my doctor explained it right after the proceedure.

 I know I need more answers from my OB. I wish I would emotionally heal from this experience as I have from the physical. In time I guess.

 Thanks again. I'll update when I have more/better answers.

 

iris427

missmodeste:

 I wish I would emotionally heal from this experience as I have from the physical. In time I guess.

 

You'll get there.  You are only a few months out and it takes time.  A LOT of us have been there and it gets better.  

jen5-03

I have no idea, but you need to order your "operative report" from the hospital records department to find out. It will tell you what you need to know regarding the incision. And if you are switching OBs, it's what they'll want to see.