First OB meeting didn't go as I wanted it.

octbride2006

So I and DH discussed vbac to my ob and she was not very pro-vbac.  She was and she wasn't.  I just feel so bad right now because I feel if I stay with my practice, I will be off to the OR again.  Which I am fine with, but I would like another shot at a vaginal birth.  Then, to top things off, she basically sold DH on the scare tactic that if I do rupture during labor, the mortality rate is much greater.  I guess I have some more research to do and some figuring out.  I feel like I am being selfish or something.  I know I am not.  But, I can't help but feel that way.  Vent over.  thanks for listening.

rdhmama79

There's nothing selfish about wanting what's best for you and your baby.  VBAC is safer than RCS.  I'm sure some of the regulars on this board could point you in the direction of some good research.  I would be shopping around for a new OB.

nosoup4u

UR has about a .5% chance of happening. And when it does happen, only like 5% of UR are catastrophic. So your doctor is definitely trying to discourage you.

It's not selfish to try for a VBAC, it's just as valid an option as a repeat c-section.  One of the biggest reasons I planned a VBAC was because the risks associated with c-sections goes up the more you have. Now I don't know if we'll have a third baby, but I definitely am not comfortable with three c-sections.

Are you a member of your local ICAN? They can help point you towards providers who really do support VBAC. It seems like you at least want to attempt one, that alone is worth finding someone who will help you out with it. Good luck!!

some good links to check out:

https://www.childbirthconnection.org/article.asp?ck=10212

https://vbacfacts.com/2008/02/26/estimates-of-risks-of-uterine-rupture/

preg_amy

I'd find a new OB or MW. 

She's obviously trying to scare you out of a VBAC, because as the pp said, the rates of UR are really low, and the risk of maternal death from that are low within that category.  So there is an extremely small chance... minuscule.  And  comparing that to the risks of a RCS, it's nothing.

 

rena5498

I agree with the PP I would find a new OB or MW. They will say things to scare you when they are really not supportive of a VBAC because in reality they really cant say we dont support VBACS unless its banned from the hospital. So they find other ways to do it. There are just some practices that arent supportive and would rather do a RCS. I dont think your being selfish at all. What I went through with my first CS I would not want to experience again. There are risks as there are risks with any delivery. If you really want to attempt to have a VBAC I suggest finding a more supportive practice. They will say one thing now and later on when your almost due try and switch things up. I was told by my MW the risk of rupture is so very low.

papagena

Ditto pp's - I'd get (and I DID get) a new provider.  I went with a family practice doctor for my VBAC, in part because you're more likely to get your provider if you have a FP doctor.  Worked out perfectly!  check out your local ICAN list for suggestions.  I actually got the name of my provider from our pediatrician - she's pretty supportive in the birthing/natural baby community here.

chicsub

Definitely try to join your local ICAN group or at least get on a message board for one if you don't have one nearby.   I switched at 24w from one midwife/OB group to a group of midwives that were a lot further away and I never regretted it, especially once I was dx with GD b/c I know that would have been the nail in the coffin with the first group.  I also don't find VBAC selfish b/c my recovery has been a ton better, my DH can go back to work on Monday, I can participate in activities with DC#1 and take DC#2 to the pedi by myself yesterday since I can drive without pain.  Best of luck!

octbride2006

Thanks so much for all your responses.  I am really at a crossroads now.  I thank all you for your support!  I will think about going to another provider, one who is vbac friendly.  Of course, DH came to the appt and my OB basically sold him that VBAC is more dangerous.  Wish me luck... I'll keep everyone updated!!! : )

iris427

We had another thread recently talking about rupture and mortality rates, so I'm going to repost what I wrote for you.  Maybe you and your husband will find some of this information reassuring. I'd look for a new doctor.  Even if you aren't sure you want to VBAC, having a doctor who is truly supportive will let you make the decision that is right for you, knowing that you have both options open.

You actually have a much higher chance of dying from a repeat c/s than from a VBAC.  Maternal mortality rates for repeat c/s are 3x higher than maternal mortality rates for VBAC.  In fact, you're 4x as likely to die every time you get into your car than you are from a VBAC.The chance of a mother dying in a VBAC is far less than 1%.  If you have one prior, low-transverse incision the risk of uterine rupture is somewhere around 0.5%, depending on what study you look at.  Most of these ruptures do not result in the death of either the mother or baby.  The risk of the baby dying from a rupture is 20 fetal deaths per 100,000 mothers attempting a VBAC. Mothers dying from ruptures are so rare that the NIH couldn't even quantify it.Furthermore, if you get pregnant again, you will have a lower risk of complications or death in that pregnancy if you had a VBAC for your previous delivery.  This is because the more cesareans you have, the higher your risk of complications in your next delivery.  Some of these complications, like placenta accreta, can be deadly to the mother and they are linked to the number of prior cesareans that you've had.  So if you want to have three or more children, this is something to consider as well. Here's my source for this information:

https://consensus.nih.gov/2010/vbacstatement.htm#q3  

mrsgoodweather

Visit this place:

https://www.icanofnj.com/