Ob ok'd VBAC2C!

Nov5Mrs.

I'm cautiously optimistic. I'm not Pg yet, but had my yearly and we want to start trying for our 3rd and final baby next month. My OB said that given my history (first C/S was because DD was breech, 2nd because DS heartrate dropped too low for too long) that I could still try for a VBAC if the next pregnancy, labor, etc. progresses normally. She was honest and without me even prompting her, told me that only about half the OBs in the practice support VBA2C, but they would do it if she wrote in my chart that she had coulnseled me on the risks of uterine rupture. She said that that was the ONLY risk and that I was much healthier than many of her other patients with similar histories. She did say that there have not been "great" studies on VBAMC, but that there was only a slightly higher risk (2% risk over 1%) because I've had 2 and not just 1 c/s. Given how supportive she was of me VBACing for my last one, I can't say I'm too surprised, but since AGOG's guidlines regarding VBA2C are so new, I wasn't sure what to expect. She did say that she would probably want to schedule a c/s btw 40-41 weeks though and when I wanted to VBAC last time, she was willing to let me go 41 weeks, perhaps longer. Sigh. Good news. Not great since there's a chance that whoever is on call when I go into labor won't be VBA2C supportive. She did say that if I was 6 cm and the baby was low, that it would make it easier for them to let me try. I guess this was her way of saying to stay home as long as possible. The only bad news is that I asked about my uterine stitching and I guess that I only had a single layer of suchres rather than double, but she totally blew that off and didn't think it was an issue. So...a small shed of hope for me!

je2161

Congrats on the hopeful news! I understand how the doctor visit seemed bittersweet, because she won't let you go past 41 weeks and the other OBs aren't as VBAC-friendly, but at least your OB is somewhat supportive.

Since both of your cs's were due to fetal indications (breech baby & fetal distress), that does make you a better candidate than someone whose cs was due to maternal indications (such as FTP).