What happens if you rupture

cottonlily84

I'm not at the point of TTC again yet but I feel we will have another baby.  I DEFINITELY want to have a vbac and honestly am not that worried about trying.  I was dead set to have a natural birth the first time and I still feel that way.  But my friend and I were talking yesterday and she said she decided to have a rcs because her dr said if he wouldn't guarantee his sewing skills ( and if she ruptured pushing she would "bleed to death".  Is there any truth to that?  Or is it just one of those outrageous things OBs tell you to scare you into doing what they want?  If you're in the hospital pushing, 20 feet from an OR suite how can a dr say you're surely going to bleed to death if you rupture?

hopecounts

He's an idiot and I'd find a new Dr. even if I wanted a RCS.

If his surgical skills aren't good enough for an emergency CS they aren't good enough period.

If she's at a hospital most OBs can have the baby out and be stitching her up in 5 minutes in an crash emergency CS. Which is plenty of time to deal with it and save mom and baby, that's why OBs are taught how to do it that fast if necessary.

Heck in my non Emergency with DD we went from calling it to stitching me up in 20 minutes. Most of that time was upping my Epi so in an emergency with GA I'd say they could have had her out in 5-10 easy. She was deceling so they were hurrying but it wasn't a real emergency. 

From my reading most ruptures end with nothing more than an emergency CS and a healthy mom and baby. There's a reason ACOG Recommends VBAC over RCS.

there is some risk of death for mom with VBAC but it is significantly lower than a RCS (I think I read 1/3 lower but can't remember where). It's slightly higher for the baby but by something like .2% higher than with a RCS.

MAprincess

PP is correct that you are three times as likely to die during a c/s than a VBAC.  My midwife assured me that she could have the baby out in 8 minutes if it looked like I ruptured.  She said that they NEEDED to get the baby out in 20 to ensure no one was harmed.  I was confident in the skills of the people at the hospital and knew I was in good hands.  As pp stated, even with the small risk of rupture, the actual number of ruptures that end in injury/death are a tiny fraction of the ruptures.  People forget that a c/s can result in death also.

That said, ACOG does recommend VBAC over c/s because it is generally the safer way to go.

KSTAR99

There are signs to look for if you are rupturing...usually noticed before it happens.  A spontanous rupture is usually not the case. The increased risk for rupture during a VBAC is why they usually place you in a bed close to the OR.  It is possible to get the baby out within 5-10 mintues...so I wouldnt worry.

iris427

Wow.  I am actually shocked that your friend's OB said that.  She should start looking for a doctor, because he flat out just told her that he sucks.  Emergencies and hemorhhages can happen to anyone, not just VBAC moms, and if he isn't prepared to handle them, he shouldn't be doing deliveries.

Maternal death rates from VBAC are incredibly low.  You are more likely to die in the car on your way to the hospital thn die from a uterine rupture--not to mention you are around 3x more likely to die during a RCS than a VBAC. Postprtum hemorrhage rates and hysterectomy rates are no higher with VBAC than they are with RCS. 

UR does carry an increased risk of death for the baby.  But we are talking very small numbers.  And the majority of ruptures can be handled quickly enough to make sure no one is seriously injured.  

If you want the numbers, go look up the NIH VBAC Conferernce on Google and read their final statement.  It provides cold hard stats for everything I said here.  I would link it for you but I am on my ipad.  And sorry about all the typos here.  

nosoup4u

Oh jeez, that guy sounds like a total weasel. WTF is he an OB if he can't "guarantee his sewing skills"? aaaah!

Anyhoo, what everyone else said about the risks of UR. Hope she finds a new doctor.

MrsVictoriaB

What an awful doctor! My OB told me he had a really severe rupture once during a VBAC but although scary, he was able to get mom and baby safely through everything by doing an emergency c-section and they are both doing great today! So even in the worst circumstances, most still come out fine anyways!

shunt1983

one of the biggest indicators of vbac sucess is the doctor.  rupture most of them occur being induced, while you can still be induced and have a vbac.  find a pro vbac doctor.  besides an eruption while painful just means they need to act quickly you dont bleed to death. my vbac babyds had a 13.5 inch head pushed for 2 hours, im super petite normally i weigh 100lbs 5'2.   problem with vbacdoctors need tobe there the whole time some just dont want to do that.  usually rupture before pushing anyways.