C-sections

Do you have to get a C section 2nd time?

I had emergency c-section with first.  I am 8 weeks pregnant today with my second.  Do you have to have a c-section for second birth?  Can I do VBAC or will they push for C-section.  I heard once you have one c-section rest of your kids will be a c-section.

Re: Do you have to get a C section 2nd time?

  • Not  necessarily. I would talk to your doctor. I am planning for a VBAC. There is also a VBAC board where you can ask questions.
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  • Depends on your doctor and your situation. My doc will not do a vbac because he said that my anatomy will not allow me to have a vaginal birth and he doesn't want me or my next baby to go through what happened the first time. You might be a completely different story!
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  • You can absolutely try for a vbac if 1) your doctor is supportive of vbac (or your find one who is) and 2) you are a good candidate.

    If you always had to have c/s after the first, the phrase vbac (vaginal birth after cesarean) wouldn't exist.

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  • Where I live there are some OB's/Hospitals that will not allow VBACs under any circumstances. Once a c-section always a c-section at one particular hospital here that I know of for sure.

    My OB and the hospital I deliver at allows VBAC's but only after one c-section.  I've had two c-sections so she won't allow me to have a VBAC with this third baby (I wouldn't want one anyway).  

    As PP said, it also depends on if you're a good candidate.  My first was breech and I had no other issues, so I would have been good to try a VBAC.

  • Nope, no need for another c/s if you've had one. Most women are good candidates, in all honesty. A huge factor in VBAC success is how much your provider supports your decision, so finding someone who's pro-VBAC is important.

    This is a good overview about VBAC vs. c/s: https://www.childbirthconnection.org/article.asp?ck=10211&ClickedLink=293&area=27

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  • imagekkee08:
    I had emergency c-section with first.  I am 8 weeks pregnant today with my second.  Do you have to have a c-section for second birth?  Can I do VBAC or will they push for C-section.  I heard once you have one c-section rest of your kids will be a c-section.

    If you believe what you hear that once you have a c/s the rest have to be a c/s, why do you think there's such thing as a vbac??

     

     

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  • Talk to your doctor about your options.  As PP's said you do have an option to VBAC if it is allowed by hospitals, doctors, etc and you are a good candidate.

    You have to look at the reasons your first resulted in a CS.  For me it was GD and HBP which necessitated an induction.  My failed induction resulted in CS.  For my next go-round it will depend on my BP and if I get dx with GD again.  If I do not have those issues, I will attempt to go as long as I can and try a VBAC.  If I do have those issues, my health is at stake and I will do a repeat CS.  

    So it all depends, but you do have options! 

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  • Check with your OB. If you have a traditional cut on the inside (horizontal) you should* be able to have a VBAC. If you have the old style cut on this inside (vertically) you may not.

     

    * again check with your ob

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  • My first daughter's birth was an unplanned c-section. My second daughter's birth was a successful VBAC. If you want a VBAC, talk to your OB. If your OB doesn't seem supportive, seek a second opinion. Look for OBs/MWs in your area that are known to be VBAC supportive. I'd also check out what your hospital's policies are for VBACs. Some are great. Some are very restrictive. Do some research. Compare risks for repeat c-sections vs VBAC to make sure you feel comfortable with either decision. Ask questions on the VBAC board. There are some really great and supportive women on there. 


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  • I was induced at 38 weeks.  My Dr. is supportive of a VBAC if the conditions are right meaning I need to go in to labor on my own (no induction).  This is unlikely due to health issues that will probably mean delivering before my due date but I am holding out hope.
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  • I live in rural Wyoming in a very small town, population 9,000. At our hospital, their policy is once a c-section always a c-section only because they don't have the capability to take care of mom and/or baby if something goes wrong. With DD2, my OB said i could try for a VBAC..... if I drove 2 hours to the hospital that would allow it... Ya right. So it was a second c-section for me.

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  • A VBAC is a very real option, although you may need to switch doctors if yours is not supportive (having a supportive OB or midwife is critical). I was not considered a good candidate and given 20-25% chance of success but did have a successful VBAC and am hoping for another in February. My OB was willing to do a pitocin induction because I had begun to dilate/efface on my own and I didn't need cervadil (which is contraindicated in VBAC, pitocin is not).

    I had a reasonably easy recovery from my c-section but the VBAC was still far easier on me and I'm glad I chose that route and hope I am successful with it this time as well. It's not for everyone, but I personally felt that if I could avoid a surgery I wanted to try. I would suggest looking up the ICAN network and looking at the ACOG recommendations, which support trying for VBAC rather than opting for a c-section for most women.

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