VBAC after HELLP Syndrome? — The Bump

VBAC after HELLP Syndrome?

Hey - first time poster here.

I had emergency CS at 34w2d due to HELLP Syndrome (which came out of no where - pregnancy had been problem free. Went to ER due to pain and had CS right then and there.) almost 7 weeks ago. I had planned a natural delivery, so had done no research on CS and therefore obviously know nothing about VBAC.

TTC #2 is down the road a ways yet, but was wanting to read up on VBAC. Has anyone had a successful VBAC after HELLP Syndrome, Toxemia, or Pre-Eclampsia?


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Re: VBAC after HELLP Syndrome?

  • That sounds just like my story....I was planning a natural birth center birth...had to have biweekly NSTs due to DDs small size ( other than that totally healthy pregnancy) & told the nurse about my pain. Luckily she was concerned enough to press to dr to do blood work. The noticed all the signs of Hellp and I was crashing so fast I had to have an emergency csection that night at 36 weeks. I too hope to have a natural vbac (although will have to be in hospital next time) we plan to ttc again when DD is almost a year.  Would love to see the responses you get.  I def planned on posting the same type of question on the natural birth board closer to ttc.

     I studied hypnobabies the first time around and plan to do so again, they have a vbac script too. 

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  • I also had a c/s at 34w1d due to HELLP with DD. I'm now 34w3d (yay!!) with LO2 and Plan A is for me to have a VBAC. I had a long conversation with an MFM at the hospital around 23ish weeks, and he said that if I got HELLP again that I would have another c/s because it's standard of care in Germany (where I live) not to induce seriously ill women, and HELLP is considered a serious illness. But he said that as long as I don't get HELLP or develop other complications (breech, etc) there's no reason I can't have a VBAC. I had a low transverse incision, though, and that makes a big difference. With your emergency c/s did you need a vertical incision? I'm pretty sure VBACs are pretty much a no-go after a vertical.

    So far things are looking great, and my OB says he highly doubts I'm going to get HELLP this time around. It looks like my VBAC will be a go. Now I'm just freaking out because this LO's head is measuring 3 weeks ahead, above the 98th percentile... maybe a RCS isn't so bad after all ;-)

    Seriously, though, I wish you the best of luck and think you really just need to find a provider who will support you. The best indication of that would be not just what they say, but also recommendations from friends who have had VBACs with that doctor.

    BFP1: DD1 born April 2011 at 34w1d via unplanned c/s due to HELLP, DVT 1 week PP
    BFP2: 3/18/12, blighted ovum, natural m/c @ 7w4d
    BFP3: DD2 born Feb 2013 at 38w4d via unplanned RCS due to uterine dehiscence

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  • Thank you ladies for your responses!

    Kelly - Did you have to have more frequent appointments/ultrasounds with this pregnancy? My dr told me I'd be considered high-risk for next pregnancy, but I'm not sure what all that entails. I didn't need a vertical incision; I have a horizontal one about  3-4 inches long.

    Good luck to you with this pregnancy! Congrats on getting this far! 

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