C-sections

2nd c-section

My doctor asked me if I wanted to try a vaginal birth or have another c-section.  With my first child I had an emergency c-section after being in labor for 20 some hours because he was too big.  He told me the cons and pros of both and explained to me that trying to have a vaginal birth would have an 80% possibility of going wrong by having another emergency c-section or even loosing the ability of having more children.  I never wanted to have c-sections but things happen and I understand, but this is making me panic! Have you been told the same things? or was it just this doctor? 

TIA

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Re: 2nd c-section

  • This is just me personally but if my Dr told made a recommendation I would follow it. You can always see what another Dr or practice can do for you in terms of a VBAC if you really want one. But just me personally since I have had my Dr for years I would trust her for my care. After my CS my Dr told me that she recommends repeats for future babies based on the reasons I had my first CS. 

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  • Yeah I'm going to follow his recommendation, but I didn't know having a vaginal birth after c-section was so serious! 

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  • It sure scares me! The VBAC board has tons of success stories.
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  • I'm not even attempting Vbac. If there is any risk at all, I'd rather LO and I be safe. The "satisfaction" of having a vbac doesn't appeal to me in the slightest. 
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  • imageLesleyH11:

    Yeah I'm going to follow his recommendation, but I didn't know having a vaginal birth after c-section was so serious! 

    it completely depends on the reasons you had a c-section in the first place. for example, a friend of mine was a good candidate for VBAC because the position of her baby was on reason a c-section was warranted the first time. unlikely to be the cause again. my c-section was due to baby's size, i'm likely to have the same issue and therefore a VBAC would be more dangerous for me.  

  • I'm not a candidate for VBAC, but I would get a second opinion. Your OB may not be VBAC friendly. Of course things can happen and you need to be informed, but how I read it, was that he was scaring you with the information.
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  • imagemagdalina.h:
    I'm not a candidate for VBAC, but I would get a second opinion. Your OB may not be VBAC friendly. Of course things can happen and you need to be informed, but how I read it, was that he was scaring you with the information.

    I agree with this.

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  • imageashcart01:
    I'm not even attempting Vbac. If there is any risk at all, I'd rather LO and I be safe. The "satisfaction" of having a vbac doesn't appeal to me in the slightest. 

    RCS and VBACs are equally risky, but in different ways.

    imageLesleyH11:

    He told me the cons and pros of both and explained to me that trying to have a vaginal birth would have an 80% possibility of going wrong by having another emergency c-section or even loosing the ability of having more children.

    OP - did you doctor say you have a 20% chance of success with a VBAC? And that your chances of having a hysterectomy are higher with a VBAC vs. a RCS? If you are interested in VBAC, I would definitely get a second opinion, because both of those statements are scare tactics to keep you from wanting a VBAC. 

    The chance of having a successful VBAC is more like 75%, and the chance of a catastrophic uterine rupture (in which the woman has a hysterectomy and/or the baby gets hurt or worse) is incredibly small.

    This is a good link with info about VBAC and RCS: https://www.childbirthconnection.org/article.asp?ck=10213&ClickedLink=293&area=27

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  • imagenosoup4u:

    OP - did you doctor say you have a 20% chance of success with a VBAC? And that your chances of having a hysterectomy are higher with a VBAC vs. a RCS? If you are interested in VBAC, I would definitely get a second opinion, because both of those statements are scare tactics to keep you from wanting a VBAC

    The chance of having a successful VBAC is more like 75%, and the chance of a catastrophic uterine rupture (in which the woman has a hysterectomy and/or the baby gets hurt or worse) is incredibly small.

    Agreed.  I'm so sorry he said that to you, regardless of what method you'd prefer.  Definitely get another opinion if VBAC is something you are considering/curious about.

    If he's not supportive of VBAC, that is what he needs to tell his patients so they can find a doctor who is.  Not scare the daylights out of them in order to get them to agree to an RCS.

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  • I totally agree with everything you're saying!  VBACs are great for woman who can safely have them, but if there's a chance something would go wrong and endanger the life of your baby or you, why would you want to take that risk?  I understand exploring options is important, but if my doctor said that there was an 80% chance something would go wrong, I would def. listen up.

    But I always say, to each their own.  Do what is right for you, your family, and your situation.

    Good luck!! 

  • My hospital does not do VBACs but my doc was happy to refer me to another hospital/OB if I wanted to try. I told her my concerns based on DS's labor and she agreed that I was not a great candidate for a VBAC but it wasn't a RISK - just probably the outcome of a 2nd c-section.

     

    I think if your doctor can answer your direct questions and make you feel confident, go with whatever choice makes the most sense to you. I never intended to have a c-section with DS but luckily had about 48 hours notice that would be our likely outcome. I think just having time to come to terms with and prepare for the outcome probably helps mama out more than anything.

     

    Either choice means you are a mom and you have a healthy baby. Isn't that truly the outcome you want - not which direction the baby came out? 

  • imagepiglet6609:
    imageLesleyH11:

    Yeah I'm going to follow his recommendation, but I didn't know having a vaginal birth after c-section was so serious! 

    it completely depends on the reasons you had a c-section in the first place. for example, a friend of mine was a good candidate for VBAC because the position of her baby was on reason a c-section was warranted the first time. unlikely to be the cause again. my c-section was due to baby's size, i'm likely to have the same issue and therefore a VBAC would be more dangerous for me.  

    I agree with this.  A friend of mine was also a good candidate for VBCA b/c her first baby was breech.  And just as Piglet had a c-section due to baby size, mine was for that same reason.  I was planning on having a vaginal delivery with my 1st one, the doctor's not knowing it was going to be a problem...but after 18 hrs of labor and only dilating to 6 cm....the doctor finally said I needed a c-section as the baby's head started swelling b/c it wouldn't fit.  She ended up being 9lbs, 4oz.  So when I talked to them briefly about this 2nd baby, it really just made sense that I would have to have another c-section again...I mean, what are the odds that this baby is so much smaller??  Probably not very good, so as much as I didn't want to do another c-section as I would just like to experience a vaginal delivery, looks like another c-section for me.

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