Who on here is planning for a VBAC or have any of you

MrsMissyEbner · June 2009

had more than one c-section and plan on having a VBAC? Would love to hear your thoughts on this ladies. I have had two c-sections. First one because my son was breech second one my second son was transverse.

prettyshoes · June 2009

As far as I know, most OBs will not consider you a candidate for vbac if you've had more than one section.

MrsMissyEbner · June 2009

Actually thats incorrect. I already talked to my Dr & they CAN'T deny me. Its my body. I have done a LOT of research and trust me there are MANY more risks with multiple c-sections than a VBAC.

prettyshoes · June 2009

I guess all OBs are different because mine just told this would be my last chance. If I have section #2, he said most OBs wouldn't touch me for a vbac. I've never heard of an OB not being allowed to deny someone a vbac- sounds a little crazy to me. The OBs job is to asses each patient for risk and if he/she feels it's too risky, they have every right to say no to a vbac. Although the risk is small, I would rather not have a uterine rupture and lose my uterus altogether. And why are you being so defensive? You asked a question and I gave you the answer that I was given by my OB.

MrsMissyEbner · June 2009

no no I am not trying to be defensive. Sorry if I came off that way. Every state / hospital is different. There are hospitals that won't do VBAC's at ALL. Which is sad -- I think everyone deserves that opportunity.

MrsMissyEbner · June 2009

I think its more of a "At your own risk" kind of thing. My hospital is set up so that is if anything were to go wrong then they have an open OR ready for that kind of situation.

prettyshoes · June 2009

Some hospitals can't do vbacs because they don't meet the requirements to do so. The AMA recommends that all hospitals doing vbacs have an in house OB on call at all times (meaning in the hospital in scrubs ready to go 24/7) and an OR team in house 24/7. Most small hospitals (including mine) do not have the staff or the money to have that available. Although it would be nice for all section mammas to have the chance to vbac, sometimes it's just not wise. Again, the risks of uterine rupture are small but it could kill you or at the best case, take your uterus.

MrsMissyEbner · June 2009

I understand what your saying but honestly with all the research I have done your more likely to bleed out or loose your life on the table when having a c-section.

C-sections are much more risky & even the studies say so. The statistics are proof. You have less than a 1% chance of anything going wrong with a VBAC and with a c-section you can't get any less than 5% -- risks are usually above and beyond 5%.

MrsPreK · June 2009

My hospital is the biggest in our area and has the requirements for VBACS (they used to do them all the time). They recently changed their policy though, once a c/s, always a c/s at this point.

They swing on a pendulum I'm sure though.

The next nearest (bigger) hospital is about 2 hours away and they do allow VBACS.

Kendall13 · June 2009

I'm curious as to why you asked for opinions when it seems really clear that you have already made up your mind... and don't really want to hear other people's thoughts.

If you had said, "I'm going for a VBAC" everyone would have just said "good luck".

MrsMissyEbner · June 2009

I guess I am just looking for other ladies on here that are thinking about doing a VBAC or who have had multiply c-sections and are going to try for a VBAC. I like to hear success stories.
If I'm not confident about my decision I am not going to be doing anyone any good. I am not trying to come off rude honestly. I just wanted to hear some other ladies success stories thats all...

JCM083009 · June 2009

This is my first, but I just wanted to say good for you! It sounds like you've done your research and understand all the pros and cons of each, which is important. Have you seen this site? https://www.unnecesarean.com/vbac/

You might find that interesting if you haven't seen it before. Good luck! I am a big believer in VBACS in most cases after seeing some of the same stats and evidence you mentioned.

ToledoDeux · June 2009

prettyshoes:
Some hospitals can't do vbacs because they don't meet the requirements to do so. The AMA recommends that all hospitals doing vbacs have an in house OB on call at all times (meaning in the hospital in scrubs ready to go 24/7) and an OR team in house 24/7. Most small hospitals (including mine) do not have the staff or the money to have that available. Although it would be nice for all section mammas to have the chance to vbac, sometimes it's just not wise. Again, the risks of uterine rupture are small but it could kill you or at the best case, take your uterus.

What you're listing is a (heavy-handed) recommendation of ACOG, NOT a "requirement." It's de facto turned into a requirement because insurance companies have taken this to deny most OBs the cover of doing VBACs, which is a damn shame.

And I find it so odd that we can even talk about "denying" VBACs. Vaginal birth is not a procedure, it's a physiological process - it would be like "denying" someone a bowel movement.. Denying VBACs essentially means forcing a woman into a surgical procedure. It's more than a little disturbing that this is so accepted by so many women.

JCM083009 · June 2009

ToledoDeux:
prettyshoes:
Some hospitals can't do vbacs because they don't meet the requirements to do so. The AMA recommends that all hospitals doing vbacs have an in house OB on call at all times (meaning in the hospital in scrubs ready to go 24/7) and an OR team in house 24/7. Most small hospitals (including mine) do not have the staff or the money to have that available. Although it would be nice for all section mammas to have the chance to vbac, sometimes it's just not wise. Again, the risks of uterine rupture are small but it could kill you or at the best case, take your uterus.
What you're listing is a (heavy-handed) recommendation of ACOG, NOT a "requirement." It's de facto turned into a requirement because insurance companies have taken this to deny most OBs the cover of doing VBACs, which is a damn shame.
And I find it so odd that we can even talk about "denying" VBACs. Vaginal birth is not a procedure, it's a physiological process - it would be like "denying" someone a bowel movement.. Denying VBACs essentially means forcing a woman into a surgical procedure. It's more than a little disturbing that this is so accepted by so many women.

Well said and good point. It IS quite odd when you really think about it.

MKE6115 · June 2009

I just had a VBAC last week. I only had one previous c-section though. I posted my birth story today..let me know if you have any specific questions and I could try to answer them.

618mom22boys · June 2009

I am just lurking. But I just have to say that I have had both types of deliveries and my last was a section. When we get pregnant with #3 I really want a VBAC. I do know in the end I might end up needing another section . But I have already decided that I will search and search for a doctor and hospital that will do one.

iris427 · June 2009

ToledoDeux:

prettyshoes:
Some hospitals can't do vbacs because they don't meet the requirements to do so. The AMA recommends that all hospitals doing vbacs have an in house OB on call at all times (meaning in the hospital in scrubs ready to go 24/7) and an OR team in house 24/7. Most small hospitals (including mine) do not have the staff or the money to have that available. Although it would be nice for all section mammas to have the chance to vbac, sometimes it's just not wise. Again, the risks of uterine rupture are small but it could kill you or at the best case, take your uterus.

What you're listing is a (heavy-handed) recommendation of ACOG, NOT a "requirement." It's de facto turned into a requirement because insurance companies have taken this to deny most OBs the cover of doing VBACs, which is a damn shame.

And I find it so odd that we can even talk about "denying" VBACs. Vaginal birth is not a procedure, it's a physiological process - it would be like "denying" someone a bowel movement.. Denying VBACs essentially means forcing a woman into a surgical procedure. It's more than a little disturbing that this is so accepted by so many women.

Yes

If a hospital is not equipped to handle a VBAC, it's not equipped to handle any emergency in childbirth, period. If they can't do an emergency c/s for a VBAC attempt, what do they do if a baby's cord prolapses? What if a baby goes into sudden distress? You can either do emergency cesareans or you can't. It doesn't matter if the mom is trying a VBAC.

JCM083009 · June 2009

iris427:
ToledoDeux:

prettyshoes:
Some hospitals can't do vbacs because they don't meet the requirements to do so. The AMA recommends that all hospitals doing vbacs have an in house OB on call at all times (meaning in the hospital in scrubs ready to go 24/7) and an OR team in house 24/7. Most small hospitals (including mine) do not have the staff or the money to have that available. Although it would be nice for all section mammas to have the chance to vbac, sometimes it's just not wise. Again, the risks of uterine rupture are small but it could kill you or at the best case, take your uterus.

What you're listing is a (heavy-handed) recommendation of ACOG, NOT a "requirement." It's de facto turned into a requirement because insurance companies have taken this to deny most OBs the cover of doing VBACs, which is a damn shame.

And I find it so odd that we can even talk about "denying" VBACs. Vaginal birth is not a procedure, it's a physiological process - it would be like "denying" someone a bowel movement.. Denying VBACs essentially means forcing a woman into a surgical procedure. It's more than a little disturbing that this is so accepted by so many women.

If a hospital is not equipped to handle a VBAC, it's not equipped to handle any emergency in childbirth, period. If they can't do an emergency c/s for a VBAC attempt, what do they do if a baby's cord prolapses? What if a baby goes into sudden distress? You can either do emergency cesareans or you can't. It doesn't matter if the mom is trying a VBAC.

I had not thought of that either, but another really good point. Regardless of the VBAC issue or not, that is scary to think about!

Fluffy · June 2009

I am planning a VBAC homebirth with a CNM. If you're looking for support I suggest you try mothering.com, where there are a lot of moms who are interested in VBAC and are quite knowledgeable. The site also has a lot of information. Good luck.

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