Planning a Cesarean

Genese1980 · August 2010

Good Morning Ladies,

I just got off the phone with my doctors office, and it has come to my attention that they do not do VBAC. So with this being said is that common not to be able to deliver or at least try to have a natural birth? I had a really hard recovery time dealing with a home health care nurse having to come to my house and change my padding. After my cesarean scar slip open 2 days after giving birth. I just cant imagine going threw that agian. Would you ladies look for another doctor? Or just deal with it. Thanks

staycee · August 2010

if you want to try for a VBAC, I'd meet with new docs that do offer it and at least have a consultation to see if it's possible to try for in your case.

beachbum28 · August 2010

If it is possible for you to look for another Doc I would....with that said I'm having a repeat c-section and my docand hospitals do VBAC's but I had a very hard birth and didn't mind the c-section and had a great recovery!

magdalina.h · August 2010

I would look for a new dr.

G+J=BabyK · August 2010

staycee:
if you want to try for a VBAC, I'd meet with new docs that do offer it and at least have a consultation to see if it's possible to try for in your case.

Ditto

BabyLouLou · August 2010

I?m getting a repeat c-section this pregnancy as I don?t want to deal with the risks associated with VBAC...plus I?ll get extra maternity leave so that can?t be a bad ;p When I had my first c-section with my twins I was RELIEVED because I was horrified to ?push? two babies out. Sadly I went through a lengthy labor and THEN had to c-section anyway but this time we have a *scheduled* c-section so I'm much more at ease knowing I won?t (hopefully) have to labor @ all and It will be less trauma to the baby. ( My psychic says birth is more traumatizing than death and this I believe!)

Jen1231 · August 2010

If you really want to attempt a VBAC then I would find a new Dr.

kcisthebombdotcom · August 2010

I am planning a repeat c-section. However, I had a very easy recovery with my first. If I really wanted a VBAC, I would find another doctor.

thebigmare · August 2010

BabyLouLou:
I?m getting a repeat c-section this pregnancy as I don?t want to deal with the risks associated with VBAC...plus I?ll get extra maternity leave so that can?t be a bad ;p When I had my first c-section with my twins I was RELIEVED because I was horrified to ?push? two babies out. Sadly I went through a lengthy labor and THEN had to c-section anyway but this time we have a *scheduled* c-section so I'm much more at ease knowing I won?t (hopefully) have to labor @ all and It will be less trauma to the baby. ( My psychic says birth is more traumatizing than death and this I believe!)

It's actually BETTER for the baby to labor! Pushing through the birthing canal gets their little lungs to work better!

violetvilla83 · August 2010

There is a less than 1% risk of uterine rupture with a vbac. The ACOG updated their vbac policy last month

https://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm

Pretty much doctors should be helping patients make informed decisions about vbacs. You should at least get a trial of labor.

Maybe try contacting your local ICAN chapter or a doula to see if they can help you find an alternative provider.

thebigmare · August 2010

Futuremomof3:
Good Morning Ladies,
I just got off the phone with my doctors office, and it has come to my attention that they do not do VBAC. So with this being said is that common not to be able to deliver or at least try to have a natural birth? I had a really hard recovery time dealing with a home health care nurse having to come to my house and change my padding. After my cesarean scar slip open 2 days after giving birth. I just cant imagine going threw that agian. Would you ladies look for another doctor? Or just deal with it. Thanks

You have the right to have a VBAC. It's better for you and better for baby. There was a post regarding this yesterday, I believe, with lots of great links.

violetvilla83 · August 2010

thebigmare:
It's actually BETTER for the baby to labor! Pushing through the birthing canal gets their little lungs to work better!

Looks like we cross posted.

This and it's also better for the mom to get the natural hormones from labor.

thebigmare · August 2010

violetvilla83:
There is a less than 1% risk of uterine rupture with a vbac. The ACOG updated their vbac policy last month
https://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm
Pretty much doctors should be helping patients make informed decisions about vbacs. You should at least get a trial of labor.
Maybe try contacting your local ICAN chapter or a doula to see if they can help you find an alternative provider.

This.

thebigmare · August 2010

violetvilla83:
There is a less than 1% risk of uterine rupture with a vbac. The ACOG updated their vbac policy last month
https://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm
Pretty much doctors should be helping patients make informed decisions about vbacs. You should at least get a trial of labor.
Maybe try contacting your local ICAN chapter or a doula to see if they can help you find an alternative provider.

This.

thebigmare · August 2010

violetvilla83:
thebigmare:
It's actually BETTER for the baby to labor! Pushing through the birthing canal gets their little lungs to work better!
Looks like we cross posted.
This and it's also better for the mom to get the natural hormones from labor.

Great minds think alike.

I have a friend who had 2 c-sections, but is determined to have a VBAC with her third. I've read a lot of the research that she's put on her blog about c-sections. The trend is very disturbing to me. Read the other day that if you are induced, you have a 50% greater chance of a c-section. C-sections shouldn't be scheduled for the benefit of doctor's or mom's schedules. It should only be when medically necessary.

cranberry27 · August 2010

It also may be a hospital policy - find that out so you know where to start looking if you do want a new doctor. You need both a doctor and a hospital that will do it, AND you need to personally qualify for a VBAC. It can depend on why you had the original c-section and what kind of incision you had, I believe. I would look into all of these things and have a consult with somebody else before you totally dump your doc (if you like them). It may be out of their hands.

BabyLouLou · August 2010

thebigmare:
BabyLouLou:
I?m getting a repeat c-section this pregnancy as I don?t want to deal with the risks associated with VBAC...plus I?ll get extra maternity leave so that can?t be a bad ;p When I had my first c-section with my twins I was RELIEVED because I was horrified to ?push? two babies out. Sadly I went through a lengthy labor and THEN had to c-section anyway but this time we have a *scheduled* c-section so I'm much more at ease knowing I won?t (hopefully) have to labor @ all and It will be less trauma to the baby. ( My psychic says birth is more traumatizing than death and this I believe!)
It's actually BETTER for the baby to labor! Pushing through the birthing canal gets their little lungs to work better!

I meant natural birth is more traumatizing spiritually and emotionally. Terrifying for baby. And cesarean is quick and easy with minimal trauma to baby and you?ve got a team of pros around you regardless , incase baby had issues breathing which is not the ?norm? Plus if my uterus ruptures during pushing, baby and I could BOTH die...I don?t want to risk it and having had a previous cesarean I feel comfortable with it.

violetvilla83 · August 2010

BabyLouLou:
thebigmare:
BabyLouLou:
I?m getting a repeat c-section this pregnancy as I don?t want to deal with the risks associated with VBAC...plus I?ll get extra maternity leave so that can?t be a bad ;p When I had my first c-section with my twins I was RELIEVED because I was horrified to ?push? two babies out. Sadly I went through a lengthy labor and THEN had to c-section anyway but this time we have a *scheduled* c-section so I'm much more at ease knowing I won?t (hopefully) have to labor @ all and It will be less trauma to the baby. ( My psychic says birth is more traumatizing than death and this I believe!)
It's actually BETTER for the baby to labor! Pushing through the birthing canal gets their little lungs to work better!
I meant natural birth is more traumatizing spiritually and emotionally. Terrifying for baby. And cesarean is quick and easy with minimal trauma to baby and you?ve got a team of pros around you regardless , incase baby had issues breathing which is not the ?norm? Plus if my uterus ruptures during pushing, baby and I could BOTH die...I don?t want to risk it and having had a previous cesarean I feel comfortable with it.

There are varying degrees of uterine rupture. You can have a small one that is similar to a tear and doesn't actually open the uterus. From what I've read it's still considered a u/r. You could also have a full blown rupture like you are describing, and I've heard this is rare! The less than 1% u/r rate includes all types of ruptures. Considering that vbac is as safe as a first time mom going for a vaginal birth, I am having one.

Also,

"The College guidelines now clearly say that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC," (from the link I posted above)

PurpleK26 · August 2010

I didn't have a c/s, so my opinion may not matter, but I'd never attempt a VBAC. I believe that if mosts dr.s won't do them, there's a reason. And since they are the ones with medical degrees, I'll trust them. I also think that you should talk to the dr. who actually did your c/s and saw you for follow-up. If they personally don't think it's safe for you to do a VBAC, whether they do them or not, I'd listen to them.

wall0307 · August 2010

I'd look for another hospital.

wall0307 · August 2010

PurpleK26:
I didn't have a c/s, so my opinion may not matter, but I'd never attempt a VBAC. I believe that if mosts dr.s won't do them, there's a reason. And since they are the ones with medical degrees, I'll trust them. I also think that you should talk to the dr. who actually did your c/s and saw you for follow-up. If they personally don't think it's safe for you to do a VBAC, whether they do them or not, I'd listen to them.

I don't think it's that most doctors won't do a c-section because of the risks. I believe they don't do them because the hospitals have a policy against them. The hospitals have the policies so they don't have to have to spend the money on extra insurance. It's all a matter of money for the hospitals and doctors. Not what is best for the patient.

7/04Bride · August 2010

I'd find another doctor. I'm pretty sure I want a VBAC.

violetvilla83 · August 2010

I agree with wall0307. I don't think doctors don't do vbacs because of risks, it's because of hospital "policy" or the hospital doesn't have the immediately available staff. The ACOG is wanting patients and dr/mw to work with hospitals in this situation. Also, insurance is a big issue too. A lot of people don't realize that you don't have to do exactly what the doctor tells you. It is still your choice to make an informed decision about your medical care. You hired the doctor, not the other way around. You also cannot be turned away from a federally funded hospital while in labor because you don't want a c/s. If a doctor isn't comfortable with a vbac they should be referring you to someone who does them. It's so sad women don't know their choices. Someone at my work told me "once a c/s always a c/s" before she had hers and she didn't believe me when I told her she was wrong.

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