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New and question (wordy)

campash29campash29 member
in VBAC

Hello all,

 I just discovered your board after being a long-time lurker at baby names. I am pregnant with my 2nd, and my OB has a policy against VBACs. I live in a large city (San Diego) and the hospital I plan to deliver at allows them. I am strongly considering switching OBs, but I am nervous that I'll have to have an emergency c-section in the end anyway. I've heard that OBs often won't let you go past your due date if you want a VBAC. Is that true? Also, does anyone have a good resource for looking at the real risks of VBAC vs. repeat CS? Thanks.

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Re: New and question (wordy)

  • papagenapapagena member

    I'd really recommend changing OB's.  I'm SO happy to have switched providers.  Honestly, in part, just because after the possibly rushed c/s call, I didn't really totally have that trust in her anymore, and really wasn't pleased with how quickly it seems she made the decision without discussion.  I found someone who I knew no matter what (c/s or VBAC) would let me have more time to think it over (mine was not an emergency) and have more input into my care.  Sorry - that got long - but in a way, I'm just trying to say it was more than finding just a VBAC friendly doctor, but also finding one who was more of a partner with me in my care.

    Both my old OB and my new doctor will let me go to 41 weeks without any questions.  Beyond that I'll probably have to push a bit more, but I am willing to do that, and am pretty sure that my doctor will let me with monitoring.  Depends on the practicioner, but it's not uncommon to get a bit of time past your EDD.

    I don't have a good link, but check out the ICAN website and American College of Gynecology.  From everything I've read, risk of uterine rupture with an un-induced VBAC is only 1%.  I even read something last night that said that 75% of uterine rupture cases occur in women who have never had abdominal surgery of any kind, and even a portion of VBAC cases, rupture occurs on an area other than the scar, which means the prior c/s has nothing to do with it.  That book is a bit outdated, so those statistics would be from the mid 90's. 

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  • nosoup4unosoup4u member

    Switch providers if you want a VBAC, no question. I was told the policy at my hospital/with my midwife group was to have a repeat c-section at 41 weeks, but it ended up that my MW asked me if I wanted to be induced at 41 weeks, I said no, and she left it at that. I officially went to 41w4d with DS2, but my due date was fuzzy this whole pg, and I honestly think I was 42w, if not a few days over. Long story short, you can refuse a repeat c-section or induction if you go past 40/41/42 weeks!

    Some good links I like:

    www.vbacfacts.com

    https://www.childbirthconnection.org/article.asp?ck=10210

    https://givingbirthwithconfidence.org/birth/a-womans-guide-to-vbac/

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

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  • tmp-406157062502221tmp-406157062502221
    I would also switch OB's. I did and am so glad I did. I had an OB in the beginning who would not let me go past my due date, wouldn't let me try VBAC with a large baby (which was likely since my first was 10 lbs 1 oz), and just seemed a little sketchy all around. I switched OB's at 28 weeks and it was the best decision ever. He let me go past my due date AND I delivered a 9 lb 15 oz baby with no issues at all. Good luck with your decision!
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  • JoelsGirl07JoelsGirl07
    I would switch. As much as the ACOG is a joke (read Born in the USA), their current recommendation is VBAC.
    The Knot won't share my Bump Siggy, so here's the low-down: 4/27/07 - Got engaged! 8/31/08 - Got married (to my best friend)! 12/30/08 - Got Pregnant! 9/3/09 - Welcome to the world, Elias Solomon! 8/16/10 - Got Pregnant, again! 5/14/11 - Welcome to the world, Talia Hadassah! 1/14/12 - Ready or not, here comes #3 (EDD 9/27/12)
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  • campash29campash29 member

    Thanks for the advice everyone! I am seeing my OB today, well one of them (as the office has five docs you rotate through), and I'm going to tell her that I'm switching, and precisely why. If worst comes to worst, I'll have another one, but I think it would be careless of me to just blindly listen to this office without getting a second opinion. Even the office website (which I know is just maintained by someone outside the medical field) states that VBACs are a good alternative to repeat C-sections.

     

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