VBAC

how many rcs births can somone have?

i know that with each rcs there is increased risk. im just wondering if there comes a point when it stops being a generally safe procedure and future pregnancies would be unsafe. of corse i plan to do everything in my power to have a successful vbac just wondering if i had to have a rcs what that would mean for future pregnancies. has anyone talked to their dr about this?

Re: how many rcs births can somone have?

  • It came up in one of my appts, and that particular doctor basically said 3 c/s births total is what is generally considered safe. 

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  • My SIL is a family doctor that does births and she said that she personally would not have more than 2 c/s, she recommends that her patients don't have more than 2, and definitely would draw the line at 3. She says the 3rd c/s is normally where she sees the most complications from the c/s.

     The biggest change is the amount of adhesions and cement stomach that she sees. The adhesions are bad b/c they can cause blockages and issues with your organs. These problems can hit you long past the c/s.

     I'm headed for the 3rd c/s hence the reason I want a VBA2C.

  • My SIL has had 4, but the last two babies ended up in the NICU fo varying reasons and she had much harder pregnancies (with complications) with both of them.  Both were full term babies.  Not saying that any of her complications were due to the CS, but I really felt that some of them did.
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  • A lot of doctors will say 3 or 4, but really, it just depends. After each c/s, the doctor should be able to make a reasonable assessment of whether your uterus could go through it all again. Some people get tons of scar tissue and some don't. There are some women who have had 5, 6 or more cesareans come out fine and others who would be advised against a second or third based on their individual circumstances. I think 3 or 4 is a pretty good guess, but you've just got to take them one at a time and see what happens.
  • imagelorryfach:
    A lot of doctors will say 3 or 4, but really, it just depends. After each c/s, the doctor should be able to make a reasonable assessment of whether your uterus could go through it all again. Some people get tons of scar tissue and some don't. There are some women who have had 5, 6 or more cesareans come out fine and others who would be advised against a second or third based on their individual circumstances. I think 3 or 4 is a pretty good guess, but you've just got to take them one at a time and see what happens.

    This.  Personally I would be uncomfortable with the idea of 3 or 4 c/s and I definitely would not have more than that.  It kind of seems common sense to me that you can only cut open an organ and sew it back up again so many times.

    If you want to read a really scary article from an obstetrician about what can happen after a lot of multiple cesareans, read this (this article was originally published in the Philadelphia Inquirer but it has been reposted here).  He explains really well why repeat cesareans are riskier than first cesareans. 

    https://www.drmomma.org/2010/06/dangerous-delivery-shows-peril-of.html

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  • As an L&D nurse my mom saw one that was a 6th c-section. There was nothing left to sew together safely after so they had to do a hysterectomy. Other than that one she said she doesn't remember anyone going beyond 4. 
  • imageiris427:

    If you want to read a really scary article from an obstetrician about what can happen after a lot of multiple cesareans, read this (this article was originally published in the Philadelphia Inquirer but it has been reposted here).  He explains really well why repeat cesareans are riskier than first cesareans. 

    https://www.drmomma.org/2010/06/dangerous-delivery-shows-peril-of.html

    I was going to post this article, too, but iris beat me to it, hee hee. It's seriously graphic, FYI.

     

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

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