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VBAC
soontobecapek
member
introduction and a question
soontobecapek
member
in VBAC
I am 10 weeks pregnant with DC # 3, and had my heart set on VBAC, until I spoke with my OB yesterday who mentioned death and I got scared. Both my OB and maternity counselor think I am a good candidate for VBAC though. My son was born after 23 1/2 hours of labor (my nurse never came back to check me, so at shift change he was nearly hanging out, shoulda come out hours before). With my daughter, she had slowed in growth and had some minor breathing problems so we induced at 40 weeks 3 days. I just got the pill, no pitocin. I was fully dilated in 3 hours ready to go, when suddenly I felt something not right. When my water broke she flipped and was coming out foot first so I was rushed for an emergency c/s.
My c/s scar in a low transverse, I was sewn and then glued, which I am told is the strongest.(?) My OB never mentioned a time frame between babies for me to be able to do a VBAC, but everything I have read so far says wait 15-18 months to conceive or 24-27 months between deliveries. My daughter will be a year on 2/1 and I am due 8/23, so just shy of 19 months. Should I try or did I really get pregnant too soon?
This discussion has been closed.
Re: introduction and a question
I was told 18-24 months between deliveries was best, that being said you are still within that window. DH and I are planning on trying again sometime between 9 months and a year from my c/s delivery with DD.
I would try, but that is just me. You need to do whatever you are comfortable with. Take some time to educate yourself on VBAC's and RCS. There are some very good resources out there to help you. I-Can is a great place to start. This board as well.
You sound like a great candidate. There is a risk of death with any childbirth - including a repeat c/s. While I don't have good links to the data, I have seen things that say repeat c/s statistically holds more risk of death for mom than VBAC. If you're going on to have other children, there are increased risks to them if you continue to have c/s.
Without induction, the increased risk of uterine rupture for a VBAC is only .5% - .9% - pretty minimal. Otherwise, you have the same risks that you'd have with any vaginal birth. Even when the uterus does rupture, most often the outcome is good for both mom and baby.
Do your research. There are some risks, but no choice is without any risk, certainly not a repeat c/s.
This. TBH, it makes me angry that some OBs pull out the death card for VBACs but not for other women. Death is possible, but very unlikely, no matter what you do.
Yes, it infuriates me. Death is a small risk of any type of childbirth.
According to the NIH, the risk of the baby dying in a VBAC is 2.6x higher than if you had a c/s. But the risk of the mother dying in a repeat c/s is 3.25x higher than if she had a VBAC. So that means the option most likely to result in someone's death is actually a repeat c/s. The option most likely to end with a healthy mother and child is actually VBAC.
https://consensus.nih.gov/2010/vbacstatement.htm#q4