VBAC

VBAC after Multiples?

I haven't even discussed this yet with my dr., but was just curious since I'd like to be able to attempt a VBAC (unless, of course, my dr. thinks a repeat c/s is a wiser idea)

For my last pg, both girls were heads down (one DD teetered between vertex and breech the last week back and forth but the day before delivery, she was vertex). I was induced and put on pitocin. I was laboring well and then my dr. broke my baby A's water--this eventually led to baby B re-positioning and blocking A from further descending in my birth canal. It became too risky to keep attempting a vag delivery...So, I ultimately had to convert to a c/s after 8.5 hours of labor.

My recovery was awful. I had major clotting issues a month after and had to do 2 different meds to help rid my uterus of all the old blood. They were going to do a D&C but thankfully didn't have to once the meds worked. With my girls being toddlers, I can't imagine having the limitations that go with a c/s after this next baby. 

 I'm wondering if my background even qualifies me as a candidate for a VBAC...

Thanks!
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Re: VBAC after Multiples?

  • FWIW, I think you'd be a great candidate - sounds like positioning was your biggest issue.  I've never heard of anything indicating that mothers who formerly had multiples have any sort of increased risk in a VBAC for a subsequent pregnancy, and I don't think any of your complications from the surgery would be any issue.

    Honestly, if your doctor discourages you, it's always worthwhile to get another professional's opinion, especially of someone who you know is open to the idea of VBAC's in general. 

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  • imagepapagena:

    FWIW, I think you'd be a great candidate - sounds like positioning was your biggest issue.  I've never heard of anything indicating that mothers who formerly had multiples have any sort of increased risk in a VBAC for a subsequent pregnancy, and I don't think any of your complications from the surgery would be any issue.

    Honestly, if your doctor discourages you, it's always worthwhile to get another professional's opinion, especially of someone who you know is open to the idea of VBAC's in general. 

    I agree with all of this!

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  • I talked with my OB when I was in for my annual about doing a VBAC.  For my twins, I had a semi-scheduled C-section because B was breech (It was scheduled the day before because of growth issues).  It didn't sound like there would be any issues with me trying for a VBAC when/if I get pg again.  Of course, the standard VBAC disclaimers still apply (didn't sound like they were keen on doing one if I had to be induced, etc). :-) 
    2004-Started TTC; Nov 2007-Lap with endo removed; Jan 2008-Ectopic (mtx); April 2008-IVF #1 (bfp, twin girls); March 2011-FET (cp); June 2012-IVF #2 (bfp, singleton, EDD 3-19-12)

    ***Twin fraternal girls born at 35w6d in 12/2008***

  • I had a growth scan/cervical check the other day, and the doc I saw just happened to be the Peri who did my c/s delivery for my girls.  He was very supportive of a VBAC, even though I have a clotting disorder on top of prior c/s. 

    My OB (also a Peri) is open to it as well.  I have no idea who will actually deliver me if I go into labor on my own.  But knowing both of these docs are OK with me at least attempting it makes me feel better going forward.

     

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