Your opinion on VBAC for someone with my medical issues

Re: Your opinion on VBAC for someone with my medical issues

• felecia=2

  February 2011

  Honestly, I wuld stick to the section. I had a cs last time and plan a vbac for this time, but if I were you, i wouldnt do it. I know you want a natural childbirth just like I do, (which by the way is looking less and less likely for me too), think of the risks. I mean, not trying to scare you, but you have alot bigger risks than the avg woman, but this is ultimately your choice.
  

  

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• iris427 member

  February 2011

  It sounds like your only options are to schedule an induction or schedule a c/s.  Inducing can be tricky with VBAC because you can't use prostaglandins (Cervidil, Cytotec, etc.) and Pitocin appears to raise the risk of uterine rupture (although the risk is still small).  Many doctors won't do inductions on VBAC moms at all.  However, we've had several moms on here who had successful VBACs with an induction so it can definitely be done safely.

   Was there a reason your doctors did not try to schedule an induction instead of just going straight to a cesarean the first time?  Would induction have been too dangerous?

  I don't know anything about this issue but I would definitely ask your doctor about these things.  GL. 

  
  

  
  

  Big sister {September 2008} Sweet boy {April 2011} Fuzzy Bundle {ETA July 2014}
  

  
  

  
  

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• Strawberrywine

  February 2011

  I would stick to getting advice from dr's in your situation. I would definitely try to interview meet w/dr's from different practices/hospitals to get a range of ideas and find the best place to have a VBAC/C/S.

  Ultimately I would want to choose the situation that would result in the most positive and healthy experience for me and the baby. My gut in your situation is that a c/s may be the best choice. I would create a birth plan to help insure that the experience unraveled in the most baby/mommy friendly way possible. 
  

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• MAprincess member

  February 2011

  I agree with pps that inducion or C/S are your only options here.  That said, I was one of the successful induced VBACs on the board and it was 17 hours from induction to delivery.  I know people who have gone much faster so there is still no way to tell how quickly the baby will come. 

  So, really, the C/S is the safest option for you IMO.  I totally get your urge to have a natural childbirth, but your situation causes a much higher risk of death it seems, and that is just not a risk I think you should take.

  

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• Irishbabee

  March 2011

  I have the opposite problem, I have two bleeding disorders.  You should seek a consult with a hematology/thrombosis specialist, they will be able to give you far more factual information than your OB.  There are many ways to counteract anticoagulants and I'm positive the Hemo will give you more options than your OB would. 

  Some things to think about, if you have a condition that causes clots having surgery and being immobile during recovery can actually increase your chance of developing clots elsewhere, like your legs etc.  Even with my two serious bleeding disorders VBAC is still a safer path than having a repeat C-Section.  It's all about understanding the condition and knowing how to treat it should an issue arise (whether it be a rupture or an emergency c).

  Best of luck.
  

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