VBAC

Could I be a canidate for a VBAC?

I had my first child last April and had to get an urget c/s.  I was fully dialated and ready to go but she had not dropped yet and her heartbeat was dropping.  It turns out she also had the cord wrapped around her neck so I am very thankful that the Drs made the quick decision to just get her out.  I am now pregnant with my second child, due in Sept.  I have considered trying for a vbac but have yet to talk to my Dr about it (I will on my next appt in 2 weeks).  Does being able to have a vbac have anything to do with how you progressed with your previous pregnancy?  Is this something I should even be considering? Anything I should know going into my appt with my Dr?  Thanks for any advice you may have!

Re: Could I be a canidate for a VBAC?

  • Fetal HR decels related to cord issues with one baby does not mean that you will have the same issues with subsequent babies.  So, from that perspective you sound like a candidate for VBAC.  As far as the "failure to descend", well that could have also been related to the cord or a host of other reasons.  The fact that your cervix completely dilated is also a positive sign for VBAC (but that doesn't mean that not dilating is a bad sign for VBAC either). 

    I think you would benefit from reviewing/reading recent VBAC research/books, as well as locating a local ICAN group near you and attending meetings (International Cesarean Awareness Network).  www.ican-online.org  This site among others can also help you put together a list of concerns/questions for your provider. 

    Good luck, and continue posting on this board!  There are always plenty of posts full of helpful information Yes  I'm sure others will reply with other suggestions/advice too Smile

    ~Sweet Girl *8/18/08* c-section ~ Sweet Boy *12/2/10* VBAC ~ Sweet Boy *8/14/12* VBAC~ 

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  • I had a similar case with my first baby as well.  My water broke at home, I had quickly dilated to 10cm (all in about 4 hours) and they even had my try pushing a bit to try and get her out when her heart rate dropped to 79! Ultimately I ended up with an emergency c-sect because her cord was too short and she physically could make it all the out. 

    I go to a practice with 4 OBs and have only seen two of them so far this practice.  The one says I'm a viable candidate for a VBAC and I later find out from the other OB I've seen that this OB usually recommends RCSs (so that's a plus).  The OB who told me this is very pro VBAC and said she'd strongly encourage me to try to VBAC if it was something I had any interest in.

    I don't know how long you labored for before the heart rate dropped but perhaps if you had some time to wait it out without any harm to the baby she would have dropped on her own?  I'd discuss it with your dr. to see what they'd recommend.

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  • From what you've told us here, it definitely sounds like VBAC could be an option for you.  There's no reason to think that the issues that led to your first c/s will happen again.  Did you have a low, horizontal incision on your uterus?

    I found one study online that says moms who dilated to 8 cm or more and then had a c/s for non-recurrent reasons have very high VBAC success rates.  

    Some doctors just aren't supportive of VBAC so if your doctor tells you no, you might want to find the name of a good VBAC doctor or midwife in your area and get a second opinion from them.  GL.

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

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  • imageiris427:

    Some doctors just aren't supportive of VBAC so if your doctor tells you no, you might want to find the name of a good VBAC doctor or midwife in your area and get a second opinion from them.  GL.

    I agree with this! There's also this link for more info about VBAC and planning for one. https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/ 

    good luck!

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

  • I'm in your boat from a timing perspective (baby in April 2010, due in Sept 2011).  LO was breech, but I was told I could do a VBAC.  I am totally lurking on this board, b/c I have decided not to do a VBAC.  My midwife asked me about it at my first appt.  Had I said yes, I am sure she would have advised me of risks, but overall been supportive.  But, b/c I said no, she said that she was a bit relieved.  I am sure b/c of the timing.  I do have to say that I sort of get the impression that my clinic/hospital offers VBACs to be competitive with a larger, nearby hospital.  I have never gotten the impression that there is a huge comfort level with it.  So, I guess I would say to be sure that your drs and hospital do lots of them and have a high success rate. Good luck!!

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  • No one here seems to be mentioning the risk of death or injury to the baby. There is a 1% chance of uterine rupture. Your candidacy depends on your type of incision and how long between pregnancies [doctors recommend AT LEAST 18 months between PREGANANCIES - not births] I realize the 1% sounds tiny, I am four months along with my second. My first was 15 years ago and was delivered via c-section. My doctor told me that if I labor on my own and progress naturally they would support a VBAC but he said IF you are that 1% then it's "almost always bad". The only real sign of rupture is that the babies heart rate drops ... which it does in natural labor during a contraction. So how is anyone to know whether to let you go or rush you to OR? My doctors told me I am a good candidate but they all say that they would be nervous wrecks wondering when to pull the plug and cut. We're leaning toward a second cesarean, which makes me a little sad, but if it lowers the risks to my baby then I'm okay with that.
    "I'm an acquired taste, I'm anchovies, and not everyone wants those hairy little things." Heather M Schiefer Long Live the Freelancers!
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