Risk of rupture

Re: Risk of rupture

• MAprincess member

  June 2011

  I thought about it too.  But if you don't have a supportive provider, you won't VBAC.  Plain and simple.  Especially if he knows you are nervous about rupture- he'll use that card for a CS by the end.

  That said, other things that happen to any pregnant woman are even more likely.  Are you worried about those?  For instance, prolapsed cord is just as dangerous and more likely to happen than a rupture.  Why is it the rupture that you are most concerned about?  If you hav a supportive and knowedgable VBAC experienced provider, there is really very little to worry about.  As a woman who has had a CS, you risk rupture even without labor.  At least if you are laboring in a hospital (as I did) you know that the OR is right there.  Some women take the risk even as a homebirth.  Are they crazy?  No, I don't think so. 

  I am a very math oriented person, so I always look at the odds.  Could it happen?  Yes.  Are there ways to lower my risk?  Yes.  Are there equally dangerous problems that go along with a RCS?  Absolutely.  Then you make your decision.

  To look at it from a non-pregnancy point of view (and because it is funny, I think).  I have a friend that has a HUGE fear of flying.  Just won't get on an airplane because he thinks it will crash.  Everyone has told him that you are so much more likely to be killed in a car accident, but that doesn't change his mind.  He drives everywhere.  Also, FWIW, you are more likely to die in an accident in your own bathroom than die in a plane crash. . . I am guessing he still goes;-)  People choose which risks they want to take.

  There are ALWAYS risks.  People hem and haw over the rupture risk because they know they will blame themselves if they are in that less than 1% and feel like they could have avoided it.  What about the woman who decided on the RCS and then dies from the blood clot afterward?  I'd find a better provider.  Yours doesn't sound like he knows enough about VBACs to safely take care of you in the situation.  If you are with a good provider, let them worry about the odds and direct you accordingly.

  Good luck! 

  

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• MAprincess member

  June 2011

  I should add that my CNM and I had an EXTENSIVE conversation about the timeline and what to do if I felt that I had ruptured at home as well as telling me the exact procedure if I was at the hospital and ruptured.  This made me feel better.  She was not concerned- she had this conversation to make me feel better. 

  

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• iris427 member

  June 2011

  I did worry about it some.  But no matter how you give birth, there are always risks, and I just couldn't let the what-ifs overwhelm me.

  Reading VBAC birth stories and studies showing the safety of VBAC helped reassure me when I was feeling nervous.

  I agree with PP that if your doctor is not comfortable with the risk of rupture, you need to look for someone else. 

  
  

  
  

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

  
  

  
  

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• thepeach80

  June 2011

  I was more worried about having to have another c/s more than I was of having a rupture. I honestly don't remember ever really worrying about it and I know I didn't w/ the last 2.

  Jennifer, wife, CPST, birth Doula, LPN to BSN student, and 3x VBAC mama to AJ (8, Evan (7), Ilana (5),Olivia (2), and 8/24/12!

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