C-sections

I need some suggestions if you've got any.

I've had one birth each way, my first was a vaginal, my second a c-section. I had an amazing experience with both and actually probably  had a shorter less painful recovery with my c-section. I was back at work in 4 weeks, it was fantastic. This time around I am planning a VBAC. My doc and all 8 of the docs in the practice think I would be the perfect VBAC candidate and that it will all run smoothly. I am 38 weeks tomorrow and doc said at last appointment that at this appt we could discuss how far I want to go before I schedule an RCS. This is where I am torn. The more I think about it, the more I really don't care how baby comes. I think I wanted to VBAC mostly because it just seems like the right thing to do. You should have a baby vaginally so that's my plan. Here are my pros and cons with both

 VBAC -

I get to experience labor

I know baby will be on my chest doing skin to skin for 2 hours after delivery

less chance of breathing issues due to fluid (an issue I experienced with my last c-sec)

fewer days stay in the hospital

not major surgery 

BUT

I will not be able to have my tubal ligation for 6-8 weeks which will require a new recovery

my recovery was a little more difficult with the vaginal last time (8.5 lb baby with forceps)

RCS

I may not be able to have the same skin to skin time after delivery

I can have my tubal at the same time so only 1 recovery

Just because I had an easy delivery last time doesn't mean i will this time

major bonus - i will not still be sitting around waiting to figure out when I will go into labor.

 

Tell me your thoughts about both and what your thoughts might be in my situation.

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Re: I need some suggestions if you've got any.

  • This is a really tough decision, I am sure.  I think what tipped me over the edge to RCS is the tubal ligation.  If you're going to have it done anyway, I'd probably choose to have my birth via c/s and get it all done at once.  Mainly because there is no guarantee (albeit likely) the VBAC will be successful.

    I'm not being snarky at.all, but I personally don't think a woman "should" have a baby a certain way or that it's the "right thing to do" to have the baby vaginally. I think getting the baby here in the best way for mom and baby is most important, and that should be left up to the experts.  If your doctor sees no medical reason for you to have the RCS, I'd go with the vaginal plan.  If your doctor has the "well, you'll probably be fine vaginally, but there is always the risk of uterine rupture," plan, I'd probably go with the RCS due to the other reasons you mentioned.

    So that probably wasn't much help at all, huh?  Bottom line, I'd go with the RCS, but that's strictly my opinion.  Good luck with your decision and best wishes on the birth of your baby!

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  • imagetoriwc:

    This is a really tough decision, I am sure.  I think what tipped me over the edge to RCS is the tubal ligation.  If you're going to have it done anyway, I'd probably choose to have my birth via c/s and get it all done at once.  Mainly because there is no guarantee (albeit likely) the VBAC will be successful.

    I'm not being snarky at.all, but I personally don't think a woman "should" have a baby a certain way or that it's the "right thing to do" to have the baby vaginally. I think getting the baby here in the best way for mom and baby is most important, and that should be left up to the experts.  If your doctor sees no medical reason for you to have the RCS, I'd go with the vaginal plan.  If your doctor has the "well, you'll probably be fine vaginally, but there is always the risk of uterine rupture," plan, I'd probably go with the RCS due to the other reasons you mentioned.

    So that probably wasn't much help at all, huh?  Bottom line, I'd go with the RCS, but that's strictly my opinion.  Good luck with your decision and best wishes on the birth of your baby!

     

    Haha, oddly enough, I agree with ALL of this. So while it wasn't very helpful in making a decision, it always helps to know that I am not the only one thinking this way.

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  • First of all, your boys are adorable!

    I agree with the PP - I think you need to do what you feel is right for you, not just because other people feel the VBAC is the "right" way to go.  Also, there are no guarantees that your recovery from the c/s will be easier than a vaginal birth this time. That being said, if it were me, I'd probably do the c/s only because of the tubal ligation. 

    Maybe you can discuss all of this with your doctor at your next visit and see if he/she has any insight into what direction you should go?

    Sorry I'm not much help, but I do understand your dilemma!  Whichever way you choose, you will still have your LO here soon.  In the end, that's the most important thing!

    Good luck!

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  • If you definitely are planning to have a tubal ligation, I think a c/s might make a lot of sense, since either way you are having surgery.  Have you looked into something like Essure at all, which doesn't require surgery?  Does your ob/gyn have any opinions?

    I'd also keep in mind that second vaginal births tend to be easier, with shorter recoveries, than first vaginal births.  So you might have a much better experience this time if you do go ahead with the VBAC.  Of course there is no guarantee for either option that your recovery will go a certain way.

    VBAC is not the right way.  It may be the right way for you, but then again it may not--and that is fine. 

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  • imageiris427:

    If you definitely are planning to have a tubal ligation, I think a c/s might make a lot of sense, since either way you are having surgery.  Have you looked into something like Essure at all, which doesn't require surgery?  Does your ob/gyn have any opinions?

    I'd also keep in mind that second vaginal births tend to be easier, with shorter recoveries, than first vaginal births.  So you might have a much better experience this time if you do go ahead with the VBAC.  Of course there is no guarantee for either option that your recovery will go a certain way.

    VBAC is not the right way.  It may be the right way for you, but then again it may not--and that is fine. 

     Hi there Iris, how are ya? I've been given a few options similar to Essure, teh problem is they all require that I wait 6-8 weeks after delivery. The doc says the recovery is  quick, but I will still be sore for a few days and may need a few days off of work. I will only have the tubal if I have the c-section, otherwise, I will go with something similar to Essure. I have also considered that recovery may be faster this time which would be nice. I think I am just nervous because baby is already measuring large and doc doesn't want me to go past 39 weeks waiting for a VBAC. They will let me make the final decision, but she doesn't encourage it because of the size baby is measuring. UGH. I think I just realize that tomorrow is 38 weeks which means this conversation will come up at tomorrow's appointment. One thing I love about my doc is her ability to make me feel very comfortable about whatever decision I make, so I guess I will just wait and see what is said tomorrow.

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  • One thing I love about my doc is her ability to make me feel very comfortable about whatever decision I make, so I guess I will just wait and see what is said tomorrow.

    Hey Cam, butting in again.  My doctors were the same way, and I actually found it to be frustrating.  It got to the point that I said to my OB and MFM, "You are the experts.  You need to tell me what I should do."  Some may think that is dumb of me, but I did the research in my case (previous uterus issues/surgeries), and was wavering back and forth, not really knowing much other than what I had read.  Finally my MFM said his formal recommendation was the c/s, so that's what I went with.  Ugh! It took them long enough!

    Please come back and post telling us what you decided!


     

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  • My OB wouldn't let me go past a certain point with a VBAC, so I just scheduled my c/s for that day. I figured that I would give my body all the time to go on its own but for peace of mind, I would have an 'end' date to my pregnancy. 

    I had my rcs last Wednesday, yes I need to update my ticker, at 40w2d. I have no regrets what so ever. I effaced to about 50% but didn't dilate one bit. So far my recovery has been 10 times easier that with my first, which is a bit amazing considering I'm doing a whole lot more than I did with my first.

    And when my OB pulled out the baby and the anestesologist (sp) leaned over to see her and looked down at me and said I would have never been able to push that baby out, I knew I had done the right thing. She was 9lbs 5oz at birth.

    So I say, if your OB doesn't want you to go past 39w, schedule that rcs for 39 weeks and if you go into labor before that, all the better.  

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  • imagejnealet:

    My OB wouldn't let me go past a certain point with a VBAC, so I just scheduled my c/s for that day. I figured that I would give my body all the time to go on its own but for peace of mind, I would have an 'end' date to my pregnancy. 

    I had my rcs last Wednesday, yes I need to update my ticker, at 40w2d. I have no regrets what so ever. I effaced to about 50% but didn't dilate one bit. So far my recovery has been 10 times easier that with my first, which is a bit amazing considering I'm doing a whole lot more than I did with my first.

    And when my OB pulled out the baby and the anestesologist (sp) leaned over to see her and looked down at me and said I would have never been able to push that baby out, I knew I had done the right thing. She was 9lbs 5oz at birth.

    So I say, if your OB doesn't want you to go past 39w, schedule that rcs for 39 weeks and if you go into labor before that, all the better.  

    I like the way you think.

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