Stupid CS Question

FebruaryMom2012 · February 2012

This is probably a stupid question but why will some doctors not allow VBACs after you have had a cs? I just had a baby by cs 4 weeks ago and would really like to try to have another in a few years. I would prefer a vaginal birth if possible. Everyone says I'm lucky since my emergency cs prevented me from ever even going into labor. I feel like I missed out on the birth experience I had planned Probably feel differently if I had had a long labor. Just curious thanks for any info.

stemms8810 · February 2012

Some doctors think the risk is too high for uterine rupture and won't risk it. Some hospitals don't even allow it these days. There are pros and cons which you will need to discuss with your doctor when the time comes. They will let you know if you are a good candidate and if they do them.

CleanQueen151 · February 2012

Congratulations on the birth of your child and I hope you are feeling well. I had a c-section two years ago and I too felt robbed of a natural birth, but I did the best thing for me and my son. I am pregnant again and my doctor said they allow VBAC however their is a risk of uterine rupture after labor starts, meaning I could bleed out and die and lose the baby. My trouble is I live an hour and a half from the hospital so my doctor recommends scheduling my c section a week before I'm due so I save myself and my child. It's a small chance but I do not want to risk my life or my child's. I've read a lot online about multiple c-sections or VBAC and they all differ greatly. I put my trust in my doctor and I am leaning towards another c-section. I'm no expert but that's my understanding.

Good luck, and if you feel strongly, find a doctor who allows VBACs.

treble_clef · February 2012

Because the doctors and hospitals don't want to get sued.

magdalina.h · February 2012

Medically I can't because of my 1st one at 28w4d

pitterpatter129 · February 2012

There are risks involved with both types of births. Some doctor's malpractice insurance will not allow them to assist with VBACS. It's very rare to find a doctor in my state that will. However, there is a lot of new research out showing the risks aren't much greater than a repeat csection, depending on your personal medical history. You should discuss your wishes with your doctor during your next pregnancy.

cswatch · February 2012

I think it depends on the Dr./hospital. Some encourage VBAC and some don't and will automatically schedule a c/s if you've had one before. You should ask at your next appt.

Daisy22 · February 2012

malpractice insurance and some hospitals will not allow them. My practice has pretty strict rules if a woman wants a VBAC. She has to have 12 months at least between pg (they like 18 months between), she has to go into labor on her own and they will not let you go past the day you turn 41weeks. I've also heard that they will not use pitocin but I haven't confirmed this. I had no desire for me so it didn't really matter to me but my OB told me all the other things at my pp appt with DS1 just in case.

lkm2006 · February 2012

Just a lurker but I just wanted to add it that it might be an area issue also. I live in MS and there isn't a VBAC dr in the whole state. My two sisters both had a c section with their first baby and they were told they would with any future pregnancies also.

nosoup4u · February 2012

What everyone else said. I just want to add that it's within every woman's right - even if she can't find a supportive doctor or hospital - to VBAC if she wants. VBAC and RCS are at the same risk level for most women, something that isn't discussed very often.

ACOG and the NIH have both come out in support of VBAC within the past two years. These are some good links:

https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/legal-rights-and-protections-for-vbac-issues-from-the-nih-consensus-conference/

https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/

OP: It's better to talk to your doctor sooner rather than later, so you can start looking for a new provider if they aren't supportive. Good luck!

tyke29 · February 2012

lkm2006:
Just a lurker but I just wanted to add it that it might be an area issue also. I live in MS and there isn't a VBAC dr in the whole state. My two sisters both had a c section with their first baby and they were told they would with any future pregnancies also.

I had a Csection back in June 2010 and was told at my 6 week check-up that I could have a VBAC if everything went well with the next baby. I will probably have a 2nd Csection, but the opition will be mine.

lkm2006 · February 2012

tyke29:
lkm2006:
Just a lurker but I just wanted to add it that it might be an area issue also. I live in MS and there isn't a VBAC dr in the whole state. My two sisters both had a c section with their first baby and they were told they would with any future pregnancies also.

I had a Csection back in June 2010 and was told at my 6 week check-up that I could have a VBAC if everything went well with the next baby. I will probably have a 2nd Csection, but the opition will be mine.

Thats awesome! Which part of ms are you located in? My sister have two different docs and when they both said a repeat c section would be the only option I looked into and couldn't find one single doctor. It's nice to know there is another option!

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