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VBAC
Conflicting doctors opinions
2 weeks ago I met with one of the OB's in the office who is very pro-VBAC depending on the circumstances. She had told me that there was no medical reason why I should not try for a VBAC, spent time weighing the pros and cons of the VBAC vs. RCS and really reassured me that a VBAC would be absolutely worth the shot in my situation and given my labor experience with DD. Today, I met with a different OB who actually did my first c-section, although he didn't remember my delivery, nor would I expect him to. He did nothing but try to scare me out of the VBAC! He talked about risk of uterine rupture and all the RCS he does and sees how thin the uterus is and how if I was pushing for 2 1/2 hours with DD1 then it will absolutely be the same with this LO and I am goign to end up with a c-section anyways. Then he told me the decision was up to me, but was pressuring me to make up my mind and schedule the surgery either at 39 weeks for a RCS or right on 40 weeks for a VBAC. I had my mind set on trying for the VBAC, but now this doctor has me all confused! It would be nice if all of the doctors in the practice were either somewhat on the same page, or at least respected the other doctors beliefs. Someone please reassure me that a VBAC is still a good decision!
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Re: Conflicting doctors opinions
I would request not to have prenatal appointments with the second doctor anymore. Did you tell him about the other doctor's opinion?
I pushed for 4+ hours with my first son, and my MW during my second pregnancy never told me VBAC was a bad idea. She was nothing but supportive (though I did see her colleague at an appointment once, and she told me I would have to have a RCS if I went past 41 weeks, which my usual MW never mentioned). You will get differing opinions within the same practice, but trust the pro-VBAC doctor on this one!
DS2 - Oct 2010 (my VBAC baby!)
I'd go with the opinion who gave the pros and cons of both equally. Not the guy who clearly prefers to go straight to surgery. It's so frustrating when one office has so many different opinions- they really need to be on the same page.
I agree with the pp that you should try to avoid that guy at your appointments. He really sounded personally biased more than concerned at all about your specific situation.
The doctors that try to push RCS by talking about the "scary things" of a VBAC tend to shut up when you go, "Well what about the risks of a RCS & the fact that they are worst than those of a VBAC?"
I agree with not seeing that guy again.
I'm just starting, at my next appointment on the 13th, to go outside the box of my normal OB, I'm going to have to eventually see all the other 5 doctors, so I'm starting now. Anyone that tries to talk me into a RCS at that appointment is getting the axe for any future appointments. My other fear then is that they are the one on call when I do go in for my birth. But one step at a time I guess!
I pushed for three hours with my first and had my vbac baby in two hours, from first contraction to delivery.
I would absolutely try for the vbac if that is important to you. Some doctors tend to overemphasize the risks of vbac while minimizing the very real risks that go along with rcs (that multiply with every repeated c-section- something to consider if you are planning more than two children).
Good luck in your decision.
Wow, amazing how the UR rate is so low when he sees all those thin uteruses (uteri?) when he's slicing them open. Almost makes me think that appearances of thinness don't mean diddly squat.
Do you have a local ICAN group you can join? They really are awesome.