C-sections

Re-Post from August Board: For Those Who Had C-Sections...

1.) How long did your doctors say you need to wait before you can try to conceive again?

2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC?

I had some complications in my delivery and my doctor told me that I HAVE to wait 2 and 1/2 years before even trying to get pregnant and that my next deliveries have to be 39 week c-sections. Anyone else not even being allowed to try for VBAC?

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Re: Re-Post from August Board: For Those Who Had C-Sections...

  • imageLgamache90:

    1.) How long did your doctors say you need to wait before you can try to conceive again?

    2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC?

    I had some complications in my delivery and my doctor told me that I HAVE to wait 2 and 1/2 years before even trying to get pregnant and that my next deliveries have to be 39 week c-sections. Anyone else not even being allowed to try for VBAC?

    1. They didn't, but we're waiting like 3-4 years lol.

    2. My OB practice (which is the only one in my area) doesn't do VBACs. So, even if I didn't have a bunch of complications and need a RCS, I'd most likely get one anyway. I wish I could VBAC.

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  • 1. They didn't give me a timeframe, but we are waiting a year or two before trying again anways. I also have PCOS, so I imagine it will be even longer than that before we actually get pregnant.

     2. My Dr said it would be up to me which route I wanted to take provided there aren't extenuating medical circumstances that would require a c/s (placenta previa, emergency, etc). She gave me the pros and cons of each and said we would revisit the topic when the time came.

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  • 1. My insurance only allows me to see an OB when pregnant, so I haven't had the conversation on when we can TTC, but we don't want to anytime soon.

    2. I was told I could VBAC, but that is as they rolled me in the OR because I was so upset I had to have a C section.

    My question to you would be why did you need a C section? If it was due to something that was unique to the pregnancy (breech baby, failure to progress, big baby that would not come out) then that isn't an absolute contraindication.

    However, if you have another medical reason, I could see why.

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  • 1.  My doctor didn't give me a timeframe for getting pregnant again.

    2.  After my 1st c/s, my doctor let me know I was a candidate for VBAC.  When I got pregnant with my second child, we did a lot of research and discussed everything with my doctor and decided I'd like to try for a VBAC.  Unfortunately during labor my BP rose to a dangerous level, so my DH and I decided a c/s was best for our situation.

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  • imagejb2rn:

    My question to you would be why did you need a C section? If it was due to something that was unique to the pregnancy (breech baby, failure to progress, big baby that would not come out) then that isn't an absolute contraindication.

    However, if you have another medical reason, I could see why.

    The baby was 8 lbs 8 ounces and wouldn't descend into my pelvis...they said something about the space between my bones being too narrow?

     

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  • 1) My doctor said he prefers 18 months of a wait, but if it happens before things are generally fine. He has just seen a greater risk of complications with less than 18 months.

    2) He is going to let me try VBAC. He thinks that it is a pretty good option in my case as long as my baby is not abnormally large. 

    I would get a second opinion. One birth does not forecast another. Just because this one was difficult does not mean that all of your births will be the same. It doesn't hurt to meet with someone else and see what they think. Of course, this is if you wish for a VBAC. ICAN is a great place to start.

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  • 1. They didn't say, and I didn't ask, as I don't plan to TTC again (if ever) for at least 1-2 years.  I've heard a very wide range of recommendations though, from no need to wait-2 years.  It probably depends a lot on your personal situation, but 2.5 years seems like a long wait.

    2. I was a very reluctant c/s patient (baby was breech) so my doctor made it very clear that I could try for a VBAC if we have another baby.  However, I have already had one successful vaginal delivery (DD1) and there was no reason to suspect I couldn't have delivered this baby except for her position.

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  • imageLgamache90:
    imagejb2rn:

    My question to you would be why did you need a C section? If it was due to something that was unique to the pregnancy (breech baby, failure to progress, big baby that would not come out) then that isn't an absolute contraindication.

    However, if you have another medical reason, I could see why.

    The baby was 8 lbs 8 ounces and wouldn't descend into my pelvis...they said something about the space between my bones being too narrow?

     

    I would encourage you to visit the VBAC board. There are plenty of women that have experienced this the first time around and then go on to have happy and healthy VBACs

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  • 1. It wasn't discussed, but I always remember hearing 18mo is a healthy spacing between any pregnancies. That being said I know a lot of women don't do that and I actually had a girl I worked with that came back from her maternity leave after having a c-section pregnant! We waited until DS was 18mo before starting TTC #2 just b/c that's when my mommy amnesia kicked in about how hard having a newborn was, lol.

    2. Like pp's said, it may be a policy of your OB or hospital. Both the hospital that my mom works at and the one that I delivered DS at don't do VBACs so I would've had to travel.

    As far as when they schedule the c-section if that's what you end up having to do, most of the time they don't like you to go into labor which is why they schedule them earlier than 40wks. From what I've read on here it's pretty standard that between 38 and 39wks is when they are scheduled. My insurance prevents it from being scheduled before 39wks.

    Also you could ge to get a second opinion when you are ready to TTC again. Go to another OB outside the practice and see what they say about the timing and your delivery options.

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  • 1. My doctor said I could get pregnant whenever I felt ready at my 6 week checkup. I also had a complication-free pregnancy and delivery though.

    2. My doctor was fine with VBAC. I ended up with a RCS though because he was not comfortable with inducing and I didn't go into labor prior to my RCS date.

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  • 1.) How long did your doctors say you need to wait before you can try to conceive again?

    I don't remember being given any restrictions, but we didn't have any plans to conceive very soon after we had our first. 

    2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC?

    Why did you have a c-section?

    I would find another provider if your current one is telling you only c/s from here on out. The risks of complications (or having placenta problems in future pregnancies) goes up with each c/s, whereas VBACs stay less risky. 

    FWIW, I pushed for 4+ hours with my first son before having a c/s (he was OP and just not coming out). I had a VBAC with my second, and my MW never gave me a hard time about planning a VBAC.

    ETA: Find another doctor or midwife. There are a ton of us on the VBAC board who had successful VBACs after having a c/s because of FTP/FTD/CPD. My VBAC baby was 2+ lbs and 2+ inches bigger than my c/s baby. Good luck!

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  • 1.) How long did your doctors say you need to wait before you can try to conceive again? They said I should wait a year

    2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC? If I was still living where I delivered I would HAVE to have a c-section because they don't allow VBACs there anymore. But I have since moved and I haven't decided if I will do a scheduled c/s or try for a VBAC.

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  • imageLgamache90:

    1.) How long did your doctors say you need to wait before you can try to conceive again?

    2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC?

    I had some complications in my delivery and my doctor told me that I HAVE to wait 2 and 1/2 years before even trying to get pregnant and that my next deliveries have to be 39 week c-sections. Anyone else not even being allowed to try for VBAC?

    my dr said at least 2 years, and we did not go into real details about me having a schedule csection or trying VBAC; but he did say he recommends I schedule csection, but I had preclampsia and had complications during pregnancy and during delivery; so I am at a higher risk of getting that again.  But we are waiting 2.5-3yrs and then i will look at all of my options.

    Did your dr explain WHY you couldn't try for VBAC? maybe you can get a second opinion.

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  • 1. Absolute minimum 6 months but 1 yr would be better.  We started TTC at 6 months.

    2.   They said I could try for a VBAC if I wanted.  However, we have moved and I am in the process of finding a VBAC friendly Dr.



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  • 1.) How long did your doctors say you need to wait before you can try to conceive again? After my first c-section, I was told I could try again when ever we were ready. This time I had a different doctor and was not told a time frame we are waiting until I finish school in 2 years to try again.

    2.) Did your doctor tell you that your next births HAVE to be c-sections or are they going to let you try for VBAC? The doctor that delivered my DD told me I had to have a c-section with my next. It was not an option to try for a VBAC. I found a new doctor who would let me try again if I wanted to but I did not have a good chance at being successful. In the end I went with a repeat c-section and it was a good thing I did because I would have never been able to vaginally deliver DS as he had/has a very large head over 100% and was very big like my dd at 10 pounds.

  • My OB didn't give me a time to wait before getting pg again.  I will say that I was cleared by another doc to get pg 1 year after the twins were born.

    My OB said that I could try for a VBAC, but my c/s was due to presentation. 

    You could always get a 2nd opinion if you don't agree with your doc to see if he's overly conservative or really just watching out for your safety.

  • I wasn't given a timeline but the earliest we'd try would be when DS is 2.5 - if we try at all as we may be 1 and done.  

     

    My dr said we'd hae to explore a couple things before we decide if VBAC is an option and he'd be able to give me a better idea before I get to second trimester.  I am honestly not even sure I am interested in it because my CS was a very positive experience. 

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  • 1) I was told it was fine to TTC at the 6 month mark, but we waited until DS was 1 to start trying.

    2) The hospital where I deliver does not have an anesthesiologist on-staff at all times (only from 8a-5p), so the hospital does not allow VBAC.  I'm fine with a repeat c/s this time, so I didn't switch drs, but if VBAC was important to me, I would have switched doctors/hospitals this time around.

    Not everyone is a good candidate for VBAC, and it sounds like due to complications, you wouldn't be, but it's not uncommon for doctors to push for (or only perform) repeat c/s after one birth has been a c/s. 

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  • 1. No doctor ever gave me a timeframe.  I was PG with DS2 by the time DS1 was 19 months old.

    2. I had to switch from midwives to an OB between pregnancies anyway, but never asked about a VBAC... there aren't very many doctors/hospitals around here that do VBACs.

  • 1) Nobody gave me a time frame, but I'm pretty sure I made it clear to my OB at my 6 week check up that I wasn't getting KU'd again any time soon with twins still in the NICU.

    2) I have no medical reason that I can't at least try a VBAC next time around.

  • imageLgamache90:

    I had some complications in my delivery and my doctor told me that I HAVE to wait 2 and 1/2 years before even trying to get pregnant and that my next deliveries have to be 39 week c-sections. Anyone else not even being allowed to try for VBAC?

    What were the complications?  Just that the baby wouldn't descend and you were deemed to narrow for the baby to fit or was there something else?  It seems really odd to me they would tell you to wait 2 1/2 years before getting pg again. 

    I was told to wait 3-ish months before TTC so that my deliveries would be minimum of 12 months apart.  They actually ended up being about 13 1/2 apart. 

    My OB nor the hospital does VBAC so my only option was to have a repeat or find a new doctor.  She told me when we were making the decision of vaginal or c/section that going forward all deliveries would be c/sections.  It doesn't matter one way or another to me.

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  • MW suggested that my deliveries be min. 18 months apart if I wanted to VBAC.

    She said there was no reason I couldn't have a VBAC.

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  • imageLgamache90:
    imagejb2rn:

    My question to you would be why did you need a C section? If it was due to something that was unique to the pregnancy (breech baby, failure to progress, big baby that would not come out) then that isn't an absolute contraindication.

    However, if you have another medical reason, I could see why.

    The baby was 8 lbs 8 ounces and wouldn't descend into my pelvis...they said something about the space between my bones being too narrow?

     

    Please please please do some research and get more opinions. CPD is pretty rare. Often a change of position in labour can help open the pelvis. This is no reason, IMO, to delay getting pg. It may or may not necessitate a c/s in the future, but that doesn't need to be at 39 wks. You could wait to go into labour naturally before having a c/s.

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  • 1. My normal annual was 6 months after my son was born. I got the all clear to TTC at that appointment. It was the first time I had asked.

    2. No, my doctor and hospital are very pro VBAC. and it's what I'm hoping on. I have placenta previa. If it doesn't clear up I have to have a RCS to my dismay.

     

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  • I didn't have a timeline to conceive, but am not allowed to try for a VBAC. During the last c-section, LO's heart rate dropped and he had to come out fast. There were some vertical tears that make it too risky for me. I am disappointed, but whatever is safer for me and baby.
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