Vbac

JRL2012 · February 2013

I have the opportunity to deliver via vbac.. Anyone experience this or trying a vbac this time around.. I want to try but so nervous about the risk even though they are an extremely small percent ?? Thanks hope everyone's feeling great!

BillysGrl27 · February 2013

I was thinking of trying too! My Ob yesterday brought it up, I am still undecided and have to do a lot more research. I am nervous but I think its worth it since risk is so small.

danssugahbugah · February 2013

I'm trying for a vba2c this time. Definitely educate yourself, you will find that risk factors for complications in a RCS are much greater than in a vbac. I would also recommend finding and hiring a doula. Good luck!!!

TristaD81 · February 2013

I'm pretty sure I'm going to try for a VBAC. I met with my OB yesterday and she thinks that I am a good candidate right now. I know that there's a 1 chance of uterine rupture but I trust when she says I would be monitored closely to prevent that. I have a lot more thinking to do about it for sure. My first c/s was scheduled because LO was breech, Ill admit I'm scared of an emergency c/s.

Coffejes · February 2013

Silly question... What is VBAC?

TristaD81 · February 2013

danssugahbugah:
I'm trying for a vba2c this time. Definitely educate yourself, you will find that risk factors for complications in a RCS are much greater than in a vbac. I would also recommend finding and hiring a doula. Good luck!!!

I'm going to need to see some references, I'm pretty sure this is not true. Unless you've had like five c/s or something.

TristaD81 · February 2013

Coffejes:
Silly question... What is VBAC?

Vaginal birth after cesarian.

danssugahbugah · February 2013

TristaD81:
danssugahbugah:
I'm trying for a vba2c this time. Definitely educate yourself, you will find that risk factors for complications in a RCS are much greater than in a vbac. I would also recommend finding and hiring a doula. Good luck!!!

I'm going to need to see some references, I'm pretty sure this is not true. Unless you've had like five c/s or something.

https://www.mayoclinic.com/health/vbac/MY01143/DSECTIONwhy2Dits2Ddone

You have a higher risk of infection and of sever bleeding with repeat csection than vbac. And it only increases with each csection.

jeapplegate · February 2013

That is the backwards thing about RCS vs VBAC. Basically the only risk with VBAC above and beyond a regular vaginal birth is the risk or uterine rupture which is bad, but very uncommon. With C-sections there are a bunch of extra risks from bleeding, to infection, injury to other organs etc...many of them may not be as big of an issue a uterine rupture, but overall they really add up and are more likely to happen. Yet VBAC is the thing that is treated as super risky, not rcs.

Either way having another baby after a c-section has increased risks. Don't let anyone gloss over the risks of rcs. Not that you shouldn't trust your DR, but RCS are easier and more profitable for them. Also, since they are the one preforming the surgery, the risks associated with surgical complications probably feel more under their control. Which of course isn't entirely true. Even the best surgeons experience complications.

TristaD81 · February 2013

danssugahbugah:
TristaD81:
danssugahbugah:
I'm trying for a vba2c this time. Definitely educate yourself, you will find that risk factors for complications in a RCS are much greater than in a vbac. I would also recommend finding and hiring a doula. Good luck!!!

I'm going to need to see some references, I'm pretty sure this is not true. Unless you've had like five c/s or something.

https://www.mayoclinic.com/health/vbac/MY01143/DSECTIONwhy2Dits2Ddone

You have a higher risk of infection and of sever bleeding with repeat csection than vbac. And it only increases with each csection.

Well, the article actually says the risks are higher if you have an ER c/s after a failed vbac, not after a planned c/s. VBAC are not without risks, otherwise more doctors would be doing them instead of just Scheduling the repeat c/s.

danssugahbugah · February 2013

TristaD81:
danssugahbugah:
TristaD81:
danssugahbugah:
I'm trying for a vba2c this time. Definitely educate yourself, you will find that risk factors for complications in a RCS are much greater than in a vbac. I would also recommend finding and hiring a doula. Good luck!!!

I'm going to need to see some references, I'm pretty sure this is not true. Unless you've had like five c/s or something.

https://www.mayoclinic.com/health/vbac/MY01143/DSECTIONwhy2Dits2Ddone

You have a higher risk of infection and of sever bleeding with repeat csection than vbac. And it only increases with each csection.

Well, the article actually says the risks are higher if you have an ER c/s after a failed vbac, not after a planned c/s. VBAC are not without risks, otherwise more doctors would be doing them instead of just Scheduling the repeat c/s.

It actually says there are fewer risks with a vbac than a RCS and the risks become even greater if its an emergency.

TristaD81 · February 2013

jeapplegate:
that is the backwards thing about RCS vs VBAC.nbsp; The only risk with VBAC above and beyond an regular vaginal birth is the risk or uterine rupture.nbsp; With Csqec

Ummm, the ONLY risk is uterine rupture?? Ok, well Uterine rupture can result in brain damage to the baby and death to the mother. At the very least your uterus is shot and you have to have a hysterectomy.

danssugahbugah · February 2013

TristaD81:
jeapplegate:
that is the backwards thing about RCS vs VBAC.nbsp; The only risk with VBAC above and beyond an regular vaginal birth is the risk or uterine rupture.nbsp; With Csqec

Ummm, the ONLY risk is uterine rupture?? Ok, well Uterine rupture can result in brain damage to the baby and death to the mother. At the very least your uterus is shot and you have to have a hysterectomy.

Keep in mind that most uterine ruptures aren't complete, life threatening ruptures. Most are partial that dont affect mom and baby during labor and delivery and that would require repair after delivery.

JRL2012 · February 2013

Wow great responses thank you all!!
I most scared of that rupture and having to have a hysterectomy

JRL2012 · February 2013

And causing the Baby to have defects... More researching to do but with all the responses and eduction on things happening with a repeated c/s is also scary.

jeapplegate · February 2013

TristaD81:
jeapplegate:
that is the backwards thing about RCS vs VBAC.nbsp; The only risk with VBAC above and beyond an regular vaginal birth is the risk or uterine rupture.nbsp; With Csqec
Ummm, the ONLY risk is uterine rupture?? Ok, well Uterine rupture can result in brain damage to the baby and death to the mother. At the very least your uterus is shot and you have to have a hysterectomy.

There is a reason that ACOG actually recommends a VBAC as the better option. But no one is making you have try a VBAC, if you want a RCS thats your choice, just make sure you consider the risks a RCS too.

NNGnome · February 2013

I have thought about a vbac, but I think I would not be allowed because I have a high likelyhood of being induced early, and I think you can't have a VBAC if you have to be induced, I will be asking my OB at my 12 week appointment, but does anyone else know?

jeapplegate · February 2013

NNGnome:
I have thought about a vbac, but I think I would not be allowed because I have a high likelyhood of being induced early, and I think you can't have a VBAC if you have to be induced, I will be asking my OB at my 12 week appointment, but does anyone else know?

It depends on your OB and the reason they need to induce you early. Some will do a "gentle induction" with pitocin. But I wonder if a "gentle" induction would even work if they are inducing you early. I think its more for people who are past their due date.

NNGnome · February 2013

jeapplegate:
NNGnome:
I have thought about a vbac, but I think I would not be allowed because I have a high likelyhood of being induced early, and I think you can't have a VBAC if you have to be induced, I will be asking my OB at my 12 week appointment, but does anyone else know?
It depends on your OB and the reason they need to induce you early. Some will do a "gentle induction" with pitocin. But I wonder if a "gentle" induction would even work if they are inducing you early. I think its more for people who are past their due date.

Unfortunatly they are inducing early as my LO will be high risk for Anaemia & Jaundice, I doubt they will take the risk, even if I make it to 38 weeks without needing an emergency c-section.

TristaD81 · February 2013

jeapplegate:
TristaD81:
jeapplegate:
that is the backwards thing about RCS vs VBAC.nbsp; The only risk with VBAC above and beyond an regular vaginal birth is the risk or uterine rupture.nbsp; With Csqec
Ummm, the ONLY risk is uterine rupture?? Ok, well Uterine rupture can result in brain damage to the baby and death to the mother. At the very least your uterus is shot and you have to have a hysterectomy.
There is a reason that ACOG actually recommends a VBAC as the better option. But no one is making you have try a VBAC, if you want a RCS thats your choice, just make sure you consider the risks a RCS too.

Well, as noted in my original response, I am going to try for a VBAC. It is something I want to do and I would encourage anyone who is a good candidate to go for it. I just think it's important to be aware of ALL the risks, even worst case scenario ones, to make a truly informed decision for yourself and your child. Worst case scenarios do happen. And uterine rupture does occur in 7 out of every 1,000 women. It is up to you if you are willing to take the risk. Right now, I am because I trust my doctor and my hospital.

NNGnome · February 2013

Nicoleashlee26:
NNGnome:
I have thought about a vbac, but I think I would not be allowed because I have a high likelyhood of being induced early, and I think you can't have a VBAC if you have to be induced, I will be asking my OB at my 12 week appointment, but does anyone else know?
My OB told me no I could not be induced and have a VBAC being induced. It's super unsettling for those of us that have no choice but to have a RCS and seeing arguments about a RCS being way worse than VBAC.

I know, but a planned RCS is much safer than an emergency c-section after failed VBAC or normal VB. From my perspective (Which is completely unscientific), of all the ladies I know who have had c-sections, the only ones who had any major complications where when they had gone through labour and had to have an emergency c-section (this was all with their first baby, so no VBACs yet), as this is much harder on the body.

The risks of RCS go up with each baby, but this is our second and last baby, so although I know VBAC would be safer in a normal pregnancy, it's probably not an option for us, so I comfort myself that this will be safest for my baby, and as it is planned, and I will not be going into labour first, many of the risks are still lower than they could be.

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