May 2014 Moms

VBAC or Repeat C-section? Opinions?

Okay. This may get long and I apologize in advance. :)

My first son was born via c-section. After 16ish hours of labor and 3 hours of pushing, my doctor suggested a c-section because my son's head just wasn't coming down and I was exhausted. I was not induced, I did have the epidural, and my water broke on its own... (Not sure if any of that is relevant or not.)My doctor said that I healed up very nicely with very little scar tissue. The experience was not terrible and the recovery was fine once I realized that I had to take my meds.. I tried to avoid it because I wasn't sure how they'd affect me.

This time around, my doctor says that as of now, I'm a good candidate for a VBAC. Baby is head down and it's been almost 5 years exactly since my first pregnancy.

Here is what I'm trying to decide on. Should I opt for a repeat c-section or try for a VBAC?

  • This is my last child, so I'm not concerned about a second surgery causing problems with future pregnancies.
  • I've been through a c-section before and I have no problems doing it again should that be the route I chose or am forced to go.
  • I've also been through labor and pushing, which is not something I'd LOVE to do again, but I am not trying to avoid it, either.
  • I live in Japan now. There is NO WAY I'll have family here to help me. It would be MUCH easier to have a scheduled c-section so that I can set up a time/date for a sitter or daycare. Obviously, with a vaginal, I'd need someone who could be ready at any given moment, day or night.

So as far as convenience for my husband and I, c-section is the obvious choice due to needing care lined up for our older son. However, I feel like if I'm a good candidate for a VBAC, why wouldn't I try? Would I feel guilty taking the 'easy' way out with a c-section? Will my surgery and recovery go as well as it did the first time? I don't know. I know that ultimately, I have to make the decision, but I wanted to get opinions from other people. What are your thoughts?

I should add my husband will have 10 days automatic leave for the birth of a child... He plans on taking an extra two weeks of leave to help me out since I have no family here. He is willing to take more leave if I need him to.

Re: VBAC or Repeat C-section? Opinions?

  • Even my recovery from c section wasn't bad but I didn't feel normal until 5-6 weeks. I would opt for trying to do the Vbac if I were you...esp with a second child to take care of. Yeah sure you can't plan it out, but how often do you deal with this situation? C section is still major surgery so id still give yourself a chance at Vbac. Either don't sound like a picnic.
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  • I agree with PP - a c/s is major surgery . IMO, you'll need your husband's help more (recovery wise) for a c/s than you will for a VBAC.  Considering your Dr. said you're a good candidate for a VBAC, that's what I would opt for.  Your second labor could be much different/quicker than your first, especially if baby is positioned well.

    I am very pro-VBAC since I wanted a natural/un-medicated birth and that didn't happen for me with DD1. So for me, VBAC is the way to go.  But my SIL would much rather have the labor-free, scheduled date (which she didn't get btw, b/c she went in to labor earlier than her scheduled c/s) <-- that's also a possiblility you will have to take into consideration.

    That being said, it all comes down to what feels right to you.  No one can tell you what works best for your family except you and your husband.

    GL with your decision :)

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  • FTM here. Not sure that most people would agree with you and call a C-section the "easy way out". I know many people who have had a really tough recovery from C-sections. I've never heard such bad stories after a vagional delivery. All I know is that my Dr's office is in favor of a VBAC in most cases. Our packet given from the dr it even says that their goal is for a VBAC.

    With that said, I do understand why you are contemplating what to do. I'm sure labor and pushing was difficult for 16 hours. Have you done your research on both? I just look at it like, As a FTM I don't get a choice for a reason. That reason is because the most ideal way to go is vaginally, right? This is just my thoughts on the whole thing. To each their own and I'm not judging you. This is a decision only you can make. It would be great to talk to someone who has been through both.
  • I had an emergency c/s with my 29 month old son. My labor was very fast. I got to 10 cm in about 6 hours. I never pushed and his head never came down. He was also facing up. There was merconium in my fluid and he started to have several heart decelerations during contractions. My epidural only provided relief for about 45 minutes. The dr made the decision to take him via c/s.
    The recovery was tolerable.
    Fast forward to now....
    I have a VERY active Mama's boy to think about. Our closest family lives 3+ hours away. 
    I thought scheduling a c/s would be our best option. Since then I have switched practices and my new dr says I'm a very good candidate for vbac. I know logistically it will be better to just go with the scheduled delivery date but I fear the recovery with a 2 year old at home. 
    I am also very eager to get back to working out as soon as possible. I want to be active this summer. Not laid up from the c/s. 
    So at this point, I'm going to keep the c/s date for the 39th week. If I go into labor ahead of time, we will try for a vbac. 
    I wish you luck and I know it's not an easy choice!
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  • I had the same decision and I'm going to try for a VBAC. I had a horrible CS recovery though, so avoiding that is priority number one, especially now that I have a heavy toddler.
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  • I had an emergency c-section with my 1st, after pushing and being in labor most of the day they could not find his heartbeat. They rushed me back and by the time they were ready to start the c-section they found his heartbeat again. This time around they gave me the option of a VBAC or c-section, explaining that there is a risk with a VBAC. I went back and forth about this and in the end i have decided to go for the VBAC and i have the c-section scheduled for my due date. They do not want me to go too much over my due date as the risk increases. I'm hoping that baby 2 will come right before my due date so that i can attempt a vaginal delivery again. I did not have a horrible recovering from the c-section before, i mean it wasn't peachy but i could do it again. It is a hard decision, I'm not sure what i would do in your situation as for being out of the country with no family. Follow your heart :)
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  • FTM here. Not sure that most people would agree with you and call a C-section the "easy way out".
     
    THIS!

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  • I am going the vbac route mainly because I did not find c section recovery to be that easy and I will have a toddler to care for on top of the newborn.

    I think it is an individual choice only you can make.
    IF DX: DOR & Fragile X pre-mutation carrier
    2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
    BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
    Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
    BFP from supps ~ DS#2 due May 2014

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  • Another thing to think about is that just because your recovery was easy the first time, it doesn't mean it will be again.
    IF DX: DOR & Fragile X pre-mutation carrier
    2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
    BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
    Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
    BFP from supps ~ DS#2 due May 2014

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  • mmksmmks member
    This is a very personal choice! For me, I didn't even consider a RCS, but I had wanted an all natural labor with my 1st, so I kinda see this as my last chance at that.
    Personally the risks of another surgery are scarier for me than the risks with a VBAC. And like PPs have said, I'd rather have the recovery from a VBAC than a RCS. But I had a rough recovery with my 1st and am willing to go through the pain of labor to avoid that!

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  • I would do anything to avoid another c/s, even though my recovery wasn't that bad. I really want an unmedicated birth.
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  • I would (and did) vbac- best decision I made. My c/s was a breeze was as was the recovery, but like pp's said there are no garauntees that the next will be as easy. Plus I can't image dealing with recovery and another toddler at home. 
    My 1st vbac was 12 hrs labor and 3 hours pushing- but he made it just fine. My 2nd was less than an hour of labor with about 5 min pushing. You never know from child to child how your delivery would go.
    If your doc says your a good candidate than I would at least attempt it. 

  • What's "easy" about a c-section? It's a major surgery with major risks and a long, usually very uncomfortable recovery. And don't forget the terror of being awake through the whole thing. Oy.

    I'm having a repeat c-section because I have a baseball-sized cyst on my left ovary and need to have it taken out, but I'd already made my decision for an RCS long before we discovered the cyst. Heck, I decided on RCS before I even got pregnant again. But not because it's going to be easy; I know it won't be easy. But it's familiar to me now, and I appreciate having the big variables removed. I like knowing when and how it'll happen and what to expect. I also have a small pelvic opening and a history of carrying a large baby with a giant head, and my doctor doesn't think vaginal delivery would work for me anyway.

    So just go with what you prefer, and forget about what you "should" do or what other people expect of you. The goal is to have a healthy baby, no matter how you go about it.


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    DS: 11/8/11 | 9 lb 7 oz, 22 in
    DD: 5/22/14 | 9 lb 9 oz, 21.5 in


  • Mittens14 said:
    FTM here. Not sure that most people would agree with you and call a C-section the "easy way out".
     
    THIS!
    Well, it would be 'easy' per say for me mainly because of the convenience of planning daycare or a babysitter for my older son. I just don't know if convenience for my husband and I is a good enough reason to choose a c-section.
  • IBackBevo said:
    Another thing to think about is that just because your recovery was easy the first time, it doesn't mean it will be again.
    This is definitely something that is playing on repeat in my brain. It is entirely possible that I have a harder surgery or recovery and therefore it won't be easy to care for a 5 year old and a newborn.
  • This is a very personal decision. Check out vbacfacts & Childbirthconnection.org for good info. No matter how you deliver there are risks & benefits that you & your DH need to consider.

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