Ashley Roan
countrybound77
Ashley Roan

VBAC after two C-sections?

We are TTC #3. I really want to have a vaginal birth this time (if I do end up pregnant) but I've had 2 c-sections in the past.

Комментарии

^^That's great! I just wish that everyone was so well-informed (regardless of which route they choose to take!). =)

Нравится Ответить

I am terrified of both. I am so keen to try a vbac2 even though it scares me, but so does the risks involved with a third csection. I have a very good ob and I am going to trust in him. I am going to try an relax and enjoy the ride.

Нравится Ответить

Actually, VBACs are recommended for women with two previous cesareans...

"In keeping with past recommendations, most women with one previous cesarean delivery with a low-transverse incision are candidates for and should be counseled about VBAC and offered a TOLAC. In addition, the College guidelines now clearly say that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC."

Although uterine rupture is certainly a risk, it has to be viewed in conjunction with the risks of multiple cesareans.

"In making plans for delivery, physicians and patients should consider a woman's chance of a successful VBAC as well as the risk of complications from a trial of labor, all viewed in the context of her future reproductive plans," said Dr. Ecker. Approximately 60-80% of appropriate candidates who attempt VBAC will be successful. A VBAC avoids major abdominal surgery, lowers a woman's risk of hemorrhage and infection, and shortens postpartum recovery. It may also help women avoid the possible future risks of having multiple cesareans such as hysterectomy, bowel and bladder injury, transfusion, infection, and abnormal placenta conditions (placenta previa and placenta accreta).

Both repeat cesarean and a TOLAC carry risks including maternal hemorrhage, infection, operative injury, blood clots, hysterectomy, and death. Most maternal injury that occurs during a TOLAC happens when a repeat cesarean becomes necessary after the TOLAC fails. A successful VBAC has fewer complications than an elective repeat cesarean while a failed TOLAC has more complications than an elective repeat cesarean."

It's certainly each woman's decision how she wants her baby to be born but it's important that women get ACCURATE information on the risks of ERCs and benefits of VBACs and vice versa. Any time a doctor makes that decision for a woman (phrases like "not a option," "too risky," or an unbalanced view of risks such as talking up the risks of a VBAC without properly explaining the risks of an ERC, etc), she's not able to give informed consent. How can you make an informed decision if you don't know all the information? As a doula, my rule of thumb is that if a woman is not equally terrified of each option, she's not been given balanced information.

ссылка

Нравится Ответить

I personally wouldn't do it because after a csection the labor pains could cause it to reopen the scar I'm not saying it can't be done I'm just scared to try but like pp said do ur research nd go with what ur comfortable with

Нравится Ответить

I am currently pregnant with my third. My first was an emergency and second was elective which was 17months ago. I am due in May and I have researched and found a doc and hospital that are pro vbacs, especially after two c-sections. I also have a doula. I am lucky cause she is also my best friend.

Do your research and get as much information as you can.

A few things I have learnt is that you will be closely monitored throughout the labour and will need to go into labour naturally. They will not induce as it puts added pressure on the uterus.

I will be having a birth plan for both vbac2 and csection.

I hope you find a doc that is supportive of your decision.

Нравится Ответить

My doctor told me vaginal birth after one csection may be an option for some but after 2 it is not an option.

Нравится Ответить
countrybound77

My first was an emergency (which ones aren't typically??) but my second was not. Baby was breech and we planned to have a c-section for other reasons. I just don't want to go through that all again. :-(

Нравится Ответить

im on pregnancy no 3 and I went to a few different doctors and they all said vbac was definitely NOT an option. both baby 1 & 2 were emergency c sections. I had my last baby 6 years ago!

Нравится Ответить

Go for it I just had to have a csection with my 2nd because I went into preterm labor and she was breeched but my 3rd I definitely want to try VBAC2C I did tons of research and really wish I was able to vbac this last time

Нравится Ответить

Normally they wont do it because of uterine rupture but you jave to talk to you ob

Нравится Ответить

@Ms.Marrero, it's very likely that a VBA2C isn't an option for your OB, not you... Unless you were less than 3-9 months postpartum when you became pregnant again and/or your incision is vertical, there's no (common) reason why your doctor should recommend against it. Some doctors just don't believe in evidence-based medicine because of their own

limited experience or liability reasons. Have you considered finding a pro-VBAC doctor or midwife?

Нравится Ответить
countrybound77

Just a higher chance of uterine rupture I think. Unjust really don't want to be cut open again. :-(

Нравится Ответить

I have had 2 c-sections and wanted to do vba2c however my doctor said its not an option for me. just curious what are some of the reasons that would make them advise against it?

Нравится Ответить
countrybound77

Thank you ladies! :-)

Нравится Ответить

Vba2c is still the acog recommendation for many moms!

Get with your local ICAN chapter!!! They may be able to help you find a supportive provider! :)

Нравится Ответить

My Dr advised against doing a vbac after 2 consecutive c sections

Нравится Ответить

I'm expecting my 3rd in August. I had 2 sections a my kids were very large. I would love to try natural if this baby is not too large. I'm going to research.

Нравится Ответить
countrybound77

Thanks ladies! I really hope so but I doubt my doctor will be supportive. Maybe I need to find a new doctor. I really don't want another c-section!!!

Нравится Ответить

I'm due to have my 3rd c section in 3 days time and wish I had have been given the option to try naturally. I wasn't encouraged at all to try a VBA2C. ?

Нравится Ответить

I just had a successful VBA2C in September. It was an amazing experience and I highly recommend looking into it! Finding a supportive Dr is a must! Everyone is different so your Dr would know if you are a good candidate. ** ACOG now recommends a VBA2C

Нравится Ответить

I wanted to but was advised not to as it will only be 18 months since my last c section.

Нравится Ответить