vba2c is this ok to try? no wise remarks pls?
i got a good while to get things sorted but i think my consultant will allow me to go to edd but not a day over.
he wants me to have another section but i really want to avoid it.
i had 1st section on march 9th 2007 with dd due to ftp and fetal distress. (i was 15 days over due and had a failed induction)
2nd was on march 9th 2009 with ds because consultant refused to let me go any further and would not allow induction.
i had a very bad experience with that 2nd section. they performed it on a 30 minute epi and my son got stuck and needed forceps so by the time they started sewing me up it had worn off and i could feel everything.
what i am thinking is if i do my research well before the birth and by some miracle i go into natural labour, would i be ok to stay at home as long as possible?
if i went straight into hospital they would only let me have a trial of labour for 4 hours but if i stayed at home till contractions were thick and fast i’d have more chance of delivering normally.
i know there are some danger of me rupturing my scar but i also know that a temperature will be present before that happened so if i kept an eye on my temp should be ok
also i would hire a professional doppler and monitor foetal hb to look for any dropped or raised heartbeat for foetal destress.
if i really load myself with all the facts what do you think?
i know there are dangers i know i could injure my wound i know all of this but i also know i could bleed to death on the theatre table and i know i could get hit by a bus when crossing the road.
the hospital are happy to give a trial of labour so its obviously not that dangerous.
just me- i am grateful for your opinion and i will not rise to the comment made about me just thinking of myself. whatever i don’t feel the need to ustify myself to you or anybody else. i suppose my consultant is the only opinion that counts. so thanks for your advice. but sorry to disappoint you if you wanted me to have a war of words. tbh i can’t be bothered
Filed under: Fetal Doppler FAQs
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It depends on the kind of C-section you had with your first two. The most ideal kind is called a low transverse Cesarean. If this is the case (witch is normally is now even for emergency c-sections) then yes, you could go for a vbac =)
My first baby was born via c-section, and now with my 2nd I have a vbac planned (he was breach). Mine was an emergency c-section. I had one planned, but went into labor early so it ended up being an emergency one (impatient little butt-head mys son, couldn’t wait 24hrs =P).
Don’t let anyone tell you that you CANT though until you discuss it with you doctor, and even then don’t be afraid to seek a 2nd opinion if you think he is being stubborn for no reason. Some doctors just don’t want to deal with a woman who wants to do a vbac. Many people have a skewed view on vbac thinking that it unsafe compared to repeat c-sections, when in fact it is safer and healthier for mommy and baby. Even if you have had multiple c-sections before, as long as they made the correct kind of incision.
Don’t assume from the outer scar that you had a transverse or not however. Sometimes the outer scar is different than the uterine scar, and that is the one that matters.
My cousin is going for vbac with her baby this time around (her 3rd as well) and the doctor seems to think she has a great chance of doing good with it.
The chances of a rupture during a vbac for the proper patient are about 1/500. Even if you end up rupturing all they do is another c-section. With another c-section your chances of serious complications from the rupture are only about 1/1,500…
A repeat c-section has about a 1/3,000 chance of serious complications.
So if you do the math… 1/500 AND if you are that one only 1/1,500… VS 1/3,000
Even the numbers are on your side =)]
The problem you may have is finding a doctor and a hospital that will allow you to attempt a trial of labor. May hospitals and doctors don’t allow vbac. The reasons given are things like insurance, and liability.
The cold hard truth of the matter is that a c-section is not only less of a liability, but its easier for the doctor and hospital, it takes less time than vaginal birth, and is MORE EXPENSIVE. Health care is a money making business, as much as anything else. So do some looking around at the hospitals nearest you and see if they allow vbac, and talk to your doctor about if he supports vbac.
Do some research, and talk to your doctor.
Here is a website I found when I was deciding to do a VBAC. Its an excellent resource for women seeking more information and support on VBAC decisions.
http://messageboards.ivillage.com/iv-ppv…
Good luck! =D I hope we can both get a vaginal birth this time around. I know I want to avoid and another section if at ALL possible!
Here is some info I looked up for you to get you going:
The greatest concern for women who have had a previous cesarean is the risk of a uterine rupture during a vaginal birth. According to the American College of Obstetricians and Gynecologists (ACOG), if you had a previous cesarean with a low transverse incision, the risk of uterine rupture in a vaginal delivery is .2 to 1.5%, which is approximately 1 in 500
Some studies have documented increased rates of uterine rupture in women who undergo labor induction or augmentation. You will want to discuss the possible complications of induction with your health care provider. Recently, ACOG stated that VBAC is safer than repeat cesarean and VBAC with more than one previous cesarean does not pose any increased risk.
From the Guide to Effective Care in Pregnancy and Childbirth:"The available data on outcomes after a trial of labour in women who have had more than one previous caesarean section show that the overall vaginal delivery rate is little different from that seen in women who have had only one previous caesarean section."… and also … "the available evidence does not suggest that a woman who has had more than one previous ceasarean section should be treated any differently for the woman who has had only one caesarean section".
Myth: If you rupture, you and your baby will die.
Fact: Catastrophic ruptures are extremely rare, and much more likely if you have oxytocin induction, cyotec, prostaglandins or lay flat on your back unable to move around. Included in rupture statistics is harmless and asymptomatic dehiscences, which unfairly skews the numbers. When people think of rupture they think of a uterus imploding, they don’t think of scar tissue pulling away from where it’s gotten stuck, or a small break that heals easily and poses no risk to mother or baby. Dehiscences are the most common type of "rupture", by far. It is usually diagnosed when a second c-section is performed or the doctor physically puts his hand inside a woman’s uterus and feels around after birth. Some evidence suggests that many dehiscences actually occur before labour begins.
Catastrophic rupture (the dangerous kind) more often happens due to uterine integrity as a whole (with the vast majority following labour augmentation). The cases of true rupture are not the 1-2% figure we hear all the time, that is for dehiscences. When a true rupture occurs, a cesarean must occur within 30 minutes (ideally 20) to prevent neurological damage to the baby. Death does not occur immediately. Most women attempting a home VBAC are well within 20-30 minutes of a hospital, particularly if 911 is called.
‘A Guide to Effective Care in Pregnancy and Childbirth’, which is a well-respected summary of evidence-based practice, says that the rate of reported uterine rupture has ranged from 0.09% to 0.8% for women with a single baby, head-down, who planned a vaginal birth after one previous lower-segment cesarean. The authors comment:
"To put these rates into perspective, the probability of requiring an emergency cesarean section for acute other conditions(fetal distress, cord prolapse, or antepartum hemorrhage) in any woman giving birth, is approximately 2.7%, or up to 30 times as high as the risk of uterine rupture with a planned vaginal birth after cesarean"
What does this mean for women who want a VBAC? Up to 99.91% of you will labour normally.
True rupture is not asymptomatic, and the first signs are a steadily falling heart rate (now heavily debated over whether or not this is a true indicator) and/or intense pain that you’ll feel even with an epidural. While external fetal monitors, in theory, are meant to catch this kind of thing as it happens - they often do not. External fetal monitoring has not been shown to save any lives, and has only been shown to increase the amount of unnecessary c-sections being performed. It is just as effective, and safer overall, to have a nurse or midwife come in every so often and have a listen with the doppler or fetoscope - particularly during a contraction. This also keeps you off your back, where you are often strictly told to stay if you are hooked up to EFM. This position increases your chances of complications. Move around! Stay hydrated! Stay strong! Avoid drugs! Labour isn’t made so you that you can lie back with your feet up.
Home dopplers and fetoscopes are available to rent or buy. Fetoscopes can be purchased online or at any medical supply store for $30 or under, and home dopplers can be rented for as little as $35-$40 a month. Do keep in mind that dopplers, being ultrasound, carry risks. A fetoscope poses no risk to the baby.
Risk of rupture also depends on the type of incision you received. Except in rare cases, modern c-sections are performed by low transverse incision (a horizontal scar just along your pubic bone, usually hidden by a bikini). The risk is highest with a vertical incision over the middle of the stomach. This requires more healing time as well.
The key is to find a doctor on the outset who is willing to try. You have to have support or they will shoot you down.
im preg with my 1st and im having a home birth… my midwife is not happy about this … but way i see it is if anything gose wrong u r onli 15mins from hospital in ambulance! to what you can for a nat birth! xxx good luck xxx
What you don’t want to do is endanger the baby - and I think without professionals at least doing the monitoring of you, you would be doing that. I certainly know that when I was in labour i wouldn’t have been capable of sensibly monitoring dopplers and foetal heartrate! And there may be things on all these monitors that you won’t pick up, but that a trained professional would. I understand your concerns, but I think you need to find the support of a doctor or midwife, or other professional in order to be capable of doing your baby the best service. Good luck.
i wasn’t allowed to try myself with my third child either. i kept suggesting it at each antenatal visit but the doctor was having none of it. i was booked in to have my son at exactly 39 weeks but when i started labouring at 37 weeks they did an emergency c-section even though i stayed home for 16 hours of contractions and already 5 cm dilated without complications when i got to hospital.
i didn’t purposely stay home that long, it just wasn’t that painful and wasn’t even sure that it really was labour. if i had known, i would have gone in straight away for my baby’s safety and my own.
Actually, they ARE that dangerous. Many hospitals will not allow women do have a VBAC, including the one where I go because they’ve tried it with too many women & had negative results. And what does having a temp have to do with rupturing your scar?? It’s not the scar that you should worry about rupturing– it’s your uterus. And when that happens, good luck on you or your baby surviving if you’re at home! If your uterus ruptures, your baby will be in great distress. Quit thinking about only yourself and worry a little more about the risks this can have for your unborn child.