VBAC questions

Sa

Sa

I'm pregnant with my second and due in May 2020. My first was a c section December of 2016. What types of questions should I ask my doctor and things I need to be 'armed with' when weighing my options between a VBAC and another c section?

My brain won't turn off about the worry of a VBAC and the pain of another surgery. Help a girl out. Haha

398 views • 2 upvotes • 19 comments

COMMENT (19)

mu

Posted at
Ask for the stats on all risks for both. I was given a sheet that listed all the risks and the chances. Ask if they will allow induction for vbac if you go over. (Some doctors are funny about this). Also join positive birth after caesarean on Instagram or Facebook. She is so so knowledgeable about everything vbac and repeat C-section. I learned so much from her about my options and the realities behind the stats. I went for vbac because in most cases it is the safest option for both mum and baby. It also wouldn't limit my options for another birth. It also would mean I was able to get back to caring for my toddler without hindrance faster and she wouldn't feel like all my attention was suddenly taken from her. I had a successful vbac on Monday night and honestly I am AMAZED at the difference in recovery. I'm feeling completely normal except for some stinging where I had a few stitches. I keep saying to my husband how much of a difference there is, I'm honestly amazed lol.

Ka

Kayley • Nov 23, 2019
Are you or have you already posted a birth story for you vbac? I am hoping to have one as well and love hearing successful vbac stories! Congratulations!!🎉

Ha

Posted at
There is a 99% chance that your uterus won't rupture! You don't need to birth before your due date (or plan a VBAC but have a CS date booked), you should be treated as any other labouring woman.

Sa

Sa • Nov 17, 2019
I didnt know that, I'll keep that in mind. I knew induction could increase the risk of c section, but not about it also increasing chances of uterine rupture too. Thanks for the info!

Ka

Kayley • Nov 12, 2019
Exactly! And induction comes with risk for uterine rupture too, and doctors are happy to do that.

Ka

Posted at
Hi! So I actually had to double check to make sure the user who posted this wasn’t me and that I’d just blanked on posting this.I had a csection December 20, 2016. I am due March 2020 now.I don’t know what your experience was with your first cesarean or why you had it. Major surgery, unless absolutely necessary, should never be the default. Of course, it depends on why you had a csection etc. I had a failed induction at 36 weeks, so for me, I believe that I should be able to deliver naturally if my body is given the opportunity. I didn’t suffer any complications from my cesarean and healed well, and had 2 ½ years to recover before conceiving again. I don’t know about you, but I didn’t love the csection experience. I’d love to avoid major surgery and the recovery that comes with it and the added complications I feel that the csection led to with my ability to breastfeed.Our best chance for a trial of labor that leads to a successful VBAC, is to avoid as many interventions as possible. Unless absolutely medically necessary, I will refuse induction of any kind. I want to be at least a 5-6 dilated before I get an epidural, but ideally I’d like to get by without one especially if I can use a tub for natural pain relief and laughing gas, both of which I made sure my hospital and OB group offers.There are birth vlogs and stories on YouTube of other women talking about their successful and failed vbacs.To an extent we have to accept that we won’t truly have any control. We can only prepare ourselves mentally and physically as best we can, but ultimately a healthy baby brought safely into this world is the best outcome no matter how that is achieved.Also, remember once they break your water, you’re on the countdown for a csection. Some women don’t have their water break naturally until 10cm so I plan to avoid having it artificially ruptured as much as possible. Our bodies need time, some more than others.

Ka

Kayley • Nov 18, 2019
4.5 and I would’ve been happy to keep waiting but my water had been broken for 24 hours already. Worth noting, I think that I was having to lay on my back with pitocin and magnesium sulfate (mag was because of my preeclampsia and also causes the body to relax which can prevent contraction and therefore dilation), I feel pretty good that I’ll be able to dilate if my body is given the time and I’m able to move and get my body into better positions.

Ha

Hayley • Nov 18, 2019
You sound really well prepared! You are definitely in a great position for a VBAC, considering your previous was for a failed induction. How much did your cervix dilate during your first labour? (if you don't mind me asking 😊

Ka

Kayley • Nov 17, 2019
I guess they were trying to get my body to progress and move things along but it really wasn’t necessary and it basically set me on a countdown to csection

Ma

Posted at
I did everything you’re not supposed to do for a vbac (induced, ARM, synthetic oxytocin, epidural, etc) and had a successful one.Where you are in the world does matter, if you’re in the US you need a doctor who is 100% vbac friendly.But it’s 100% worth it

Ma

Magz 💙💜💙 • Nov 17, 2019
Artificial Rupture of Membranes, they broke my waters to kickstart labour 😉

Sa

Sa • Nov 17, 2019
I'm in the US. What's ARM? Haha sorry, new to all these vaginal birth terms 😂

Ap

Posted at
There's risks for both.There's uterine rupture with VBAC happens to fewer than 1% percent as I had been told. Though when I did my VBAC a woman attempting at the same time had a rupture so all depends on your body and where they cut you and how much scarring you have. But you should be fine.With csection you have an increase of more blood loss and chance of infection. There's pros and cons for both.I went for VBAC because I knew recovery would be so much easier and it was. Unless a csection is definitely needed in order for the safety of you and your child i would aim for a VBAC but its totally up to you.

Sa

Sa • Oct 26, 2019
Thank you for your insight and experience! I truly appreciate it

Si

Posted at
My obgyn had told me it depends on what the reason for the csection was. Ask them if they think it would work this time. I had to have a csection because I couldn't get past 8cm no matter what I did and my obgyn said usually if that is the cause for a csection for the first child then there is a great chance it could happen again so it's just better safe then sorry to do another csection. Good thing I had the csection though because my son had the cord around his neck 3 times

Si

Simone • Jul 27, 2020
I'm sorry you didn't get your vbac

Si

Simone • Jul 14, 2020
I'm sorry you didn't get your vbac. If you want another child down the road I hope you get your vbac

Sa

Sa • Jul 14, 2020
I ended up having another c section. My first was bc babies head was too big. I didn't get to even attempt a vbac bc the second ended up being breech and refused to flip.