SweetLily, no need to apologise as I don't think there has been any confusion over the role of a doula. More likely, we have a reincarnated poster here who has an issue with doulas. Names can be changed but it's very hard to disguise your writing.
Good luck to all of you wanting a successful VBAC :).
I had a VBAC almost exactly 3 years after my CS and it went very well. This was in the UK and the understanding was that I would be in Labour Ward in case of anything untoward happening; however as providence would have it Labour Ward was full the day I went in so I ended up being stashed away for safekeeping in a Triage room in the Birthing Centre (midwives only, no medication beyond gas & air) and thankfully labour was only 5 hours, by the time they were ready to transfer me to Labour Ward DD was well and truly on her way and moving me was out of the question!!! I do think the Chief Midwife was very twitched about having me there unsupervised and insisted on hooking me up onto the monitors a lot more than I felt was necessary - but it all ended well and DD was fine, I healed quickly with no issues despite being stitched for a tear.
But the best part is that my consultant was Britt Clausson, lovely lady, very chilled out and supportive of my determination to have a VBAC, and I have just discovered that she has recently moved to City Hospital here in Dubai!! I have an appointment with her on Tuesday, hopefully she will still be as supportive of my desire for a second VBAC!
SweetLily wrote:
Risks are very low but of course are there. Speak with a doula and a doc with VBAC experience. No reason why you can't have a wonderful, safe, natural birth this time around. I know mamas who have had VBACs at home after 5 sections. Totally, totally possible.
Sorry but can someone explain to me again what are the exact qualifications of a doula ? Are they medical trained ?
Thanks a lot
Dear Pixie2011
I hope this can help . Good luck !!!
Can you have a natural birth after having two or more c-sections?Improve
In: Pregnancy, Labor and Birth, C-section [Edit categories'>
Michael Fakih MD/UAE-IVF www.fakihivf.com
Over 10000 IVF babies delivered USA certified experts +97143497600
Sunflower Medical Ltd www.sunflowermedical.co.uk
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AdsAnswers.com > Wiki Answers > Categories > Health > Sexual and Family Health > Pregnancy > Can you have a natural birth after having two or more c-sections? Answer: Improve
Yes, you can, but it is something you should discuss with your obstetrician.
First, you have to consider the reasons for the previous cesarian sections. If they were one time problems (breech presentation, placenta previa), then a vaginal birth is something to consider.
If your previous cesarians were done for obstructed labor, a small pelvis, "CPD," dysfunctional labor, or other conditions which are likely to recur, it may not be a good idea.
A uterus with a scar on it is much more likely to rupture (burst open) during labor, and this can cause fetal distress or death. However, even there is a less than 1% chance of this happening, it is still a possibility, and one with potentially catastrophic consequences.
The type of scar is important. If you wish to attempt VBAC, you will want to make sure your previous surgeries were done with low-transverse incisions on the uterus. You cannot tell what sort of incision you had by looking at the scar on your belly--you need to consult the operative record or ask the doctor who performed it.
A previous low transverse uterine incision does not cut into the body of the uterus, and is least like to rupture. A vertical, low vertical, or "classical" incision, which goes up and down on the uterus, and is performed for complicated presentation (transverse), prematurity (undeveloped lower uterine segment), unusual blood vessels, or scarring and/or adhesions from previous surgery, is much more likely to rupture, and is a contraindication to labor.
Mind you, cesarean section also holds risks for the mother and baby. It is major abdominal surgery and has a maternal mortality rate 2 to 4 times that of vaginal birth. Cesarean births can lead to trouble bonding and breastfeeding. But, when compared to VBAC, the risks of maternal morbidity and mortality are similar.
Most doctors will not induce someone with two previous cesarians (because of an even higher risk of rupture than natural labor), but will allow labor to proceed naturally in a hospital setting.
If you wish to try and deliver vaginally after two cesarian sections, this should be done in a hospital (not birthing center) that can perform an immediate cesarian section in case of an emergency.
If you've delivered vaginally prior to your cesarian section, this would increase the likelihood of a successful VBAC (vaginal birth after cesarian).
Thank you so much for the info. Yeah, I need to consider many different factors before I make a choice. I will consult the ob/gyn as well. I may have to contact doc in the US (this is where I had my first 2 c-sections). I definitely need to take a look at the risks.
Dear Pixie2011
I hope this can help . Good luck !!!
Can you have a natural birth after having two or more c-sections?Improve
In: Pregnancy, Labor and Birth, C-section [Edit categories'>
Michael Fakih MD/UAE-IVF www.fakihivf.com
Over 10000 IVF babies delivered USA certified experts +97143497600
Sunflower Medical Ltd www.sunflowermedical.co.uk
Couches Trolleys Seating Cabinets UK manufacturer, NHS approved
AdsAnswers.com > Wiki Answers > Categories > Health > Sexual and Family Health > Pregnancy > Can you have a natural birth after having two or more c-sections? Answer: Improve
Yes, you can, but it is something you should discuss with your obstetrician.
First, you have to consider the reasons for the previous cesarian sections. If they were one time problems (breech presentation, placenta previa), then a vaginal birth is something to consider.
If your previous cesarians were done for obstructed labor, a small pelvis, "CPD," dysfunctional labor, or other conditions which are likely to recur, it may not be a good idea.
A uterus with a scar on it is much more likely to rupture (burst open) during labor, and this can cause fetal distress or death. However, even there is a less than 1% chance of this happening, it is still a possibility, and one with potentially catastrophic consequences.
The type of scar is important. If you wish to attempt VBAC, you will want to make sure your previous surgeries were done with low-transverse incisions on the uterus. You cannot tell what sort of incision you had by looking at the scar on your belly--you need to consult the operative record or ask the doctor who performed it.
A previous low transverse uterine incision does not cut into the body of the uterus, and is least like to rupture. A vertical, low vertical, or "classical" incision, which goes up and down on the uterus, and is performed for complicated presentation (transverse), prematurity (undeveloped lower uterine segment), unusual blood vessels, or scarring and/or adhesions from previous surgery, is much more likely to rupture, and is a contraindication to labor.
Mind you, cesarean section also holds risks for the mother and baby. It is major abdominal surgery and has a maternal mortality rate 2 to 4 times that of vaginal birth. Cesarean births can lead to trouble bonding and breastfeeding. But, when compared to VBAC, the risks of maternal morbidity and mortality are similar.
Most doctors will not induce someone with two previous cesarians (because of an even higher risk of rupture than natural labor), but will allow labor to proceed naturally in a hospital setting.
If you wish to try and deliver vaginally after two cesarian sections, this should be done in a hospital (not birthing center) that can perform an immediate cesarian section in case of an emergency.
If you've delivered vaginally prior to your cesarian section, this would increase the likelihood of a successful VBAC (vaginal birth after cesarian).
I responded to your other post, Pixie2011. :) It is totally possible for you to have a VBAC after 2 c-sections. Have you ever thought about meeting with a doula to talk about it? There are some great doulas in Dubai. Also, have you ever heard of Hypnobirthing? It is a fantastic way to view birth and the body. There are really great courses that go on in Dubai. They run for five weeks and are done in groups.
Hypnobirthing really covers all of the 'failures' that we are told we have during childbirth. One thing it covers is how the body works during childbirth and how if you are watched, if the lights are on or if it is too loud, if you're not able to move around, if you feel stressed or under pressure, if you have fear, that will not allow your body to fully relax and open up. The failure there isn't the woman or her body at all, it's totally the medical system's failure to let the mother birth naturally. The book is fantastic, if you want to check it out. Hypnobirthing by Marie Mongan.
I think that's where I would say to start (aside from checking out the links that I posted below and posted in your other thread). I don't know Dr. Janaki - I'm out in Al Ain - but I am sure the doulas in Dubai would and would be able to help you have a vaginal birth. I hope that helps! :)
edited by SweetLily on 14/11/2011
Thanks darling! Yeah, I will try. Honestly the pain from the last c-sections really is still fresh in my mind! LOL I know that natural childbirth is painful, but I still think it would be much, much better than having another major surgery. I will consult with a doctor and I will find a doula. I will be in Dubai after 3 months or so. I will start looking from now.
I also wonder about VBAC. I have had 2 c-sections and in the other thread (Dr.Janaki one), we talked about the VBAC after 2 c's. I would want to have it naturally, since the recovery is much faster and better than from a c-section, the only thing is with my other labors I failed to progress (4 centimeters only) and I wonder if it may be the same thing with my third one.
Lots and lots of successful VBAC stories out there and lots from the UAE (although it's a bit harder here because it is a very medical system). I am a VBAC mama. I'm pregnant with my second baby due in March. My daughter is 13 months and I got pregnant at 8 months. My midwife (from the UK) didn't say anything about waiting a year.
There are some great books out there like 'the Silent Knife' and the 'VBAC Companion'. Best way to ensure your chances of a successful VBAC here, and anywhere really, is to hire a doula. If you want to chat about anything VBAC feel free to email me at [email protected]. :)
You are soo soo sweet and I appreciate it! I will definately drop you a line!
I'm so relieved to hear that all of you guys did so well! I've been deathly afraid of uterine rupture and so was waiting until lo was a year old to start trying again. 8 months later and I still sometimes feel slight pain especially during my period around the area where the incision was made -so I always felt maybe I wasn't healed enough yet. Will check with my doctor but I am definately anxious to get started on #2...I'm not getting any younger *sigh*
My SIL had 2 sections and then Vbac with her 3rd. There is only 11 months btween the last section and Vbac!! All went well with delivery of 3rd and no complications.
I wouldn't worry too much I had a vbac with dd just shy of 13 months after having ds by cs. I was told to wait a year before conceiving again after c-section but obviously didn't quite work out that way! I saw the same obygn for both births and he was happy for me to go for a vbac and wasn't overly concerned about the time frame but did keep an eye on the scar during pregnancy for tearing.
Lots and lots of successful VBAC stories out there and lots from the UAE (although it's a bit harder here because it is a very medical system). I am a VBAC mama. I'm pregnant with my second baby due in March. My daughter is 13 months and I got pregnant at 8 months. My midwife (from the UK) didn't say anything about waiting a year.
There are some great books out there like 'the Silent Knife' and the 'VBAC Companion'. Best way to ensure your chances of a successful VBAC here, and anywhere really, is to hire a doula.
<em>edited by SweetLily on 05/02/2014</em>