VBAC or C Section? | ExpatWoman.com
 

VBAC or C Section?

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EW NEWBIE
Latest post on 10 December 2011 - 12:30

Ladies,

I've had my DD by C section (induced pain + epidural = feutus heart rate increase that could have been a prime reason for a c section). Im planning for a second one and would like to know your opinions on VBAC. What are the pros n cons? Or should I just go in for another C section. What are the long term implications of both? And for the ladies out there, who have had or going to have 2 c sections, how do you'll feel (emotionally and physically)? Please share your experiences.

TIA

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EW NEWBIE
Latest post on 16 December 2011 - 10:48
Thanks Frances!
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EW GURU
Latest post on 16 December 2011 - 10:16
Life pharmacy.
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EW NEWBIE
Latest post on 15 December 2011 - 11:55
Trublu, where did you get Arnica?
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EW NEWBIE
Latest post on 15 December 2011 - 10:34
Thankyou Ladies! That is such a treasure trove of information.
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EW NEWBIE
Latest post on 12 December 2011 - 20:52
My pleasure. The more information us mamas spread about positive, normal birth and the more we inform each other about our birth options the more we can change the damaging birth culture that surrounds us now. :)
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EW EXPERT
Latest post on 12 December 2011 - 14:04
Wow Sweetlily...GREAT post! That's one we'll need to keep track of for next time this comes up. :D
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EW NEWBIE
Latest post on 12 December 2011 - 12:50
Thanks Ladies!! Need to check with my DR for the best possible outcome. I guess a lot would depend on our body structure as well. Nonetheless, thanks for sharing all your insights. ANC - Dr Janaki in Welcare is pretty well known. Hope you have a better experience this time round. Good luck and keep us updated :) Hi Helping Hand. I'm a VBAC mama also, as well as a medical professional and doula. I'll go ahead and toss out some information that I found useful to prepare for my VBAC. http://www.ican-online.org/vbac/home http://www.vbac.com/ http://www.vbac.com/making-informed-decisions-about-vbac-or-repeat-cesareans/ http://caesarean.org.uk/presentations/NaturalBirthAfterCaesarean.html http://www.vbac.com/increasing-your-odds-for-a-vbac-before-and-during-labor/ http://www.theunnecesarean.com/ The more sections you have the more risk you face in childbirth. It is very much recommended through lots and lots of research that a VBAC is a safe option for mothers. It is just as safe to have a VBAC after one section as it is to give birth for the first time. Research very clearly shows that the vast majority of mothers who labour after a section go on to have a safe and normal birth. From http://www.childbirthconnection.org/article.asp?ck=10210 (a fantastic website) "If you do not have a clear and compelling need for a cesarean in the present pregnancy, having a VBAC rather than a repeat c-section is likely to be: safer for you in this pregnancy, far safer for you and your babies in any future pregnancies." If I understand your post right (an induction that led to a section) it sounds like your body was doing exactly what it should have been doing for your first birth. It is most often the interventions from the medical team that causes delays in labour, 'failure to progress', fetal distress and need for section. The more undisturbed a birth is, the more a mother can let her body do what it is designed to do, the more wonderful, successful and enjoyable (yes, enjoyable :)) a birth will be. Bodies aren't made to be induced and they often fight it which leads to distress in both mother and baby. When you are induced all your natural, wonderful birthy hormones are blocked and things just can't work as well as they are meant to. I was also an induced mama for my first pregnancy that lead to a whole cascade of interventions and eventually to an 'emergency' section. Not because of my failure in any way (or my baby's failure) but because of the hospital's failure to allow me to birth normally. I walked away from that birth traumatized and with PTSD. At the time I thought that the hospital was working for me and my baby's best interests -- I know that now that isn't always the case. You can only make the best decisions with the information that you have at the time. I've since forgiven myself for my ignorance the first time around but I swore that I would never walk away from another birth feeling powerless and afraid. In your last post you talk about body structure. It is very, very rare that a body will build a baby it can't birth. You are designed to birth and you are designed wonderfully. Trust that. :) "Dystocia refers to a long and difficult labor due to slow cervical dilation, a small pelvis, or a big baby. Many women who are given this reason for previous cesareans, deliver vaginally the next time, and give birth to a bigger baby than the first! ACOG states that the effects [or difficulties'> of labor with a baby more than 8 ¾ lbs have not been substantiated. There is not evidence that a big baby necessitates a cesarean. The pelvis and the baby's head are not rigid structures and both mold and change shape to allow for birth. During labor there are certain positions that a woman can use to help open up the pelvis, allowing a larger baby to move through. For example, squatting opens the outlet of the pelvis by 10%." www.americanpregnancy.org Find a birthing team that you like and trust. That can be a doctor (I have heard good things about Dr. Janaki from other VBAC mamas), a midwife, a partner, a friend and a doula. Research shows that having a doula with you during your birth will provide for better birth outcomes including shorter labour, less intervention and happier babies and parents (we have two for our upcoming birth. Lol). Make sure that you educate yourself and come to terms with your previous birth experience and do your research to come into this experience feeling confident and whole. When are you due? It's short notice but there is a fantastic workshop tomorrow night (Tuesday) called Be Empowered. http://be-empowered.weebly.com/ It is a place where birth professionals get together and chat about your options. It would be a great place to get more info on VBAC options in Dubai. Also, I would say head to a great birthing prep class like Hypnobirthing or Birthing from Within or Fear to Freedom. Something like this will give you (and any mother whether a first time or tenth time mama) information and confidence for your upcoming birth. Your chances of having a successful VBAC will require a calm and trusting environment so that your body will be able to do what it is designed to do. Here is a great blog about 'being a good candidate' for VBAC. http://www.birthactivist.com/2010/07/new-vbac-guideline/ You can have a wonderful VBAC whether or not you had a good labour (or any labour) in your first birth experience. I hope that helps. Feel free to ask away if you want some more information. There are some great books out there also like 'The Silent Knife' and 'The VBAC Companion.' Also, the More Business of Being Born (http://www.thebusinessofbeingborn.com/) covers VBACs. I hope that no matter which way you decide to birth that you walk away from the experience feeling empowered and wonderful. x <em>edited by SweetLily on 12/12/2011</em>
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EW NEWBIE
Latest post on 12 December 2011 - 11:08
Thanks Ladies!! Need to check with my DR for the best possible outcome. I guess a lot would depend on our body structure as well. Nonetheless, thanks for sharing all your insights. ANC - Dr Janaki in Welcare is pretty well known. Hope you have a better experience this time round. Good luck and keep us updated :)
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EW EXPERT
Latest post on 11 December 2011 - 12:20
Thankyou all for sharing!! Green-ish - please share the findings of your research for the benefit of us all :) A_n_C - Ive had a similiar problem. Did'nt dilate above 5 cms. Hense wondering if VBAC is worth the effort. Which Dr and hospital did you consult? Are they willing to give VBAC a chance for your second one? Nonetheless, good luck :) OK...Piggle was told, "HOWEVER, one of the important facts I was told by doctors in the UK and Ireland was that as I had dilated to 10cm by the time I had the c-section (lucky me...went through full labour without pain relief and had a c-section - not quite my birth plan!), it made the possibility of VBAC much higher and safer for any following birth." In my first relatively superficial search for info, every article that mentions this situation in a first delivery (ie labour to 10cm then c-sect) suggests this makes it LESS likely to have a successful VBAC Here's one of the first that came up - [url=http://www.kemh.health.wa.gov.au/health/VBAC/index.htm'>VBAC[/url'> (scroll down to "what reduces your chances...) Like I said, superficial research so far. I did a LOT of research on VBAC with a friend here (Aus) some years ago and I don't remember reading anything about a previous labour improving VBAC chances. More research to come...
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EW OLDHAND
Latest post on 11 December 2011 - 11:08
Thankyou all for sharing!! Green-ish - please share the findings of your research for the benefit of us all :) A_n_C - Ive had a similiar problem. Did'nt dilate above 5 cms. Hense wondering if VBAC is worth the effort. Which Dr and hospital did you consult? Are they willing to give VBAC a chance for your second one? Nonetheless, good luck :) My c-sec with the first baby was at Zulekha Hospital... wouldn't recommend them though... didnt like the fact that they didn't let me wait longer than 40weeks plus 7 days, kept scaring me saying the baby was well over 3.7kgs (when in fact she was only 3.1kgs at birth), didn't have a blood bank on hand even though they do surgeries there and so many more reasons... they might have chnaged for the better in the last 5 years but I definitely am not going there again! This time round I'm registered with Dr.Janaki at Welcare... she seems pro-VBAC at the moment... and never does any unnecessary scans or tests... is very blunt and professional about the whole thing... has told me that she'll give the natural way a chance but if anything should risk the life of the baby or mine she will immediately opt for the c-sec... i don't think my chances at VBAC are good coz i seem to have a serious issue with my cervix... last year I had a miscarriage when i was in my 4th month and in spite of being induced to remove the fetus my damn cervix would just not open... then they had to do an emergency D&C to clear the insides outs! so basically inducing has not worked for me twice... so not sure if its the actual drugs involved or my cervix that is the issue... but will give u a better update 2nd week of feb! :)
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EW NEWBIE
Latest post on 11 December 2011 - 10:31
Thankyou all for sharing!! Green-ish - please share the findings of your research for the benefit of us all :) A_n_C - Ive had a similiar problem. Did'nt dilate above 5 cms. Hense wondering if VBAC is worth the effort. Which Dr and hospital did you consult? Are they willing to give VBAC a chance for your second one? Nonetheless, good luck :)
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EW EXPERT
Latest post on 11 December 2011 - 09:43
... HOWEVER, one of the important facts I was told by doctors in the UK and Ireland was that as I had dilated to 10cm by the time I had the c-section (lucky me...went through full labour without pain relief and had a c-section - not quite my birth plan!), [b'>it made the possibility of VBAC much higher and safer for any following birth.[/b'> Talk to your OB/GYN and get their views. HTH Very interesting. I've not heard this before and have numerous friends who've had VBAC, with no natural labour for their first deliveries. Off to research....
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EW OLDHAND
Latest post on 11 December 2011 - 09:34
hi there! i had a emergency c-sec with my DD after a long labour... i was induced too since she was 40+7 days and growing bigger... unfortunately i didn't progress at all (was stuck at 2cm) and hence after almost 2 days of being in and out of induced labour i was rushed in for a c-sec. i got it done under general anaethesia... and not an epidural or spinal as my mom (who's a nurse) is very anti-epidural! she's seen some extreme cases of this resulting in paralysis, etc. anywayyyzzz... i had a very good recovery... no issues at all... doc put me on pain killers (just voltaren and panadol) for a week... and although i had to be careful not to lift or carry anything heavy for the first four weeks i would say the recovery was pretty smooth... i've got 8weeks left for my next delivery... and this time round i'm going in with an open mind... will try for VBAC if possible... but the doctor has already told me that if i don't naturally go into labour they will not induce me... as they don't advise induction after a previous c-sec... ahhh well... like all the other lovely ladies have advised... keep ur mind open to anything that might happen... make the right choice for both urself and the baby... and always consult ur ob! :) all the best!
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EW NEWBIE
Latest post on 11 December 2011 - 01:51
Yeah, I would talk to ob/gyn about it. I have had 2 c-sections and now pregnant with my third. I might consider VBAC, but I guess I need to talk to the doc first.
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EW NEWBIE
Latest post on 10 December 2011 - 18:39
Had emergency c-section for my twins. Was due to be a c-section anyway as presenting baby was breech but went into labour at 35 weeks. 2nd pregnancy and in UK I was advised it was my choice if I wanted a c-section or VBAC. Due to family circumstances I delivered in Ireland and no choice as 66% of VBACs are problem free. I was monitored very closely throughout labour. Despite tears etc. (don't want to go into too much detail), I felt the VBAC was much easier to recover from than the c-section. Each day I felt myself getting better and less sore, unlike the c-section where I felt I could not even stand up straight for weeks. HOWEVER, one of the important facts I was told by doctors in the UK and Ireland was that as I had dilated to 10cm by the time I had the c-section (lucky me...went through full labour without pain relief and had a c-section - not quite my birth plan!), it made the possibility of VBAC much higher and safer for any following birth. Talk to your OB/GYN and get their views. HTH
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EW MASTER
Latest post on 10 December 2011 - 14:25
My first baby was a natural birth, second and third were elective c-sections. So I can't comment on VBAC but I can tell you that the recovery for my second c-section was no worse than my first. In fact, it was probably easier as I knew what to expect. Emotionally and physically, I was in much better shape after both my c-sections than after my natural birth. I don't think there is any 'right' decision so you just have to go with what feels most right for you. Good luck with whatever you decide.
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EW OLDHAND
Latest post on 10 December 2011 - 12:39
I had an emergency c-section with DS1 (after being induced and epidural etc) as well. With DS2 I opted for a c-section again. I could have gone for a VBAC but I decided that I wanted to preserve my energy for after the birth, and I did not want to risk starting natural labour and then having a c-section at the end anyway as last time it was utterly exhausting. My recovery from the second (and third c-sections) were far better than the first. I took arnica a month before and after which I think helped. Good luck with your decision. I am sure you will hear several positive vbac stories too - but I was pleased with the road I went down.
 
 

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