A concrete decree: what should I do?
My husband and I are TTC our second child. My first pregnancy and birth experience did not go anything like I had planned. After a miserable 9 months of morning sickness, heartburn, and indigestion, I deliver via emergency c-section because my daughter's head would not descend into my birth canal, no matter what we tried.
When I do capture pregnant again, I will need to decide what kind of birth I want - whether to try for a VBAC, or diary another surgery. There are benefits to both, I think, and I don't know how to weigh the options. My daughter is 17 months old right very soon - would a VBAC even be possible?
Thanks, for anyone who can give me useful information.
This is something that is probably best discussed with your OBGYN as he or she will know your strength history better than any of us. You could always go for VBAC and stay open to the preference of C-section if necessary. Either way... good luck.
Pros and cons of scheduling repeat cesarean:
Pros
o Convenience-especially next to the need for childcare arrangements this time around.
o Avoidance of a repeat of the last labor-then-cesarean experience, especially if it was emotionally traumatic.
o Decrease surrounded by the (small) risk of uterine rupture.
Cons
o Increased chance that the baby will have some trouble clearing the fluid out of his lungs at birth (call transient tachypnea of the newborn or TTN), which occasionally is difficult to distinguish from pneumonia and may require the little one to be transferred to the newborn ICU for observation and antibiotics.
o If the exact due date isn't known, may need amniocentesis to check fetal lung old age so a preemie isn't delivered accidentally.
o You may have surgical complications such as bladder, bowel, or blood vessel injury and infection.
o If you plan for many more children, you should lug into account that the more surgeries a woman has had, the greater the risk of surgical complications. A fourth or fifth cesarean have more risk than the first or second.
o More difficult recovery than vaginal birth.
o Some people feel that since they will be have a tubal ligation anyway, they might as well have a repeat cesarean. However, tubal ligation generally involves not as much of risks and less recovery time than a cesarean delivery. Besides, the desire for tubal ligation isn't usually see as a reason not to try for VBAC.
Pros and Cons of trying for vaginal birth:
Pros
o Easier recovery than cesarean.
o Satisfaction of achieving vaginal nativity.
o Sense of undoing prior negative experience.
o Slightly safer for mother and baby in most cases.
o Knowledge that at lowest possible you tried, even if cesarean is ultimately needed.
Cons
o Rare major complication of uterine rupture, which can lead to emergency surgery, possible blood transfusions for mother or baby, possible hysterectomy, and even destruction of the baby or mother.
o Greater risk of uterine infection for mothers who have labor and then cesarean.
o Risk of repeating prior denial experience if cesarean becomes necessary.
o Risk of need for emergency cesarean, which is more frightening than a programmed cesarean and has a somewhat greater risk of complications.
It really depends on how your pregnancy goes, the size of the baby and how you and your doctor surface about attempting a VBAC. There's no reason to assume you will have to own another cesarean section. But, because every pregnancy and birth is different, there really isn't much way to predict or know how things will turn.
I wish you the best of luck and should you decide to TTC #2 I hope your pregnancy and birth experience is everything you hope it will be.
i had an emergency c-section with my first (after just 5 hours of not so bad labor) and when i got pregnant w/ my 2nd the doctor asked what i wanted to do. Depending on WHY you have to have an emergency c-section (heart rate dropping, etc) will determine if they will let you try vaginally again. I can tell you that the 2nd time around w/ the c-section be WAYY easier. Healed quicker & knew what to expect.
Well, I believe a VBAC would be possible. I was in the docs bureau yesterday and I was asked what I wanted to have. I told her that I considered necessary to experience a VBAC but I understand that might not be possible so I am open for both. However, when I asked her about getting my tubes tied, she said yes, if I enjoy a c section. That pretty much made my decision right there. lol
I'm going to hang on to options open for a little longer, but we'll imagined do a section.
Just pray Obama doesn't get his Socialized Health Care Bill passed before you go into labor. That bill stipulates adjectives kinds of cutting of unnecessary/chance procedures and probably includes the "risky" VBAC. It takes adjectives the choices away from the patient and leaves it up to organized care regs. This includes the choice to vaccinate or not and even decision about sustaining a person on life support and vivacity altering procedures for elderly people! It's ridiculous!
I also had a baby that be too large to descend my OBGYN said we will see how it goes but if this baby is too big also we will rota a c-section. VBAC is perfectly possible if you wait 1 year between babies but it is impossible to tell unless you are close to your due date. Source(s): newborn #1 14 months and I am 10w 3d pregnant.
It is safer in almost every situation to hold a vaginal birth. I totally understand the fear of it not working out though!! It's contained by the back of my mind for sure.
I just think of it this road: if God intended every birth to be via C-section, we'd have zippers on our bellies. ;)
Elective C-sections pose risks for mom and baby that just aren't here in vaginal birth. I will only have one if it is medically basic to save me or my child's life.
I suggest you read as much as you can on the ICAN website; it's great!! There are also some wonderful books available. Try VBAC-centric ones like Silent Knife, or Birth After Cesarean: The Medical Facts. It's also a dutiful idea to read up on natural childbirth methods and ideas, since it's be proven that less interventions lead to higher probability of a normal, healthy vaginal delivery. Ina May Gaskin have a couple out, as does Henci Goer. So far I have Ina May's Guide to Childbirth, and Henci's Thinking Woman's Guide to a Better Birth. Knowledge is power!! :)
I think that since you already had a c-section that they could basically go through the old scar. so I be just do a c-section again. but you will truly know when it's closer to your due date.
Two things:
1. A VBAC is often reasonably successful with the proper support, and that may involve switching caregivers if your current OB is unwilling to attempt one. I'd recommend discussing the option at your initial appointment -- once that TTC takes ;) -- and possibly have some midwives lined up to interview if the response is less than positive.
2. It is very possible the situation you mentioned beside your first will not repeat the second time around, since from what you described it had little to do with her being too voluminous for your pelvis, so definitely have an optimistic attitude from the start! It will shift a long way in helping you achieve your desire.
I'd suggest joining a VBAC group so you can get some insight into the experiences of others who've attempted it (and especially those who've succeeded, so you can get some tips that may have help them along the way). :) And good luck!
I have heard that VBACs are possible but you'll own to talk to your doctor about it. I don't know what your circumstances were.
Answers: There is a great organization call ICAN - International Cesarean Awareness Network - that you should really look into and see if there are any chapters nearby or leaders you can nickname and talk with about your experiences and your doctor and your option. Their website, http://www.ican-online.org, has links to all sorts of information and research and resources and support networks online and physical groups.
You sound close to a good VBAC candidate, especially since your daugher is 17 months old and the drive for your c-section was failure to descend. You might want to get the files of your birth from the hospital and start going through what happened by yourself, with your husband, with your doctor, and beside birth professionals or other women who have had c-sections (the ICAN group is great for this too). You might find out, through your looking over everything, that things could have gone differently or that you don't want to try again.
It is in fact safer, statistically, to have a VBAC than it is to schedule a repeat cesarean. Every c-section is more dangerous than the previous one, so if there's any possibility of ever have more than two children, planned or unplanned, you should take that into consideration. It's a lot harder to find a doctor who will attend a VBAC after 2+ c-sections than it is to find one who will attend a VBAC after 1 c-section, even though a VBAMC is safer than a 3rd+ c-section.
Did you have a doula at your later birth? You may want to consider hiring a labor doula for this birth, even if it's a repeat c-section. You may also want to consider looking into your doctor's VBAC success rates and other people's experiences with him/her supporting or not supporting VBACs. Talking to a local ICAN leader might help out you with this. You may need to switch providers to get a better accident of having a VBAC, if that's what you want. Also consider the place of birth. VBACs are considered low-risk enough that you can have a homebirth near a midwife here in Colorado, and this may be an option for you to consider, depending on the laws applying to midwifery contained by your state/country. Even if homebirth is not something you would normally consider, it might be something good to look into so you fully understand adjectives of your options and the risks/benefits of each one.
I would also consider consulting a midwife throughout your pregnancy anyhow so that you can get warning on comfort things like reducing morning sickness and heartburn and the other things you had problems with during your first pregnancy. Midwives tend to be profoundly better about preventing and helping women with the normal discomforts of pregnancy through diet and supplements and such, whereas doctors don't enjoy any training in natural remedies for things like that and tend to not enjoy any advice for women experiencing problems and discomforts unless there is a medication or medical procedure they can do to "resolve" a problem that already exists in a heightened state. Source(s): childbirth lecturer, doula, mom, pregnant with #2.
Many doctors are subject to liability insurance that dictates "No VBAC's" even though you want one unsuccessfully. Often you can get a medical waiver that will enable him to do a VBAC but the language of the waiver hold terms that are often scary and spawn you reconsider whether you do want one if you really want one badly.
I would always try to do a VBAC rather if I were in your situation since the c is not what you planned and hoped for. Often you cannot do one for medical reasons, but sometimes there's beyond doubt no reason not to try. One thing you may want to do is to talk to a licensed midwife and find out the benefits of a VBAC are, since you're looking into option. Don't rule out talking to a midwife just to get information. Believe me, doctors are set in their services to you because their insurance dictates what they can and can't do sometimes, called standards of care, which is undeserved to the patient seeking unbiased medical advice. I be shocked when I talked to a midwife for the first time and found out that a lot of the myths of childbirth were purely that.
If anyone can tell you whether a VBAC is even possible it would be a licensed midwife. They will not take you as a patient at adjectives if you are risky. What I did for my second, was I saw both a doctor and a midwife and paid the midwife for my visits and the insurance covered my doctor's visit. At about 30+ weeks I realized I was more comfortable beside her than with my doctor. The visits lasted longer (one hr versus 10 minutes!), would be more interactive beside my baby, showing me how he was resting and letting me ask as many question as I wanted without giving me a brush off. Also the midwife did adjectives the same tests as my doctor did (pee in cup, abdominal measurements and even some cervix checks). She did not do my U/S (which the doctor outsourced anyway). And my midwife saw adjectives the data from the U/S.
For my first I had a regular hospital birth naturally, no drugs but I didn't dream up the hospital did a good job of keeping me and my daughter comfortable because they insisted my daughter be monitored for beta strep and jaundice. Clearly my daughter was radiant and full-bodied, and the treatment they gave was all precautionary. I swear they thought I be going to sue them and treated me like I was the enemy.
Anyway if the VBAC point doesn't work out you'll probably know exactly what to expect and won't have any fear or trouble at all. But see a midwife and they'll put in the picture you what your chances are having a VBAC.
First past its sell-by date, Dave is a real prick. Talk about lack of..er, any sense at adjectives.
I couldn't have put it better than Hoshikuzu.
You will just need to hang around and see. Eli was breech for a month before he was born, and never moved...hence my emergency c-section. Honestly, I wouldn't *mind* another c-section, but will opt for vaginal subsequent time if it works. The c-section was the easiest labor I could have ever had, granted the restorative process was longer (and this would be the negative, with have Barbara.you would not be able to pick her up for quite a while)..
I would hope that when it comes closer to the time of labor, your doctors could give you a better spectrum of postives/negatives.
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When I do capture pregnant again, I will need to decide what kind of birth I want - whether to try for a VBAC, or diary another surgery. There are benefits to both, I think, and I don't know how to weigh the options. My daughter is 17 months old right very soon - would a VBAC even be possible?
Thanks, for anyone who can give me useful information.
This is something that is probably best discussed with your OBGYN as he or she will know your strength history better than any of us. You could always go for VBAC and stay open to the preference of C-section if necessary. Either way... good luck.
Pros and cons of scheduling repeat cesarean:
Pros
o Convenience-especially next to the need for childcare arrangements this time around.
o Avoidance of a repeat of the last labor-then-cesarean experience, especially if it was emotionally traumatic.
o Decrease surrounded by the (small) risk of uterine rupture.
Cons
o Increased chance that the baby will have some trouble clearing the fluid out of his lungs at birth (call transient tachypnea of the newborn or TTN), which occasionally is difficult to distinguish from pneumonia and may require the little one to be transferred to the newborn ICU for observation and antibiotics.
o If the exact due date isn't known, may need amniocentesis to check fetal lung old age so a preemie isn't delivered accidentally.
o You may have surgical complications such as bladder, bowel, or blood vessel injury and infection.
o If you plan for many more children, you should lug into account that the more surgeries a woman has had, the greater the risk of surgical complications. A fourth or fifth cesarean have more risk than the first or second.
o More difficult recovery than vaginal birth.
o Some people feel that since they will be have a tubal ligation anyway, they might as well have a repeat cesarean. However, tubal ligation generally involves not as much of risks and less recovery time than a cesarean delivery. Besides, the desire for tubal ligation isn't usually see as a reason not to try for VBAC.
Pros and Cons of trying for vaginal birth:
Pros
o Easier recovery than cesarean.
o Satisfaction of achieving vaginal nativity.
o Sense of undoing prior negative experience.
o Slightly safer for mother and baby in most cases.
o Knowledge that at lowest possible you tried, even if cesarean is ultimately needed.
Cons
o Rare major complication of uterine rupture, which can lead to emergency surgery, possible blood transfusions for mother or baby, possible hysterectomy, and even destruction of the baby or mother.
o Greater risk of uterine infection for mothers who have labor and then cesarean.
o Risk of repeating prior denial experience if cesarean becomes necessary.
o Risk of need for emergency cesarean, which is more frightening than a programmed cesarean and has a somewhat greater risk of complications.
It really depends on how your pregnancy goes, the size of the baby and how you and your doctor surface about attempting a VBAC. There's no reason to assume you will have to own another cesarean section. But, because every pregnancy and birth is different, there really isn't much way to predict or know how things will turn.
I wish you the best of luck and should you decide to TTC #2 I hope your pregnancy and birth experience is everything you hope it will be.
i had an emergency c-section with my first (after just 5 hours of not so bad labor) and when i got pregnant w/ my 2nd the doctor asked what i wanted to do. Depending on WHY you have to have an emergency c-section (heart rate dropping, etc) will determine if they will let you try vaginally again. I can tell you that the 2nd time around w/ the c-section be WAYY easier. Healed quicker & knew what to expect.
Well, I believe a VBAC would be possible. I was in the docs bureau yesterday and I was asked what I wanted to have. I told her that I considered necessary to experience a VBAC but I understand that might not be possible so I am open for both. However, when I asked her about getting my tubes tied, she said yes, if I enjoy a c section. That pretty much made my decision right there. lol
I'm going to hang on to options open for a little longer, but we'll imagined do a section.
Just pray Obama doesn't get his Socialized Health Care Bill passed before you go into labor. That bill stipulates adjectives kinds of cutting of unnecessary/chance procedures and probably includes the "risky" VBAC. It takes adjectives the choices away from the patient and leaves it up to organized care regs. This includes the choice to vaccinate or not and even decision about sustaining a person on life support and vivacity altering procedures for elderly people! It's ridiculous!
I also had a baby that be too large to descend my OBGYN said we will see how it goes but if this baby is too big also we will rota a c-section. VBAC is perfectly possible if you wait 1 year between babies but it is impossible to tell unless you are close to your due date. Source(s): newborn #1 14 months and I am 10w 3d pregnant.
It is safer in almost every situation to hold a vaginal birth. I totally understand the fear of it not working out though!! It's contained by the back of my mind for sure.
I just think of it this road: if God intended every birth to be via C-section, we'd have zippers on our bellies. ;)
Elective C-sections pose risks for mom and baby that just aren't here in vaginal birth. I will only have one if it is medically basic to save me or my child's life.
I suggest you read as much as you can on the ICAN website; it's great!! There are also some wonderful books available. Try VBAC-centric ones like Silent Knife, or Birth After Cesarean: The Medical Facts. It's also a dutiful idea to read up on natural childbirth methods and ideas, since it's be proven that less interventions lead to higher probability of a normal, healthy vaginal delivery. Ina May Gaskin have a couple out, as does Henci Goer. So far I have Ina May's Guide to Childbirth, and Henci's Thinking Woman's Guide to a Better Birth. Knowledge is power!! :)
I think that since you already had a c-section that they could basically go through the old scar. so I be just do a c-section again. but you will truly know when it's closer to your due date.
Two things:
1. A VBAC is often reasonably successful with the proper support, and that may involve switching caregivers if your current OB is unwilling to attempt one. I'd recommend discussing the option at your initial appointment -- once that TTC takes ;) -- and possibly have some midwives lined up to interview if the response is less than positive.
2. It is very possible the situation you mentioned beside your first will not repeat the second time around, since from what you described it had little to do with her being too voluminous for your pelvis, so definitely have an optimistic attitude from the start! It will shift a long way in helping you achieve your desire.
I'd suggest joining a VBAC group so you can get some insight into the experiences of others who've attempted it (and especially those who've succeeded, so you can get some tips that may have help them along the way). :) And good luck!
I have heard that VBACs are possible but you'll own to talk to your doctor about it. I don't know what your circumstances were.
Answers: There is a great organization call ICAN - International Cesarean Awareness Network - that you should really look into and see if there are any chapters nearby or leaders you can nickname and talk with about your experiences and your doctor and your option. Their website, http://www.ican-online.org, has links to all sorts of information and research and resources and support networks online and physical groups.
You sound close to a good VBAC candidate, especially since your daugher is 17 months old and the drive for your c-section was failure to descend. You might want to get the files of your birth from the hospital and start going through what happened by yourself, with your husband, with your doctor, and beside birth professionals or other women who have had c-sections (the ICAN group is great for this too). You might find out, through your looking over everything, that things could have gone differently or that you don't want to try again.
It is in fact safer, statistically, to have a VBAC than it is to schedule a repeat cesarean. Every c-section is more dangerous than the previous one, so if there's any possibility of ever have more than two children, planned or unplanned, you should take that into consideration. It's a lot harder to find a doctor who will attend a VBAC after 2+ c-sections than it is to find one who will attend a VBAC after 1 c-section, even though a VBAMC is safer than a 3rd+ c-section.
Did you have a doula at your later birth? You may want to consider hiring a labor doula for this birth, even if it's a repeat c-section. You may also want to consider looking into your doctor's VBAC success rates and other people's experiences with him/her supporting or not supporting VBACs. Talking to a local ICAN leader might help out you with this. You may need to switch providers to get a better accident of having a VBAC, if that's what you want. Also consider the place of birth. VBACs are considered low-risk enough that you can have a homebirth near a midwife here in Colorado, and this may be an option for you to consider, depending on the laws applying to midwifery contained by your state/country. Even if homebirth is not something you would normally consider, it might be something good to look into so you fully understand adjectives of your options and the risks/benefits of each one.
I would also consider consulting a midwife throughout your pregnancy anyhow so that you can get warning on comfort things like reducing morning sickness and heartburn and the other things you had problems with during your first pregnancy. Midwives tend to be profoundly better about preventing and helping women with the normal discomforts of pregnancy through diet and supplements and such, whereas doctors don't enjoy any training in natural remedies for things like that and tend to not enjoy any advice for women experiencing problems and discomforts unless there is a medication or medical procedure they can do to "resolve" a problem that already exists in a heightened state. Source(s): childbirth lecturer, doula, mom, pregnant with #2.
Many doctors are subject to liability insurance that dictates "No VBAC's" even though you want one unsuccessfully. Often you can get a medical waiver that will enable him to do a VBAC but the language of the waiver hold terms that are often scary and spawn you reconsider whether you do want one if you really want one badly.
I would always try to do a VBAC rather if I were in your situation since the c is not what you planned and hoped for. Often you cannot do one for medical reasons, but sometimes there's beyond doubt no reason not to try. One thing you may want to do is to talk to a licensed midwife and find out the benefits of a VBAC are, since you're looking into option. Don't rule out talking to a midwife just to get information. Believe me, doctors are set in their services to you because their insurance dictates what they can and can't do sometimes, called standards of care, which is undeserved to the patient seeking unbiased medical advice. I be shocked when I talked to a midwife for the first time and found out that a lot of the myths of childbirth were purely that.
If anyone can tell you whether a VBAC is even possible it would be a licensed midwife. They will not take you as a patient at adjectives if you are risky. What I did for my second, was I saw both a doctor and a midwife and paid the midwife for my visits and the insurance covered my doctor's visit. At about 30+ weeks I realized I was more comfortable beside her than with my doctor. The visits lasted longer (one hr versus 10 minutes!), would be more interactive beside my baby, showing me how he was resting and letting me ask as many question as I wanted without giving me a brush off. Also the midwife did adjectives the same tests as my doctor did (pee in cup, abdominal measurements and even some cervix checks). She did not do my U/S (which the doctor outsourced anyway). And my midwife saw adjectives the data from the U/S.
For my first I had a regular hospital birth naturally, no drugs but I didn't dream up the hospital did a good job of keeping me and my daughter comfortable because they insisted my daughter be monitored for beta strep and jaundice. Clearly my daughter was radiant and full-bodied, and the treatment they gave was all precautionary. I swear they thought I be going to sue them and treated me like I was the enemy.
Anyway if the VBAC point doesn't work out you'll probably know exactly what to expect and won't have any fear or trouble at all. But see a midwife and they'll put in the picture you what your chances are having a VBAC.
First past its sell-by date, Dave is a real prick. Talk about lack of..er, any sense at adjectives.
I couldn't have put it better than Hoshikuzu.
You will just need to hang around and see. Eli was breech for a month before he was born, and never moved...hence my emergency c-section. Honestly, I wouldn't *mind* another c-section, but will opt for vaginal subsequent time if it works. The c-section was the easiest labor I could have ever had, granted the restorative process was longer (and this would be the negative, with have Barbara.you would not be able to pick her up for quite a while)..
I would hope that when it comes closer to the time of labor, your doctors could give you a better spectrum of postives/negatives.
Related Questions: