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Pregnancy Forum > Labor and Delivery Forum > C Section Or Vbac Please Help
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Q: C Section Or Vbac Please Help
asked by: Tazzy D on November 17th, 2004
Advanced Support Team
Okay as you all know I have 5 children and I had my c sectionwith my 4th baby done at 28 weeks weighing 2lbs 11oz because of partial placenta previa and abrubtion and some more. The last child I had I did vbac but that was because I was 32 weeks and the baby weighed 3 lbs 12oz. I need some help and opinions on this.
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BeckLyn
replied on November 17th, 2004
Experienced User
This may sound like a dumb question.... What is vbac? I know usually when a women has a c-sec they can't have a normal vaginal delivery ever again....
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JohnsWifey
replied on November 17th, 2004
Experienced User
Becklyn posted: 11-17-04 2:18pm post subject:

------------------------------------------ --------------------------------------

this may sound like a dumb question.... What is vbac? I know usually when a women has a c-sec they can't have a normal vaginal delivery ever again....




After you have had a c-section, you can have a vaginal birth but its very rare that you can do that...Your doctor will usually tell you which way you need to do it....Good luck
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Tazzy D
replied on November 17th, 2004
Advanced Support Team
Well that's the thing my doctor is giving me a choice and im trying to get a feel on what others have done and what they have been through? Vbac is (vaginal birth after c section)
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sheeridinprincess
replied on November 17th, 2004
Experienced User
At first ihad thechoice my daughter was born c-section but once my back came up I have to have my son c-section. So its your choice. I would have opted to have my son c-section to prevent what happened with my daughter (being rushed into emergency surgery.)
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Nikki n Rudy
replied on November 17th, 2004
Active User, very eHealthy
Vbac-vaginal birth after c-section.

True most girls who have one can't deliver vaginally, but there are many factors as to why some had to have one in the first place. One baby can be breech and needing to be delivered cs. She can have more kids that are head down, face down and deliver fine.

Another can have a huge baby and he/she cant pass through.

In my case, im too small to deliver vaginally, ever. So my deliveries are c-section and this is my second and last baby. Tubes are tied after. I am not going to go through so many c-sections. I can't handle the painl
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Tazzy D
replied on November 17th, 2004
Advanced Support Team
See that is what im scared of I dont want to say do vbac then im rushed in for an emergency c section, and I dont want to say do c section if I can avoid being cut and having to deal with the after math again. Im only 13 weeks I still have time I hope as long as everyhting goes okay. Im still up for more opinions
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Nikki n Rudy
replied on November 17th, 2004
Active User, very eHealthy
You're lucky to even get a choice. I asked and was told no. Hell, I even asked way before I knew I was pregnant. I mean like 2 years before. I was told the same thing. Im just not big enough to deliver vaginally. My pelvic bones don't spread enough and if they do spread they are tilted. So a baby is much too big to pass. I am more prepared for this c-section than I was the last one. Mine was emerg, too. So this time, I go in and get prepped and wait to meet my son! Lol
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querida
replied on November 17th, 2004
New User
V-bac stands for "vaginal birth after cesarean," and women most certainly can have normal deliveries after having a c-section. There is a ton of information out there on it. In "olden days," (i.E., the 1990's) it was generally accepted in obstetrics that the risk of uterine rupture in a v-bac was too great, and so the rule of thumb was "once a cesarean, always a cesarean." that is no longer the case, however. Even the american college of obstetrics and gynecology has changed their stance on the issue.

This is an issue that you need to discuss with your ob or midwife, especially once you've reached your own conclusions about what you want this time around. Different practitioners have different comfort levels with doing v-bacs. Some treat them no differently than any other normal, healthy pregnancy. Others have a different threshhold of tolerance for v-bacs (i.E., where a practitioner might allow a non-v-bac mother to attempt a breach delivery vaginally, he or she will insist on a cesarean in the case of a breach presentation for a v-bac mother).

Ultimately, the research shows that the risk of uterine rupture with a v-bac is no greater than any other risk associated with vaginal birth, and that the risks associated with cesarean sections generally outweigh those of vaginal birth. So, unless there is some reason, other than your previous c-section, to do a c-section this time around, a vaginal delivery is the most advisable course.
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Tazzy D
replied on November 17th, 2004
Advanced Support Team
Querida thank you I have done some reading on it but the reading that I have done says I have an 80% chance. Do you have any rec. On any other sites that I can try for information
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querida
replied on November 18th, 2004
New User
An 80% chance of uterine rupture? No way! Where did you read that? If women with prior cesareans had an 80% chance of uterine rupture with a vaginal delivery, any responsible healthcare provider would advise women who undergo c-sections never to get pregnant again. There's always the chance, after all, that you will go into labor and not get to the hospital in time. The rates that i've seen for uterine rupture in vbac women with a low transverse scar (meaning, you were cut side to side low on your belly, not top to bottom) are less than one-quarter of one percent. There are other reasons why a v-bac might not succeed. For instance, the problem that led to your previous c-section might recur. Or your doctor might be so cautious and hesitant to attempt a v-bac that he or she pretty much sets you up for failure before you begin. The fact that you've had four vaginal deliveries already, and even one since your c-section, speaks very well of your chances at doing a vaginal birth this time.

Anyway, sources. I-can is the international cesarean awareness network, and they have an excellent website. Here is their fact sheet on vbac:
http://www.Ican-online.Org/resources/white _papers/wp_vbac_fact.Htm

here is the webmd section on v-bac, which is a good overview of the mainstream, medical approach to v-bac.
Http://my.Webmd.Com/hw/being_pregnant/hw20 0560.Asp

even if you attempt a v-bac and end up with a c-section anyway, the attempt carries its own benefits for you and your baby. It's much better to undergo a trial of labor that ends with a c-section than it is to schedule your c-section in advance without ever going into labor. For one thing, if you actually begin labor, you know it's time for your baby to be born. You don't have to worry about underdevelopment and the risk of respiratory infections is lower. Also, some research shows that the actual "stress" of labor is not so much stressful for the baby as it is stimulating. It gets them ready to be born and face the world, gets their systems ready to operate independently. Plus the hormones that are released during labor help promote healing, bonding, and other benefits for mom and baby, even after a cesarean delivery.
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Tazzy D
replied on November 18th, 2004
Advanced Support Team
[quote="querida"]an 80% chance of uterine rupture?


No what I meant was that I have an 80% chance to have a normal delivery. Sorry for the confusion

my other thing is I have never had a baby weighing more than 5lbs 12oz
that was my oldest daughter. So im worried if I do go full term will I be able to push or will the baby be to big because with my third child they had to use forceps with him and he was 5lbs 6oz
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BeckLyn
replied on November 18th, 2004
Experienced User
Wow, if they had to use forceps and he was only 5, 6, sounds like c-sec. Is the way to go. But, if ur conf. U'll have another small one..... Confused
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Tazzy D
replied on November 19th, 2004
Advanced Support Team
This is another srticle I read.. See this is what has me worried


the rule of thumb used to be once a caesarean section, always a caesarean section. But that no longer is necessarily true. There is no reason not to try for a vbac (vaginal birth after caesarean) next time. If the reason you had the caesarean section in the first place does not recur, you have approx. 60% chance of delivering vaginally in subsequent pregnancies.
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mommax3
replied on November 19th, 2004
Extremely eHealthy
tazzy d wrote:
this is another srticle I read.. See this is what has me worried


the rule of thumb used to be once a caesarean section, always a caesarean section. But that no longer is necessarily true. There is no reason not to try for a vbac (vaginal birth after caesarean) next time. If the reason you had the caesarean section in the first place does not recur, you have approx. 60% chance of delivering vaginally in subsequent pregnancies.


i was gonna say, no she said she had 80% chance, and then I was like wait, she is her and her is she and and and.... Embarassed
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Tazzy D
replied on November 19th, 2004
Advanced Support Team
mommax3 wrote:
tazzy d wrote:
this is another srticle I read.. See this is what has me worried


the rule of thumb used to be once a caesarean section, always a caesarean section. But that no longer is necessarily true. There is no reason not to try for a vbac (vaginal birth after caesarean) next time. If the reason you had the caesarean section in the first place does not recur, you have approx. 60% chance of delivering vaginally in subsequent pregnancies.


i was gonna say, no she said she had 80% chance, and then I was like wait, she is her and her is she and and and.... Embarassed




that's okay im just as confused as the next Embarassed I should be a pro by now but guess what im not Wink
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mommax3
replied on November 19th, 2004
Extremely eHealthy
Isn't also about how your c sec scar heals, cuz some womens heal and the scawould rip open or something like that, or you uterus could heal to your stomach?? Am I way off here?
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Tazzy D
replied on November 19th, 2004
Advanced Support Team
I've heard that too that is why I made this post hoping somone would know something
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