any VBA2C?

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lovelymomma's picture
Joined: 11/04/05
Posts: 88
any VBA2C?

I have wanted to VBAC since after my first c-sec in 04. I had my second scheduled csec in 06 after my ob refused trial of labor.. now im on #3 and know this is my last chance.. my current OB wont allow a VBA2C, but does allow a VBAC. I was wondering if anyone would share their experience regarding finding an ob that would allow a VBA2C, how your birth was, successful or not, any complications? anything you would suggest to me? I still havnt decided 100% but know now is the time to figure it out so i can make the OB switch if i have to. Im goign to check out a the ICAN group near me...

Spacers's picture
Joined: 12/29/03
Posts: 4103

I haven't had a VBA2C (and won't since we're "two & through") but there are plenty of women who have done it! I know a woman IRL who had one. VBAC is becoming increasingly rare in your state (it's now "banned" in nearly 60% of hospitals, and "illegal" in birth centers) so unless you're lucky enough to live near someone you know is VBAC-friendly, you might have trouble finding another care provider. IMHO, I'd say if your current OB "allows VBAC" (and man, do I hate using the word "allow," like he thinks the decision is up to him!) and you're otherwise happy with him, then I'd push him on it. The UR rate for VBA2C is 0.9% compared to 0.7% for VBA1C, according to the well-regarded Landon 2006 study. That's 29% higher for VBA2C, but it's still incredibly small, and especially when you compare it to things like 3% for cord prolapse that there's nothing you can do about but they don't recommend an automatic c-section for every pregnant woman to prevent that, and the risks to baby are far greater than from UR! My link to the actual Landon 2006 study no longer works, but here's a summary article: http://medicalcenter.osu.edu/viewer/Pages/index.aspx?newsid=2835

Even if you do suffer a uterine rupture, that doesn't mean a dead baby. Yes, it's an emergency situation, and immediate c-section, but you'll be at the hospital anyway so it shouldn't be a problem. In one recent study by the New England Journal of Medicine, among a VBAC group of 17,898 women at full term, there were 12 babies who suffered hypoxic–ischemic encephalopathy (that's damage to the central nervous system from lack of oxygen.) That calculates to a 0.067% risk of death or serious injury. http://content.nejm.org/cgi/content/...ct/351/25/2581

And then you have to compare all that to the specific risks of elective repeat cesarean surgery. Your risk of dying from a complication of surgery is three times greater than that of your risk of dying from a vaginal delivery. Your risk of needing a hysterectomy is more than three times more likely with ERC than if you choose VBAC. Your risk of uterine rupture isn't eliminated even if you choose ERC, but your risk of dying from a uterine rupture is statistically nil, either way. Your baby's risk of developing respiratory problems is doubled with ERC. (Sources for these are available.)

So I guess what I'm saying, is make the decision about what you want to do that is right for you and your family. If your contacts at ICAN locally lead you to believe that you might not find a VBA2C provider in your area, then I'd suggest doing everything you can to persuade this OB. He might say it's hospital policy, not his, and if so then there may be ways around that. Check for your hospital here: http://ican-online.org/vbac-ban-map?filter0%5B%5D=**ALL**&op1=5&filter1=

lovelymomma's picture
Joined: 11/04/05
Posts: 88

what a fantastic informative response. Thank you soo much for taking the time to type it all out. Im going to check the links out and see what I can figure out. I know there are signifigant risks associated with ERC, from what I have found out in the last two days most of the hospitals down here do not allow VBAC's, and they are "illegal" in birth centers which I think is insane! (i understand the risks but illegal, really?) Florida is rough in terms of this scenario. My BFF found a great video yesterday showing skin to skin, first nursings, exc during a c-section http://dou-la-la.blogspot.com/2010/06/weekend-movie-fabulous-instructional.html so even if I'm not meant to have a VBA2C I will at least talk to my OB about doing some of the things I have wanted to accomplish with a VBA2C.

Spacers's picture
Joined: 12/29/03
Posts: 4103

You're welcome! I strongly recommend getting involved with ICAN, and consider a home birth since that might be your only chance at vaginal birth, at least not without having a major fight. Bottom line, if your hospital accepts any federal money (Medicaid, veteran's aid, etc.) then they *must* abide by your wishes when you arrive in active labor. Their only other option is to transfer you to another hospital that will honor your wishes, and if there isn't one, or if there isn't time for a safe transfer, then they're stuck with you giving birth. That's not to say that they can't or won't try to persuade you, even scare you, into agreeing to one, but performing surgery against your will is assault and you can sue everyone involved if they do it. If you do go that route, I highly suggest having a doula or other support person in addition to your DH, not only to help you stand strong, but also so you're never ever left alone. It's sad that some women have to resort to things like that. I encourage you to start working to change your state's laws, because it's not going to happen without people like you! I hope you have an easy breezy pregnancy, and a wonderful birth!

lovelymomma's picture
Joined: 11/04/05
Posts: 88

Thanks again, I have already joined a couple ICAN groups that are local to me and plan to attend a meeting this month (And the next several months)... It is sad so many women get pressured so much.

Spacers's picture
Joined: 12/29/03
Posts: 4103

Check out this story! An OB had a (surprise, on the day of her ERC) VBA2C. The original blogpost has exceeded its bandwidth so I'm posting a cached version.

http://webcache.googleusercontent.com/search?q=cache:VHi8roC9NkoJ:www.drpoppy.com/wordpress/?p=116+dr+poppy+vbac&cd=1&hl=en&ct=clnk&gl=us&client=firefox-a

And also, I posted a bit about my "c-section birth plan" on this thread, if you want to steal any ideas: http://www.pregnancy.org/bulletinboards/showthread.php?t=606690

lovelymomma's picture
Joined: 11/04/05
Posts: 88

I will certainly look into stealing some off, I love the not tying hands down and had planned on talking to him about not using the eye ointment. I would love to do skin to skin also but not sure what hospital policy is. I did have my OB "Drop the drapes" during my second c-sec and it was wonderful! Would certainly want that again. Thankfully at the hospital I plan to have him/her (assuming I stay with my current ob) they dont keep the baby away for long. Im also going to request no morphine, with #1 I was miserably sick for DAYS, with #2 I only had motrin after the surgery and had a MUCH better recovery. Wink thanks again!!

Love your siggy btw Wink

Joined: 06/12/10
Posts: 1

Just had a VBA2C! It is possible! I had an emergency csection, then an elective repeat 16 months after my first. Well, three years later I became pregnant again, and really didn't want to have another surgery. A lot of doctors who practice in groups where I live have policies against them, but I had a doctor who had his own practice. We just both kept an open mind, and I knew that if any issues arised, I would not be able to be induced, it would mean a csection. I had spontaneous labor, and had my 7lb 15oz baby girl at 38 weeks without complication! There was def a lot more monitoring involved which I was okay with. I was still able to labor in the tub for a great while, and move around. All of my nurses were very supportive, in fact after I had my baby, each new nurse that I had postpartum said something along the lines of, "I heard you had a VBAC, that's so awesome, congratulations!" I would say if it is something you want, then go for it! Let me tell you, the recovery was a dream! good luck!

lovelymomma's picture
Joined: 11/04/05
Posts: 88

wow, thats so amazing!! Thanks for sharing, its nice to know it IS possible!!Congrats and WTG!

meme84's picture
Joined: 12/22/05
Posts: 62

I am wanting to vbac after2 c/s to !!! So I would love to read your story when u beat the odds!!!

laurensmitty1982's picture
Joined: 07/30/06
Posts: 1117

A gal on my BB just had a VBAC2 in her car.. So its def. possible. Im also trying for one this time around too..

Mom2ThreeKiddos's picture
Joined: 09/15/09
Posts: 1380

I am trying for a vba3c. Wink

MySweetAGL's picture
Joined: 08/26/04
Posts: 81

I'm also hoping to try for a VBA3C, depending on if I can talk my OB into "allowing" it. He was the on-call doc for my attempt at VBA2C and was very hands-off and allowed me to call the shots.

I labored with my VBA2C for a couple of days, and to make a really long story short, I got to 10 cm, pushed for about 45 min, and her heart rate kept dropping into the 40s-50s. That was scary for me to hear, and I was the one who requested a c/s at that point. My OB hadn't even mentioned it, even though he was in the room the entire time I was pushing.

I'm really hoping for success this time!

desmondkr's picture
Joined: 02/24/11
Posts: 114

I am due in April and hoping to do a VBA2C. My doctor and hospital are both on board as long as I go into labor on my own (which I did with the first 3). I am planning to try going without an epidural and am looking for a doula to attend my birth so that I have someone else on "my side" and also to help me with a natural birth since I have always had an epidural before. I will try to remember to put my story on here whether or not I end up with a VBAC...good luck finding a supportive doctor, that is the first big hurdle you will have to overcome. I just called a bunch of OB's in my area and interviewed them over the phone to see if they were VBAC friendly. I also talked to a woman that teaches childbirth classes to see if she knew of any VBAC friendly doctors in the area.

PS. my research tells me that hospitals can't legally make you have a c-section you have the right to choose how you are cared for.

bumblybees's picture
Joined: 03/24/10
Posts: 559

Good luck and i do hope you find a doula. i used one with my VBAC birth and really feel like it helped me get one.
Have you heard about using evening primrose oil caplets inserted in your VJ at night to help ripen things along? you can start at 35 weeks, one at a time and then at 37 weeks you can start using 2. my doula recommended this and i really believe that it helped. you can do three but i'd save that till your 39th week.
oh and use a light pad at night it gets a bit messy.
at least its all natural and since i also had that 40 week cutoff i wasn't going to do anything to risk having a c/s just cause i'd didn't start on my own.