Another C-sec

You should just talk to your OB. I had two inductions, the first because I was overdue, the second was scheduled by me and approved by the OB. I don't think your OB will force you to have a VBAC if you aren't comfortable. My friends who have had emergency C-sections (in Dallas, Berkeley, Baltimore) all delivered their second by scheduled C-section. That route is so much less risky than VBAC that I can't imagine you'll have an issue with your OB.

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I didn't have a choice. I had to have a second c-sec. My docs insurance would not cover a natural delivery after an initial c-sec. Check with your Doctors insurance company. If the Doctors insurance won't cover the Doc wonp;t let you have a natural birth. If that is what you really wnat find a dictor that will. Otherwise, you have to do what your doc says.

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Most dr. prefer to do another c-section after you have already had one. The medical reason is because you have already had one. There shouldn't be an issue. Just ask your dr.

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I had this and they gave me the option and I went for a C-Section.

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A VBAC puts you and the baby in grave danger. Most doctors prefer to do a c-section after you have already had this done. The potential for problems is just too great. The baby could have brain damage and you could potentially not be able to have any more kids because of what it could do to your uterus. You should be in the clear. :)

Good luck.
N.

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I had a c-section due to infant distress. My doctor offered to schedule me for a c-section for my 2nd pregnancy, I told her I wanted a VBAC if nothing showed any dangers. I was a bit concerned but understood that the risks were small. I was in labor from start of contractions to finish for about 14 hours but once the pushing started I was done in 20 minutes. If you truly want a c-section, let your doctor know. If you are concerned about pushing for 4 hours, this time could be different.

Oh, yes, usually you have to FIGHT for a VBAC. Most OB's are going to be waaay more comfortable doing a repeat C section. Your OB will be very happy that is what you want to do. :)

My first was a c-sec and my doc told me the second had to be as well. and when I have my third, that was be another c-sec also. Nowadays, they are not that keen on VBACs for insurance reasons and it's just easier and faster for them to do a c-sec. I would talk to your doc about it and come to some sort of agreement and understanding. If he/she is a good doc, I don't think you will have a problem. I love mine, he is the best!!

I'm confused as to why you don't want to do a VBAC. Recovery time for a natural labor is almost nothing, and if you are going to be short of help, it makes no sense to have major surgery. Yes, labor is hard. Yes, it is painful, but you can be up and walking around the block within 2-3 days.

And since it will be your third, there is a good chance you won't even labor for 4 hours. Many of my friends with 3 kids just popped them out in 2-3 hours. It's over before you even know it.

A previous c-section, in the eyes of many many doctors, is actually a medical reason to do a repeat c-section. Good luck to you and remember, no matter how your baby makes it into this world the most important thing is that both you and baby are healthy - don't let anyone bully you into thinking that a c-section is the most awful thing you could ever do, that's just plain silly! Just tell your doctor that you are really opposed to a VBAC; I doubt there will be a problem.

While I respect your choice in wanting a c-section, but I have to question why? I am expecting number two and do not want to go though another c-section and will be for VBAC...the USA maternal care ranks 41st out of all the industralized nations...the risk of maternal death with a VBAC is less than 2%...while the rate of maternal death with repeat c-sections is up to 3-11 times greater. There are health benefits too for the baby doing a vaginal birth vs. a csection.
The Mayo Clinic put out this video on VBACs http://www.mayoclinic.com/health/c-section/MM00534

This is from the American Pregnancy Association: http://www.americanpregnancy.org/forums/showthread.php?p=...

And if you do not know Oprah's favorite OBGYN, she just posted something on the HuffPost about women taking their rights back: http://www.huffingtonpost.com/christiane-northrup/c-secti...

And a couple of great blogs I have found:
http://www.birthcut.com/
http://www.theunnecesarean.com/vbac/

Good Luck to you.

I take issue with a previous poster's statement "A VBAC puts you and your baby in grave danger". The risks associated with VBAC are very small - there is a 0.5% chance of uterine rupture, and approximately 10% of the time this results in a really bad outcome. This means that 99.5 to 99.95% of the time your baby is NOT in "grave danger". Honestly, when you consider all of the OTHER things that can happen during a birth, this is a relatively small risk.

That said, the VBAC rate in Illinois runs around 8% (this means that 8% of ALL women who have had a previous c-section have a VBAC, not that 8% of women who attempt a VBAC are successful - that number is more like 70%). Because doctors are afraid of being sued and the prevailing wisdom is that you don't get sued for cutting someone open, most will be happy to schedule a c-section for you with no questions asked, since you've had one before.

I will say that having had both a c-section (for breech) and a VBAC, I would personally take a VBAC any day. I found the recovery much easier and was thankful that I could immediately pick up my baby and older child, walk around, go outside, and was home 36 hours after the birth. Especially since you'll not have much help at home I would think seriously about this as an option and educate yourself about the risks and benefits of each option. Repeat c-sections are also not without risks (especially to mom), and several recent studies have shown better outcomes from the baby from a vaginal birth than a c-section. See for example,
Neonatal outcomes after elective cesarean delivery.
Kamath BD, Todd JK, Glazner JE, Lezotte D, Lynch AM.
Obstet Gynecol. 2009 Jun;113(6):1231-8.

"RESULTS: Neonates born by cesarean delivery had higher NICU admission rates compared with the VBAC group (9.3% compared with 4.9%, P=.025) and higher rates of oxygen supplementation for delivery room resuscitation (41.5% compared with 23.2%, P<.01) and after NICU admission (5.8% compared with 2.4%, P<.028)...CONCLUSION: In comparison with vaginal birth after cesarean, neonates born after elective repeat cesarean delivery have significantly higher rates of respiratory morbidity and NICU-admission and longer length of hospital stay."

Best of luck with your birth whatever you decide. I know we all have our own personal reasons for the birth choices that we make, but please, inform yourself with accurate information before making a choice for yourself. I think the following website, which is a non-profit dedicated to improving maternal health care, is an excellent resource:
http://www.childbirthconnection.org/article.asp?ClickedLi...