M.M. asks from Lincoln Park, MI on March 03, 2008
C--section vs VBAC
Hello, I recently found out that we are expecting our second child, and we are thrilled. However, I am starting to think about the labor and delivery. I am petite, but my first baby was 9lbs 5oz and postitioned wrong during delivery. After a long labor and pushing, I had a C-section. I really did not think that recovery was all that bad, but I do not have anything to compare it to. A few of my friends have done a vaginal birth after a c-section, but I am not sure if I even want to attempt going through it again only to need a c-section. What are your thoughts?
1 mom found this helpful
K.D. answers from Detroit on March 03, 2008
Hi, I have found that the best people to ask are Doulas and Midwifes, as they have done many births with moms who weren't happy with their first experience and will know more women who have done vbacs. There is a site online that has a list of doulas in the area who are licensed. http://www.dona.org/
Good luck I wish you the best,
L.W. answers from Detroit on March 05, 2008
Hi M. - My job is defending hospitals and obstetricians when they get sued for alleged malpractice related to labor and delivery, including VBAC's. My advice to you would be to get as much information as you can about the risks and benefits of giving vaginal birth after c/s and for a repeat c/s. You should talk to your doctor specifically about each individual risk/benefit for both modes of delivery. You should read ACOG materials (American College of Obstetrician/Gynecologists) about the risks as well, so you can digest the information for yourself. Anecdotal evidence from individuals is interesting and somewhat informative, but overall is pretty inconsequential when it comes to your personal decision. I would advise that if you do choose to deliver vaginally, that you give birth in a hospital that has facilities including (1) immediate access to anesthesia, operating room and all personnel necessary for an emergent c/s delivery if necessary (2) Level 3 nursery and neonatal personnel on site- these facilities have the capability to provide the very best care for a baby born after emergent delivery if something happens. I would not recommend that you try and have this baby at home or in any other place other than the above, however.
1 mom found this helpful
B.H. answers from Detroit on March 03, 2008
Hello M. I had a c-section with my first and while prego w/ my second I asked this question all the way up until the end. I went with v-bac and very happy w/ my decision. You really need to think about it and figure out what would be better for you. Although my c-section was not too bad I had to weigh my options w/ the 2nd. This is what went through my mind of course the risk's of a v-bac but there are risk of a c-section too. I thought it would not be fun to recover from a c-section with a 4 year old and an infant to take care of! AND mostly just the experience of it naturally let my body have another chance at doing what (in my mind) what is was supposed to do!! My 2nd was bigger then my first too. In the end a quicker recovery and a shorter stay in the hospital WELL worth it for me. You need to ask yourself if these things are worth it to you too.
GOOD LUCK!!! Happy delivery!
A.T. answers from Grand Rapids on March 04, 2008
I've had three children, first was vaginal, very easy. Second C-section, he was 9lbs 15oz. Third one I wanted to do vaginal, it was a very hard delivery, should have been C-section, for myself and the baby. My doctor should have given me more information. Talk to your doctor, every person is different. Good luck
R.W. answers from Jackson on March 04, 2008
Go To www.ICAN-ONLINE.ORG
A VBAC is safer for you, and healthier for baby. The risks are very low.
http://www.childbirthconnection.com/ is also a really good resource for information.
Ultimatly you are the only one who can descide what to do. The fact that you know that your baby was positioned wrong is great. You know that it was a fluke, and you can work in this next pregnancy to get this baby into a better position for birth. Your size and the baby's size doesn't really matter. Unless you have unchecked diabetes your body will not grow a baby it cannot birth.
J.M. answers from Benton Harbor on March 04, 2008
I know that every case is different, but I would like to share a similar situation with my own daughter. My daughter
Kari had trouble with her first delivery (see too is petite),
and delivered by c-section.
When she found out she was pregnant again (18 months later)
she decided to take the classes and try for VBack delivery.
She went through hours and hours of labor and excruciating
pain determined to have a vaginal delivery. Well after all
that she ended up having to have another c-section. Not only
was she worn out, but very disappointed. Her baby was a 7.8
in weight, so not a huge baby.
I'm not saying this will happen to you, but it is always a
possibility. I know there are some that are successful
at vback deliveries.
I would suggest taking the classes and learning more about
it. It is always good to make a really educated decision.
I wish you the best, no matter what you decide to do.
S.R. answers from Detroit on March 04, 2008
I would encourage you to try a VBAC if your care provider thinks it would be ok. I would also get a second opinion from another care provider (from a different office). Also, hiring a doula would be a benificial thing. Having labor support at your birth increases a sucessful VBAC exponentially. Email me if you want references to VBAC friendly care providers or doulas.
A.C. answers from Detroit on March 04, 2008
Hello my daughter is now 4 months but i had a repeat c-section. My first was 10lbs 3oz and 24in long and so they said that if i tried to deliver that i would have a seperated pelvic and i am only 5'3 so i am petite. My c-sec with my first was great i was out and about a few days later. So here i have my second and my dr asked if i would want a v-bac and i said i dont know. So he said well i will do one but the risks are higher for a rupture and well you will have to have an emergency and i said well what is safer and he said the c-sec and well i am looking at making sure my baby gets into this world safe. This time i had a c-sec and it was even better what an easy recovery my friend that had a vag didnt recover as fast as me. So good luck with your decision and congrats on being preggo again.
L.H. answers from Kalamazoo on March 04, 2008
Only you can make that decision. More knowledge will be your asset. I suggest you read "Silent Knife", "Open Season", and books by Ina Mae Gaskin. Midwifery Today is an educational link.