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Completely undecided
VBAC or elective caesar?


12 replies to this topic

#1 Lickety Split

Posted 06 December 2012 - 11:01 AM

I'm 30 weeks along and still nowhere near deciding whether I want to try for a VBAC or have an elective caesar.

I had a caesar with DD due to pre eclampsia, an unfavourable cervix and DD's head not descending. This time I am going public. I have seen mostly a midwife at the ante natal clinic and once saw an OB (due to me being "high risk" as my last was a caesar). The midwife has consistently tried to convince me to try for a VBAC but the OB told me I'd more than likely have the same problems as last time and a caesar will be the likely scenario.

I've also had some blood sugar issues but have been unable to get a diagnosis of GD so far due to me throwing up the glucose drink twice and they won't repeat it a third time.

I feel like the midwife is going to try to get me to have a VBAC no matter what. I feel like the OB is going to try to get me to have a caesar no matter what. I don't know what to do!

#2 meemee75

Posted 06 December 2012 - 09:30 PM

Hi OP-Have you done any reading n C/s v's  VBAC? It might help with the decision .

If it was me I'd probably sit down and write a list of pro's & cons to both.

Disclaimer - I am a midwife too but as long as you don't get pre-eclampsia again your chances of acheiving a VBAC are pretty good.

Maybe try going into the forum "planning a vaginal birth" and read the links etc on VBAC's and see how you feel about it all.

A C/S is your familiar territory a VBAC isn't and  this is probably the area you need to look into ( if you haven't already)

Birthrites also has some great info and a VBAC section in their C/S info which may answer some question.

http://www.birthrites.org/files/CaesareanB...9%20%282%29.pdf

Oh and no-one ( midwife or Ob) can try and get you to do anything you don't want to.

I know it sounds weird but Obs and midwives approach birth from two very different philosophies a lot of the time , but sometimes we do see eye to eye. This is probably the reason you are getting different advice from different maternity carers you have seen.

Good luck with your decision..you still have lots of time  original.gif






#3 Soontobegrinch

Posted 06 December 2012 - 10:52 PM

Neither your midwife nor your Obstetrician can force you into either so as meemee has suggested you should do some research into the pros and cons of both and go to your next visit armed with lots of questions.
Good luck.

#4 FurryTongue

Posted 06 December 2012 - 11:02 PM

I can only give you advice based on my experiences.
I had an emergency c-section for my first child and a vbac for my second. I definitely wish I had had a c-section for my 2nd child as he almost died and there was many complications due to my labour not progressing. It was a terrible delivery and just as sterile and surreal as a emergency c-section.The OB was absolute I would have vabc. It became more about him than about me and my child.
If I was to have a third child I would go in for a vbac being very open to a c-section. I would also be alot more vocal about my feelings.
Sorry I could not be much help but from my experience a vbac was not all it was cracked up to be.
I wish you all the best and a safe delivery!

#5 spitzmum

Posted 08 December 2012 - 05:49 AM

Someone might be able to clarify - but with an induction (even a synto drip) - I didn't think you we're confined to a drip and on your back in the bed.

I'm likely to need an induction because I have a heart condition that will require me to labour during the day so the appropriate cardiac specialists can be on hand - they mentioned that I can walk around, use the shower etc with the drip once labour has established. I don't really fancy pushing a baby up hill on my back either original.gif

#6 imamumto3

Posted 08 December 2012 - 05:56 AM

QUOTE (spitzmum @ 08/12/2012, 06:49 AM) <{POST_SNAPBACK}>
Someone might be able to clarify - but with an induction (even a synto drip) - I didn't think you we're confined to a drip and on your back in the bed.

I'm likely to need an induction because I have a heart condition that will require me to labour during the day so the appropriate cardiac specialists can be on hand - they mentioned that I can walk around, use the shower etc with the drip once labour has established. I don't really fancy pushing a baby up hill on my back either original.gif

I was able to move around when I was induced (vbac).  I just moved the drip and the midwife moved the monitors to where I wanted to be.  for the actual delivery I was on my side on the bed, because that was where I wanted to be

#7 Lickety Split

Posted 08 December 2012 - 11:44 AM

My hospital will not induce for a VBAC. If I go 10 days over my EDD they will want to do a caesar anyway.

#8 madammuck

Posted 18 December 2012 - 02:02 PM

QUOTE (Lickety Split @ 08/12/2012, 12:44 PM) <{POST_SNAPBACK}>
My hospital will not induce for a VBAC. If I go 10 days over my EDD they will want to do a caesar anyway.


Mine doesn't either.

OP I found speaking with a birthing coach really helpful in making my decision. She explained why things happened the way they did last time and really spoke objectively about the pros and cons of both options.

She also gave me a lot of homework to do, so because of this I have done a fair bit of research as PPs recommended.

The lady I saw is in Melbourne, let me know if you'd like me to pass on her details if you're also from around here.

#9 Leee

Posted 28 December 2012 - 08:47 AM

I'm pretty sure that if you have had previous cesarians that you can't be induced with synto due to possible rupture of the uterus on the scar line???

#10 ScarfaceClaw

Posted 28 December 2012 - 08:57 AM

Not from personal experience, but from a friend who had a CS for her first and then an induction and VBAC for her second at a large public hospital in Melbourne. No gel but drip and ARM. Baby was 42 weeks and 4.2kg and born vaginally with no tearing etc etc.

Each facility will have a different protocol, and likely each OB.

Good luck with your decision OP.

#11 imamumto3

Posted 28 December 2012 - 07:20 PM

QUOTE (Leee @ 28/12/2012, 09:47 AM) <{POST_SNAPBACK}>
I'm pretty sure that if you have had previous cesarians that you can't be induced with synto due to possible rupture of the uterus on the scar line???

I was for my 3rd which was my second vbac

#12 Corella

Posted 28 December 2012 - 09:08 PM

Gels are contra-indicated for a VBAC induction. CARES-SA has lots of info as well.

#13 Lickety Split

Posted 29 December 2012 - 12:54 PM

I'm leaning towards attempting a VBAC as there seems to be no medical reason why I shouldn't. I have an OB appointment on Wednesday so I'll see what they say then.



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