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Does anyone regret having a VBAC

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#1 LoveMyLife

Posted 10 February 2013 - 03:45 PM

Im just wondering if anyone has ever regretted having a VBAC, and why.

#2 Romeo Void

Posted 10 February 2013 - 03:59 PM

Kind of.  I've had incontinence problems since my VBAC, it's been a real eye opener.  After my c-sect I had absolutely no changes down below, now even when I do pee it's...different.  It's tricky to explain but before I could empty my bladder in a few seconds, little trickle afterwards and I was done.  Now I sit and it sort of just dribbles out at it's own pace, no bearing down and getting it out quicker.  It's no biggie but in the middle of the night when you want to just do a quick pee then go straight back to bed, by the time you've sat...and sat...and sat you're awake.  Poo's are different too.  DS was a forceps delivery so that may have played a part too.

I guess it's to be expected that things change.  At the time it was something I was very keen to have as I had a very clingy 20 month old and I was worried about coping with a new baby and a c-sect as well.  Not REALLY sure I'd choose it again.

#3 ms flib

Posted 10 February 2013 - 04:08 PM

I thought it was fantastic having a VBAC. So fantastic that I had to give it another go.

Just a comment on the PP - your pelvic floor is weakened by pregnancy too. It's not just the birth. And after each consecutive pregnancy it is weakened a bit more.

A quick google - http://www.childbirthconnection.org/articl...=10206#elective

All the best

#4 tel2

Posted 10 February 2013 - 04:14 PM

My best friends sister kind of regrets hers.  She had it with no pain relief and had a vacuum extraction,episomy and all others kind of intervention. She told me she suffered like a animal, it was horrible and if she was to have a 3rd, it will be a c section. If she knew in advance what she had to go through to have her little girl she would've defintely gone c section. I'm still so proud of her for doing it and am kind of jelous (I never had a vbac even though I should've with my second...anyway...).

#5 B.feral3

Posted 10 February 2013 - 04:32 PM

QUOTE (Romeo Void @ 10/02/2013, 03:59 PM) <{POST_SNAPBACK}>
Kind of.  I've had incontinence problems since my VBAC, it's been a real eye opener.  After my c-sect I had absolutely no changes down below, now even when I do pee it's...different.  It's tricky to explain but before I could empty my bladder in a few seconds, little trickle afterwards and I was done.  Now I sit and it sort of just dribbles out at it's own pace, no bearing down and getting it out quicker.  It's no biggie but in the middle of the night when you want to just do a quick pee then go straight back to bed, by the time you've sat...and sat...and sat you're awake.

I had this after my first which was a vaginal delivery. I suffered incontinence for 12 months and the pee trickled as well. There was no damage down below after baby #2 and #3 which were both C/S. I had no incontinence and was peeing normally. It wasn't the pregnancy that did it, it was the birth and pushing hard for a long time because he got stuck.

Sorry OP, I haven't had a VBAC but wanted to reply to the PP.

#6 FeralSis

Posted 10 February 2013 - 05:17 PM

I haven't had a vbac but just wanted to recommend that anyone who is even slightly concerned about their pelvic floor find a women's health physio.

They can assess, advise and work out a personalised program to improve pelvic floor function.

Don't just put up with it!

#7 Romeo Void

Posted 10 February 2013 - 05:25 PM

QUOTE (ms flib @ 10/02/2013, 04:08 PM) <{POST_SNAPBACK}>
I thought it was fantastic having a VBAC. So fantastic that I had to give it another go.

Just a comment on the PP - your pelvic floor is weakened by pregnancy too. It's not just the birth. And after each consecutive pregnancy it is weakened a bit more.

A quick google - http://www.childbirthconnection.org/articl...=10206#elective

All the best

Perhaps, I have read that before.  But there was no change during my first pregnancy, not even a tiny bit. But a huge one after my second. I'm not 100% buying the 'it's the PG not the delivery' argument.  

#8 Romeo Void

Posted 10 February 2013 - 05:28 PM

I've just seen this that says there does appear to be some connection.

#9 MrsWidget

Posted 10 February 2013 - 05:38 PM

I loved my VBAC, loved it. And would do it again in a flash. Mine was drug free and I had an episiotomy and a forceps delivery.

My pelvic floor and everything else downstairs works fine and my recovery was awesome.

#10 Loz07

Posted 10 February 2013 - 06:16 PM

Not to derail the thread OP, but it seems as though your biggest (?only) regret with the VBAC relates to the continence issues you are experiencing, so...

Regarding the discussion about whether it is the pregnancy or birth which causes incontinence, when I was at uni (nine years ago.... so yes, there could be more recent research) I remember learning that it was 1 in 3 women who had ever had a child who would experience continence issues, and that figure was equal among VB and c-sect which is what leads to the conclusion that it is the pregnancy itself rather than birth which creates the issue (think about it - 4kg or so sitting on the muscles day in day out slowly stretching them...?). However, birth trauma (prolonged second stage, tearing, episiotomy, vacuum etc) are known additional risk factors.

I would second a PPs point about seeing a women's health physio to assess and assist you. You can find one via the 'Find a Physio' feature on the Australian Physiotherapy Association's website (here). Look for one with post graduate women's health qualifications if possible, and/or a member of the women's health special interest groups. If finances are an issue, then speak to your GP about a referral (there may be an option for *some* medicare rebate, but not much), or seek a referral to a public hospital which provides birthing services as they would have a women's health physio on staff.

Good luck

#11 FearsomeFeralFreak

Posted 10 February 2013 - 07:05 PM

Current research seems to suggest otherwise. From the urology times:

Vaginal delivery increases incontinence risk up to 20 years later
Publish date: APR 25, 2012 Print
Compared with women who deliver via cesarean, women who deliver vaginally are 67% more likely to experience urinary incontinence up to 20 years after the birth and are almost three times as likely to be incontinent for more than 10 years, Swedish researchers report.
Vaginal delivery increases both the likelihood of incontinence and the probability that the condition will be of long duration, say the authors, who reported their findings online in BJOG (March 14, 2012).
Obstetrician-gynecologists from Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden and Södra Älvsborgs Hospital, Borås, Sweden conducted a registry-based national cohort study involving more than 5,000 primigravidas who delivered a single infant between 1985 and 1988 and had no subsequent births. The results revealed that 40.3% of the women who delivered vaginally experienced urinary incontinence versus 28.8% of those who delivered surgically (odds ratio [OR], 1.67; 95% CI, 1.45-1.92). In addition, 10.1% of those who delivered vaginally were incontinent for more than 10 years versus 3.9% of women who delivered surgically (OR, 2.75; 95% CI, 2.02-3.75).
No differences existed with regard to urinary incontinence between women who had an acute cesarean delivery and those who had the procedure electively, indicating that the fetus passing through the pelvic floor in the late stage of delivery increases the risk of urinary incontinence later, the authors wrote.
Also, the risk of urinary incontinence in obese women was more than twice that of normal-weight women after vaginal delivery and more than triple that of normal-weight counterparts after cesarean delivery. In addition, the prevalence of urinary incontinence was 10% higher in women aged ≥35 years at delivery compared with women aged

Also at:

University of Gothenburg (2012, March 25). Incontinence 20 years after child birth three times more common after vaginal delivery. ScienceDaily. Retrieved February 10, 2013, from http://www.sciencedaily.com­ /releases/2012/03/120325102613.htm

#12 07gbam

Posted 22 February 2013 - 07:49 PM

While the pregnancy itself does influence pelvic floor changes, it seems women who have had difficult vaginal births, or of larger babies, are over represented in the group of women who go on to have incontinence issues.
There was a similar thread some time ago, and I was shot down for suggesting this, even though when I worked in an incontinence clinic, there was no doubt that the women there had been influenced by their vaginal births.
It seemed the ones who were left to push for longer than an hour faired worse than those who had assistance in the delivery of the baby after an hour of pushing, or those that pushed their babies out in under an hour..
But it still wouldn't make me want to have a section just to prevent the chance of incontinence. I had an assisted delivery after pushing for an hour, and as yet, have no problems.
It's when menopause hits that a lot of women's pelvic floor problems appear, so many of us of childbearing age may not be experiencing the problems related to birth yet.
Something to look forward to.

Agree totally- see a women's health physio.

#13 farfaraway

Posted 22 February 2013 - 07:56 PM

My VBAC resulted in a 4.2kg baby and a 4th degree tear. Worth every second, zero regrets here. My "downstairs" was completely back to normal after 6 weeks despite the damage! So, so, so worthwhile for me.

Edited by farfaraway, 22 February 2013 - 07:57 PM.

#14 Lokum

Posted 22 February 2013 - 08:02 PM

QUOTE (07gbam @ 22/02/2013, 08:49 PM) <{POST_SNAPBACK}>
But it still wouldn't make me want to have a section just to prevent the chance of incontinence.

It would for me. Two c/s here, and not a problem or a care. (Apart from some saggy skin, but that's totally cosmetic and not functional, and could have happened after a VB anyway.)

My 2nd PG I ended with a fundal height of 44cm!!. I was massive. I had a huge and ridiculous amount of fluid. In those last weeks the pressure on my bladder was constantly painful. As soon as they took that baby out through the sunroof, my bladder was back to normal.

If there was ever a 3rd, the risks of prolapse, incontinence and sexual dysfunction would push me to ERCS, (far more than any tiny risk of rupture.) I wouldn't choose it as a primigravida, but I think these risks are really relevant to the VBAC/ERCS plans of women.

#15 treefalls

Posted 22 February 2013 - 08:03 PM

Did you only want to hear from women who regret their VBAC, OP?

#16 07gbam

Posted 08 March 2013 - 06:27 PM

A balance perhaps?

#17 GenWhy

Posted 08 March 2013 - 06:39 PM

Never for one second have I regretted my VBAC. I do regret the two c/s I had. I have big babies and gain a truckload of weight. I also worked in a very physical job until the week prior to birth with all 3 of my kids. I don't have any issues aside from ones caused by the caesareans.

#18 ~~Cleopatra~~

Posted 09 March 2013 - 11:14 PM

I regret it in that it didn't go well. But I didn't know that was going to happen so I don't regret trying. Its a hard question to answer as it depends on how it goes.... I opted to have a ceaser with my 3rd though based on my experience, even though the OB was happy for me to try again.

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