Jump to content

VBAC, is it the right decision
VBAC vs CS


  • Please log in to reply
6 replies to this topic

#1 Kibby84

Posted 12 April 2012 - 02:16 PM

I'm 21wks pregnant with my second bub.  I had CS in March 2011, and how have a healthy little boy.

Today I went to my hospital to speak with the doctor about VBAC and CS.  I desperately want a VBAC for the recovery factor, experience birth and going home quickly. But is that really a good enough reason?

My hospital is very supportive of both VBAC and ERC (elective repeat caesarean).  VBAC is the best option if you have straight forward labour, go into labour naturally and progress well.  

I never went into labour with my first pregnancy, I was induced at 40wks because of early stages of preeclampsia.  I never went into labour, failed induction, and then ended in a CS.

I do wonder if I will be able to go into natural labour, cause it seems that unless is is really "text book" which a lot of labours aren't, If I don't go into natural labour = CS, if I don't progress well, labour slows at 5cms =CS, if my blood pressure becomes an issue = CS. Emergency CS are higher risk than Elective.

If my pregnancy is progressing well, they are happy to let me go until 41wks, but then CS after that.

But both options have their risks, and even though small, when things go wrong, they go very wrong. I was so set on VBAC, but now thinking for the safety of me and bubs, perhaps elective. But then again, I don't want to regret not trying for a VBAC, cause I really want one.

I just don't know if my body will go into labour and do what it needs to do. I have no faith in my body, even though i know what it capable of.

Doctor gave me good advice, if i really want a VBAC, focus on VBAC, and not to worry about CS.

It is early days, as things might be clearly later on in pregnancy but I don't want to make the wrong decision or one I would regret. I just wish I could see into the future. Even reading recent studies that show ERC are better than VBAC. I'm so confused.


#2 HIH.GD.Isolabella

Posted 12 April 2012 - 04:25 PM

With #2 I kept my mind open (#1 was c/s due to breech).

I did not have any result in my mind other then a healthy bubs and me.

As my PG progressed though, there were indicators that a VB attempt would most likely NOT be successful for me for that PG (including #2 having blood flow problems from the placenta which increased potential for bubs distress in labour and resulting in emerg c/s). So at 35wks I decided to go for a repeat c/s rather then VBAC.

For #3 I had booked in for a 3rd c/s, but DD put me into labour at 36w3d. OB offered me the opportunity to try a VBA2C but I declined. It ended up being a good choice for me as when I was on the operating table I was told that my scar was already under stress and would not have lasted another 6hrs of labour ohmy.gif .


Personally with #2 I found the following helpful reading for looking at the risks for another c/s and VBAC.

http://www.rcog.org.uk/files/rcog-corp/GTG4511022011.pdf

#3 Julie3Girls

Posted 12 April 2012 - 04:35 PM

It's a very personal choice.

#1 scheduled c/s for breech.

#2 attempted vbac, 17hr labour, emergency c/s

#3 successful vba2c 10hr labour.

I don't regret trying for my vbac with #2, even if it did end up with a c/s.

#3 I was very much torn as what to do.

In the end, I took the approach of if I tried for the vba2c, I might get it, or I might have a c/s. If I didn't try for it, then I was guaranteed to have a c/s original.gif

So I planned for the c/s, talked to my OB about what I wanted if we ended up with one (immediate skin on skin, no seperation etc). Got that all straight in my head. Scheduled in a tentative date for past my due date with my OB. And then put it aside.  When I did go into labour, with both #2 and #3, it was very much a see how it goes process. With the ability to go with a c/s if things weren't going well.

#4 Guest_Dinah_Harris_*

Posted 12 April 2012 - 04:43 PM

For me, a VBAC was absolutely the right decision.  The recovery was SO much easier.  
However, it really depends on your circumstances.
ETA: I also did acupuncture to ready my body for labour and took a supplement from a naturopath.  The supplement I started at 30 weeks, the acupuncture at 35 weeks.
I went into labour naturally at 40+2 and had a 2.5 hour labour.  I can honestly say it was quick and easy.  I found the pain quite manageable, too.

Edited by Dinah_Harris, 12 April 2012 - 07:58 PM.


#5 ProudlyPink

Posted 12 April 2012 - 05:10 PM

I was desperate for a VBAC with DD2 as well. I agree with your doctor. If you really want a VBAC, focus on it. Doing that will mean you hopefully end up with a VBAC, if not, you will have a CS. If you focus on having a CS you will have a CS. Do you have private health that covers acupuncture? I was 10 days over due with DD1 before I stated having some mild contractions. With DD2 I saw my acupuncturist fortnightly from 30 weeks and went weekly from 37 weeks. She also gave me a herbal concoction to help ready me. I went into labour at 39+4 without a problem and had a successful VBAC.

Not sure if that helps, but that was my experience and I'm so glad I didn't go for a elective cs. My VBAC was wonderful despite all the sewing up I had afterwards!!

#6 littlerayofsun

Posted 12 April 2012 - 09:58 PM

Your Doc is right - concentrate on the VBAC and then if you need a CS then you do. I had a CS then 2 VBACs, each 2 years apart.

The natural birth really was amazing and the recovery bears no comparison. However, I was incredibly lucky that my births were on time and progressed quickly. And I just did what my Ob told me and he got me there both times!

I did do acupuncture and walked kms a day to help bring on labour on my due date (baby came on his due date, and DS 3 days before).

Good luck!

#7 Kibby84

Posted 14 April 2012 - 10:18 AM

Thanks everyone for your replies.

I've been doing a lot of research and it seems that Elective CS is going to be my safest option.

Given I have blood pressure issues, the fact that I have had previous surgery in that area (laparoscopic for Endo/Cycsts), it seems Elective CS to be the safest option. I'm also really nervous about the risk of something going wrong, cause when it goes wrong, it goes terrible, fetal death,hysterectomy. I know the risk is low, but I'm not comfortable, given my other medical issues to take that risk. My guts says to go with a CS, as much as I would like a VBAC, I think it is safest option for me and bub.

DH and I discussed and he said he would rather me get an elective too, as it seems the safest option.

I will be able to plan for extra support from my family, who live interstate for when it all happens to look after DS.

I feel better now I know which path I will be taking and can prepare. Given I didn't have a bad CS experience, and I hear good things about Elective CS, I think it is the right decision for me.

Thanks for your support.

Thanks everyone for your replies.

I've been doing a lot of research and it seems that Elective CS is going to be my safest option.

Given I have blood pressure issues, the fact that I have had previous surgery in that area (laparoscopic for Endo/Cycsts), it seems Elective CS to be the safest option. I'm also really nervous about the risk of something going wrong, cause when it goes wrong, it goes terrible, fetal death,hysterectomy. I know the risk is low, but I'm not comfortable, given my other medical issues to take that risk. My guts says to go with a CS, as much as I would like a VBAC, I think it is safest option for me and bub.

DH and I discussed and he said he would rather me get an elective too, as it seems the safest option.

I will be able to plan for extra support from my family, who live interstate for when it all happens to look after DS.

I feel better now I know which path I will be taking and can prepare. Given I didn't have a bad CS experience, and I hear good things about Elective CS, I think it is the right decision for me.

Thanks for your support.




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

A solo birth, a wasp swarm and a forest fire: mum and baby's amazing story of survival

Desperate, out of petrol and low on food, a new mother lit a fire in the hope of attracting attention.

Boy found on swing died of hypothermia and dehydration, autopsy finds

The story was chilling and heartbreaking: a three-year-old boy was found dead in a Southern Maryland park, his mother pushing him on the swing.

Child's play and laughter help battle fatigue

Feeling fatigued? Uh-huh, thought as much. Join the queue.

Dad shares entertaining 'how to hold a baby' clip

For many new dads, their own child is the first baby they have ever held. So one dad has posted an instructive YouTube video titled "How to Hold a Baby".

The Australian baby with 100,000 Facebook fans

She may be only eight months old, but Egypt has already amassed more than 100,000 fans and received a letter from royalty - Hollywood royalty that is.

Public welcome outside church for Princess Charlotte's christening

Duke and Duchess of Cambridge have invited well-wishers to see Princess Charlotte outside church in Sandringham on day of her baptism.

Tongue tie: what you need to know

Tongue and lip tie can lead to many problems for babies - and their parents. Here are the signs of tongue tie and how it's treated.

My daughter is small but that doesn't matter

My daughter may be small, but it's my job as her parent to refocus back where it belongs - on who she is as a person

Wet wipes linked to rise in allergic reactions

The government has issued a health warning after a rise in allergic skin reactions has been linked to a preservative found in some wet wipes.

Gay couple in their 80s first to wed in Dallas after Supreme Court ruling

Love may have won, but it came with quite the wait.

William Tyrrell's family marks birthday with cake and renewed appeal

The family of missing boy William Tyrrell will mark his fourth birthday on Friday making a cake to share with friends and family as NSW police renewed their public appeal for information on his disappearance.

What all parents should know about safe babywearing

A picture of Ryan Reynolds always gets the girls talking, and a recently shared photo has done exactly that - but this time, it's for all the wrong reasons.

Baby's head shape reveals potentially fatal condition

Thinking her baby just had an unusually shaped head, a mother was shocked to discover it was instead linked to a dangerous condition.

'Help - my toddler hits me!'

My toddler has started hitting when he gets frustrated, is feeling ignored, or just thinks it might be fun.

Why IVF success rates may not be what you think

Transparency, accountability and responsibilityare essential measures to protect IVF vulnerable patients.

On the 10th anniversary of my son's death

This day marks a significant day. Today marks 10 years since I lost my son Kai.

Mother-in-law 'from hell' inspires survival guide

The happily ever after Nicola Milan had imagined wasn't to be – and she blames her mother-in-law.

Name your baby Quinoa, win a $10K gift card

Choosing a name for your little bundle of joy is always a major decision. It can be something traditional, trendy, creative … or inspired by the menu of your favourite chain restaurant.

Owning a pair of nail scissors does not make me a hairdresser

It's been a whole year since sleeping in until 10am. A whole year since having a peaceful shower.

The 83 children who were tragically let down in the last decade

Over a 10-year period, 83 children died from domestic violence abuse in NSW, with three quarters of the victims aged five years or under, the NSW Ombudsman has revealed.

Expert Q&A: Gross motor skill development in toddlers and preschoolers

Dr Katie Heathershaw answers questions about jumping, toe walking, riding a bike and being pigeon toed.

Is it reasonable to expect your partner to give up drinking in pregnancy?

From the moment that I fell pregnant with my son, I realised just how much my life had already started to change.

Stroke victim joins class action against makers of popular contraceptive pill

"I was terrified I would always be this way. The pill needs to come with a much higher warning."

Sexy time

Why you should get excited about scheduling sex

Unfortunately, the belief that sex should always be spontaneous is a myth. It just isn't.

When newborn photoshoots get messy

When it comes to newborn photoshoots, it is all about the timing.

Orphaned baby daughter Ayla wakes from coma

Former All Black Jerry Collins' critically injured orphaned daughter has awoken from her coma and is able to bottle-feed.

Dad takes miraculous catch while feeding baby

One American father has taken multitasking to a new level at a Cubs-Dodgers baseball game at Wrigley Field.

'Samuel is our firstborn, and he will never be forgotten'

Having lost their firstborn at one day old, the Carrolls were overjoyed to welcome their daughter Isobel into the world a year later.

Channel 10's Sarah Harris expecting first child

The Studio host Sarah Harris doesn't mind if her first baby is a boy or girl, but she does hope it is born with one thing in particular.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

27 funny ultrasound pictures

Ultrasounds give you a look at your growing baby ... and sometimes what appears to their womb-buddy, or your bub in an amusing position.

The top 6 misleading parenting terms

From 'morning sickness' to 'the terrible twos', there are many parenting terms that are misleading.

When 'good' nannies go bad

While most nannies take pride in their work, there can be some who have a hidden side.

Woman hospitalised for skinny jeans injury

Beware: skinny jeans might be bad for your health.

Gauze seeding: the bacteria-breeding birth trend

A number of women having caesarean deliveries are now taking steps to give their baby a better 'microbiome' start in life.

Jimmy Fallon writes new children's book for dads

Jimmy Fallon, host of NBC's The Tonight Show, recently wrote a children's book about every father's secret wish for their baby's first word to be "dada" - not "mama".

28 names for babies born in winter

Looking for some baby name inspiration for a bub born during the colder months? Here are 28 options from around the world to consider.

The horrible act that sparked a brawl at child's birthday party

The uncle of the seven-year-old girl at the centre of the brawl at child's birthday party in Sydney's west has described the events leading up to the alarming show of violence.

Babies 'benefit from iPads at a young age': study

More often than not, you'll read that screen time for children should be kept to a minimum - but some scientists are now challenging this way of thinking.

Do mums really just obsessively talk about their children?

Natalie Reilly describes three main types of conversations mothers have. And, surprise, they're not all about kids.

Why some dogs might attack babies or young kids

A baby's smell, the noises it makes and even its gaze can contribute to the potential for a dog attack.

Mum demands refund for 'beargina' christening cake

It was meant to be a tasteful cake to help celebrate a three-year-old's christening.

5 things no one warns you about after giving birth

How many times have you been warned about all the sleepless nights you have to 'look forward to' when you become a parent?

Police officer sang nursery rhyme as heartbreaking photo was taken

A police officer arrived at a devastating scene on Thursday: a car crash resulting in all passengers being thrown from the vehicle.

Don't worry, working mums: Just leave Dad in charge at home

Want to open the boardroom doors for women? Encourage - heck, praise - dads who stay home with their children.

Hilaria Baldwin shares post-baby selfie

Just two days after giving birth, actor Alec Balwin's wife posted a post-baby picture on social media.

'Help - my child won't ever do what I ask!'

Compliance is part of the parent-child relationship, but so is resistance. It's all natural.

Postnatal depression support gets $23 million boost in NSW

The Baird government will include $22.8 million in Tuesday's NSW budget to expand a program designed to help parents at risk of postnatal depression (PND).

'I'm just as tired, scared and stressed as you': stay-at-home dad's plea

I'm really lucky to have two great kids, but I found it really tough with so much being aimed at the mothers and not the fathers.

 

FREE TICKET

Get your FREE ticket to the Baby & Toddler Show

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.