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 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

 

How a pregnancy contract could work for you and your partner

The idea of making a 'pregnancy contract' with your partner may sound a bit silly at first, but it can help make the transition to parenthood a lot smoother.

Finding a mum-friendly personal trainer

Burping babies vs burpees – yes, new mums and personal trainers live in different worlds. But they can work together - once you find the right match for you and your lifestyle.

Ambulance service under fire: baby seats to go, response times 'worse than ever'

The NSW Ambulance Service is removing child-safety seats from ambulances, while the Victorian service is facing criticism over lengthy response times following the death of a three-year-old.

Alleged baby snatch incident a ?misunderstanding?, say police

Police say that an incident in which a man pulled on a woman?s pram while walking a popular Sydney route late last month was a misunderstanding.

Ebola killed my aunt and is shutting down my country

Three weeks ago, my auntie, a midwife, developed a fever. Sitting here in Sydney basked in Australian sunshine, that shouldn't be big news.

The night my ovary burst

One mum shares her frightening experience and vows to never take her health for granted again.

Is e-reading to your toddler story time or just screen time?

When reading increasingly means swiping pages on a device, and we're advised to read to their children early and often, should parents be turning to e-readers for storytime?

Community mourns inspiring young dad

A young dad who fought a five-year battle with cancer has been remembered for his inspiring legacy at a funeral service attended by hundreds of family and friends this week.

Meningococcal kills Queensland toddler

Public health authorities say the death of a toddler in north Queensland from meningococcal disease highlights the danger the illness poses.

Nicole Kidman: 'I hope every month that I'm pregnant'

Nicole Kidman is hoping to add to her family, but says she's doubtful it will happen.

Recall: Aldi Wooden London Bus play set

Aldi has announced a recall of their popular Wooden London Bus play set.

Great gift ideas for first birthdays

From soft toys to balance bikes, here are some great ideas for first birthday gifts.

Mum learnt she was pregnant hours before giving birth

Kim Walsh arrived at the doctor with abdominal cramps. Hours later, she was cradling the baby experts told her she could never have.

How cancer has made me a better, happier person

I'm a far better person post-cancer than I ever was before. The goal now is to stay around long enough to find out who I can become, and what I can achieve.

Pete Evans says a paleo diet can prevent autism. He's wrong

Pete Evans is not a paediatrician or even a nutritionist or dietitian. So why should we believe his extreme views and remove food groups from our children's diets over the advice from those more qualified?

Let's get back to commonsense parenting

Forget the new 'Lawnmower' parenting trend; try using plain old-fashioned commonsense instead.

Woman sues after having a mixed-race baby

A US woman is suing a sperm bank after it sent her vials from African-American man, instead of the white donor she had selected.

Bonding ideas dad will love

Dad may not say it, but he could be feeling lost, confused and seriously left out. However, there are lots of things new fathers can do to be more included in the excitement of pregnancy and new parenthood.

The house that hope built for childhood cancer

Baby Laelani Baker was diagnosed with cancer before she was even born. Her heartbreaking story is just one of the reasons the Build for a Cure project is raising money for vital research into childhood cancer.

Does stay-at-home parenting get better?

Parenting doesn’t ever get easier; the challenges just change. But the challenges of caring for young children definitely lessens as they get older.

Inquest into the short and tragic life of Chloe Valentine

As the first phase of an inquest into the death of Chloe Valentine drew to a close, there was no doubt Chloe's life was marred by appalling neglect.

When mothers kill

The act of killing one's child is unthinkable for most, and a mother who kills her offspring has a special power to inspire shock and revulsion.

6 beauty tips for tired mums

For those of us with young children, eight hours sleep is a distant memory. And while we can’t do much to secure more shut-eye, there are some ways to fake it.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

16 parenting truths you won't find in the baby books

I am five years into this parenting gig and I’ve learnt that sleepless nights and changing dirty nappies are child’s play.

Win 1 of 5 Canon Powershot D30 cameras

Capture life more easily with the Canon Powershot D30. Shockproof, waterproof and dustproof, you can take it almost anywhere and shoot beautiful images, time after time. Enter now!

Best and worst potty party cakes

It's nice to celebrate a child making the shift from nappies to 'big kid' undies, but do we really need a semi-realistic used toilet cake to do it? Here are some of the best and worst cakes parents have used at 'potty parties' around the world.

7 tips for a financially festive Christmas

Plan ahead - and do it now - to ensure festive season expenses don't break the bank.

'Go the F*** to Sleep' author's new book for frustrated parents

A sequel is coming soon to the 2011 hit book 'Go the F*** to Sleep' - and this time, it's about mealtimes.

Great birthday party buys from Etsy

Handmade crafts to decorate and personalise your child's next birthday - from banners to cake decorations, we've got gorgeous party finds from Etsy.

Creative storage ideas for the kids' rooms

Creative and practical storage ideas for the kids' toys and books can also add some stylish decor to your home. Visit babyology.com.au for more stylish modern finds for hip kids & parents.

Awkward grandparents

When Grandma and Grandpa pose for a snap with the kids, things can get very weird, very quickly.

To the mum in the doctor's waiting room

Maybe the mum I saw in that waiting room, seemingly disconnected from her baby, doesn’t have the support she needs.

10 space-saving nursery ideas

Starting a family doesn't always mean moving into a bigger house - not yet, anyway.

 

What's in a name?

Baby Names

Looking for a classic name, or an unusual name? Our Baby Name Finder is for you, search or browse to refine your shortlist.

 
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.