[Mumoffour99]

Hi everyone, just edited this so as to get rid of any personal info.Just looking for some names of docs willing to consider a vba4c. Thanks again

This post has been edited by Mumoffour99: 28/04/2012, 08:46 AM

[3_for_me]

I'm very pro vaginal birth but the way they described your uterus after your fourth had alarms bells ringing with me. I think you need to seriously consider the potential implications and risks of attempting a vaginal birth in your circumstances. I would be very surprised if you would find a willing OB quite honestly.

[Mumoffour99]

Thank you for the reply.would it be better not to cut and take my chances?? I've read there's only a 0.9% chance of rupture in women with multiple ceasers. And even if there is a rupture only 6% chance something bad will go wrong like death or disability.

This post has been edited by Mumoffour99: 29/04/2012, 06:13 PM

[GenWhy]

What State are you in? WA has a clinic at KEMH called NBAC you could try? I was told same thing about my uterus and how lucky I was I had the c/s after my 1st child. Lucky I didn't rupture yada yada. I had a VBAC a year later no issue.

[Mumoffour99]

I would also really like to be in the comfort knowing I have capable ob and hospital by my side if anything does go wrong. Is it possible to measure uterine wall thickness with an ultrasound? If so maybe I can suggest regular ultrasounds to the ob?

[Mumoffour99]

Do you know of any over here? Or how I can go about finding one here?

This post has been edited by Mumoffour99: 29/04/2012, 06:14 PM

[3_for_me]

Many years ago Monash used to claim to be supportive of VBACs, they might atleast be able to point you in the directions of OBs to try.

[GenWhy]

Recent studies have shown that measuring uterine thickness is not always helpful. Your uterus thins during labour naturally. Obs just don't see that when it's a vaginal birth. You're probably going to find that private obs will refuse to allow a VBA4C. Check out the public maternity hospital.

[Mumoffour99]

Thank you so much. I'll give monash a call on Thursday.
And do you know which public maternity hospital would be more likely?

This post has been edited by Mumoffour99: 28/04/2012, 08:48 AM

[Small Potatoes]

Mum0ffour99 Start by getting your hospital records for at least your last caesar and that should indicate what your scar was like. If it was me I would then take those notes to a midwife and get her to have a look at them and suggest some options for you.
A risk of having multiple caesars is the possibility of placenta acreta so that will also be assessed by anyone who might conisder doing VBA4C. If you do decide to go through with this I believe you will have a fight on your hands and that you should get as much evidence supporting your decision.
I think you should note that the 0.9% rupture rate is anything from a small separation to complete rupture, secondly that statistic includes woman with a classical incision so if yours are lower segment incisions (LSCS) then your scar maybe stronger. It also includes those who have been induced or had syntocin to speed the labour which increases the risk of rupture. So when doing your research you should consider how the research is linked to your particular situation.
It is very important that you find evidence for the risks and benefits of the caesarean and alternatives, work out what you and your care giver will be comfortable with and go from there.