Tuesday, July 28, 2009

Hi i am 37 weeks preg with the second child. Had undergone c section for the first time, i want to have VBAC?

for my 2nd child, but when i met the doctor he said my baby has grown enough and it would be wise to go for c section, pls help me..i want to try for normal rather another c... doc says c is more good than normal for me...i am confused??? what to do?

Hi i am 37 weeks preg with the second child. Had undergone c section for the first time, i want to have VBAC?
Your doctor probably feels that it is less- risky for you to have a cesearean. When you have a c-section the muscle in the uterus is cut and is weakened in that area.





If you go into labor and have hard contractions there is a possibility of uterine rupture.





Some women's doctors do allow them to go into labor but stipulate a cut-off point where they will have a cesearean once contractions get a bit too strong.





However, your doctor may feel that that is a bit too risky for you. Ask him about the risks, but I would trust his judgement.
Reply:I had a c-section with my first child and a fantastic VBAC with my second, it is so much better. Then I went to another doc with my 3rd and they have rules there that once a c-section always a c-section, that sucked. Different doctors have different rules and or opinions. If you are happy with your doctor I would listen to him or her, they might know whats best for you. If not then get a second opinion. But time is getting sooo close so you better make your decision quickly. Good luck!
Reply:VBAC is possible, but ofcourse your doctor knows your body better than I do. There are risks to VBAC such as uterine tearing. If your baby is large, in reverse position or you don't contract well then there are risks involved in a regular birth. I'd weigh your options and ask him specifically if VBAC is not an option for you. I had a C section and a regular birth 5 years later with no complications. Each person is different. Best of luck to you!
Reply:I would trust your doctor. I actually got three opinions from different OBs with my second pregnancy. I wanted a VBAC and they all recommended a repeat c-section. There are certain guidelines like reason for first c-section, size of baby, type of incision and the length of time between the two deliveries that help the doctor's decide the type of delivery best for you. With me, there will only be 19 months between and my first daughter was nearly 9 lbs and I was induced with first but never dilated. So, it was explained to me that the time frame was too short (they recommend over 24 months at least or the incision could still be weak), my baby might be too big for the uterus to stand during delivery since the second is normally bigger (they like estimated birth weights of 8.25 lbs or less for safest VBAC) and I could still have the same problems with dilation and induction medication causes contractions to be too strong. So, a repeat c-section is safest for me and my second baby (due in 6 weeks). Try asking about the reasons and even discussing with a second OB. You do have the right for them to explain their thinking to you and discuss all the risks and reasons why for their recommendation. Good Luck though!
Reply:Express to your doctor your desire to go VBAC. Talk it over with him/her. The doc knows your medical history and risk factors better than anyone on here. Best of luck.
Reply:I have done VBAC, but my situation was a little bit different than yours. I had two vaginal deliveries then a c-section because I was having twins and having really bad back problems. I was really scared to go VBAC, but my doctor told me that my chances were really good because I had two successful vaginal deliveries before my c-section. I did it and it was great, I had no problems. My daughter was small too, so that helped I am sure. She was only 6 lbs 3 oz. With my VBAC, my dr induced me at 39 weeks and watched me very closely. I prefer vaginal over c-section anyday, but I will tell you that you really should listen to your doctor. With my last baby, my doctor did an ultrasound at 39 weeks and my doctor said before I went in that if the baby was anywhere close to 7 1/2-8 lbs, that I needed to just have a c-section. My ultrasound showed him to be almost 9 lbs so he sent me straight to the hospital and did a c-section. I trust my doctor and I would say to just put your trust in your doctor. He does this all day everyday. You need to also think about what the reason was that you had your first c-section. The most important thing is that you have a healthy baby! Congrats and Good Luck.
Reply:the only problem with having a natural/ vaginal birth after a c-section is your uterus can rupture and cause you to bleed uncontrollably


you have to be monitored very closely during your labor and some women end up having another c-section after doing a lot of the labor anyway


your Dr should have been able to tell you this.........sounds like he just wants the easy way out /he doesn't want to set himself up for malpractice


the world is so crazy with these sue happy people it's a shame!!
Reply:I just gave birth to my 3rd child by c-section (my two other children arrived by c-section) and my doctor advised me during surgery that it was a good thing that I didn't VBAC2 as I would have ruptured my uterus and it would have been fatal, however having said that I have heard many success stories about VBAC. I know how you feel, but I say if you are healthy and the baby is too then give it a try. There are risks, such as uterine rupture but do what you feel is right. Why did you have a c-section the first time?? I say go for it girl!! Good Luck!!
Reply:It depends on WHY your doctor suggests a c-section verses a vaginal delivery. If your pelvis is exceptionally narrow, for example, then a c-section might be a better option for you.





My suggestion, though I know it's kind of late in the game to do it, would be to get a second opinion from a doctor experienced with VBAC. My doctor told me flat out that while I would normally be a good candidate for VBAC, being pregnant with twins complicated the matter. However, he told me the risks involved with both (VBAC riskier to babies, especially the second twin, C-Section riskier to me, and pretty much guarantees any future pregnancies will be c-section), and left the final decision up to me. I trust my doctor completely, but if I didn't, then I would definitely get a second opinion before making my decision.





Good luck, and congratulations!! Either way, you'll be holding your little one before you know it!
Reply:A lot of doctors won't do a VBAC, and it sounds like your doc is one of them. Your doctor knows your situation and you best, if he thinks a c-section would be better for you and the baby then that's what you should do, or at least talk to him/her and express your desire to at least try a VBAC with the understanding that if something is starting to not go the way it should that a c-section could be performed. Good luck!


No comments:

Post a Comment