I agree that we are all pretty darn pro-VBAC here, and pro- V-birth as well, however for some of us, it isn't an option, but we gladly support those for whom it is
I wanted to say for those who are VBACing or really for everyone, since my experience was unrelated to VBAC- and I mentioned this in our last thread, but for those who didn't see it, I wanted to mention it here- this is not intended to scare anyone, simply to educate
Uterine rupture is something we hear about, but at least IME it is so downplayed, that we don't discuss it and we don't really know what to look for- beyond the fact that it could happen during labor.
I had some pain during my last pregnancy- it was along my incision line on my right side. The first time I had it I thought it might be a kidney stone (since I have a history with those), and when the pain stopped, I wrote it off as the baby positioned against my scar, and no big deal, I even mentioned it to the OB (Not mine but the other in the practice) at my next appointment, and she also wrote it off. I had the pain again, just before my surgery- it was very sharp pain, in that same area- I laid in a way to get the baby to move, and he did, and the pain went away- no big deal in my mind. When my OB opened me, however, she saw that I had started to rupture, that the right side of my incision was opening right up
, it even scared her she later told me, she just really hadn't expected it, she had seen "windows" before when opening people up- she had also seen full uterine rupture during labor, but this was different in that it was literally opening at the incision and in that she did not expect to find it. My point is that I was very lucky, when my OB and I talked about it later- she said that had we realized what was happening during my pain (which I guess I had downplayed when I did mention it, and was remiss in mentioning the second time), she would've operated immediately. I was very lucky not to have ruptured completely at home, which would've been disasterous.
IME incisional pain on the outside is normal- like the outer scar stretching, but internal incisional area pain should cause you to call your OB immediately, and get thee self to the hospital for an U/S, just in case. So, there is my public service announcement- not to scare anyone. Surely, rupture rates are very low (and I was a 2 previous sections patient with a single layer suture the second time)- but I thought of the rate as so low, and thought of it as just a possibility during labor, and I ignored what I should've taken seriously, I don't want that to happen to someone else.
On other people's questions- I agree with the PPs that you should get up as soon as you can after the surgery- I was up within 12 hours of surgery each time. Also- the recoveries were easier each time, the first time I was on pain meds for 2 weeks (script pain meds) the second time it was one week, and this time it was 5 days, then I was all done (no need even for OTC stuff)