or Connect
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › VBAC › VBAC vs. C/S question
New Posts  All Forums:Forum Nav:

VBAC vs. C/S question

post #1 of 26
Thread Starter 
Hi. I'm going to try for a VBAC this go-round, but was wondering if anyone has any data or links for the benefits of laboring prior to a repeat c-section (should the need arise)? I saw this mentioned on another board, but no follow-up details or documentation was provided.

Any help would be great.

p.s. - I'm not due 'til May06 and want to investigate before discussing all this with OB. Thanks!
post #2 of 26
try the links in the resources thread stickied at the top of the vbac forum.
http://www.mothering.com/discussions...d.php?t=159627

my favorites would be the ICAN website and their mailing list (now at yahoo groups)

www.vbac.com
www.gentlebirth.org
www.midwiferytoday.com
post #3 of 26
Here's some info in this thread in the vbac forum.
http://www.mothering.com/discussions...d.php?t=371340
post #4 of 26
Thread Starter 
Thank you both for the information. I will review it all carefully!
post #5 of 26
No links, but the baby does do better with some labor, as in not being premature, and more ready to breath,...

Good luck.
post #6 of 26
I would highly suggest that you dig on your own rather than read from sites that lean more towards VBAC than repeat cesarean sections. You are more likely to develop your own views on what is best for you and your situation.

In one of the Cesarean Support threads this was discussed and there were links supporting both ideas, laboring vs not laboring. The one thing that stood out for me personally is that maternal outcomes are better when a cesarean is scheduled vs when a woman labors first.

Kim
post #7 of 26
Moved to VBAC...
post #8 of 26
Quote:
Originally Posted by OnTheFence
The one thing that stood out for me personally is that maternal outcomes are better when a cesarean is scheduled vs when a woman labors first.

Kim
I agree that the OP needs to work out what suits her best. She may not know that until after the fact, however. My worst recovery of three was the only one in which I didn't labour at all. I have pain for months. I had two sections with labour, and the pain was completely gone after two months with each of them (and that's despite the fact that I had an infection and a toddler to look after with the last one).

Having had three different sections, of three different types (emergency with labour, scheduled with labour, scheduled without labour), there is nothing on this earth that could convince me to schedule a section without labour again.
post #9 of 26
everyone is different though. I have had two planned csections with very little pain and excellent recoveries!
post #10 of 26
Quote:
Originally Posted by OnTheFence
everyone is different though. I have had two planned csections with very little pain and excellent recoveries!
You are blessed. I have met very few(can count on one hand) women that had sections with such good recovery and little pain. Most are hurting in some fashion for YEARS.
post #11 of 26
Read the VBAC Companion. It is so full of information and facts, and compares all types of sections (emergency, scheduled with and without labor). The thing that I remember the most is that the outcome for babies is better the longer the mother labored before she was sectioned. This has to do with the baby releasing horomones that are necessary for life outside the womb, and also with babies not being removed prematurely, as ultrasound can be very wrong on predicting size, dates, etc.......
post #12 of 26
cathicog, I'm another woman who had a c-section with a recovery that was not bad at all. The drugs took away nearly all of the pain. The most painful part was when I was in labour before the c-section. I know several woman who have had c-sections and none of them talks of ongoing pain that lasts for years on end! Perhaps you've just happened on some women with unusually dire experiences.
post #13 of 26
I think it's also important to remember that many c-secs also come with emotional costs that can last for years. I had my c-sec at 6am, went home the same day, only took panadol (paracetamol). Never had physical pain from it. However, my PTSD peaked at 6 months when I was suicidal and it's only now 2 years later that I'm really feeling that I'm out of the fog. The possible costs to mothers and babies of that are higher than any dollar value can reach. Women who have c-secs often have trouble bf and some never establish it leading to ff, there's PND rates which are about 12 times higher for c-sec mamas and yet almost negligible in home birth populations.

Anyhoo. This is a study from "Thinking Woman's Guide" which I think ought to be compulsory for anyone planning a birth regardless of previous surgery.

Hook B, et al, Neonatal morbidity after ERC and trial of labour. Pediatrics 1997;100(3):348-353. (TOL puke puke puke! bang: )

She says:

Quote:
Researchers matched 700 normal-weight infants born with low 5 minute Apgar scores after healthy pregnancies similar to infants with normal Apgar scores. Infants born after elective caesarean were nearly half again as likely to have low Apgar scores as infants born vaginally. Researchers also compared newborn outcomes between 500 women having planned ERC and 500 women having labour. Infants born after ERC were more than twice as likely to develop respiratory difficulties, mainly rapid breathing, and 2 versus none in the labour group developed respiratory distress syndrome. They were 3 times as likely to develop newborn jaundice. Another study found more need for mechanical ventilation and oxygen in babies born after ERC than vaginal birth.
post #14 of 26
My chiropractor had an interesting story he told me the other day. I haven't researched it but I thought I'd share. he said that a butterfly must break out of it's cocoon on it's own (I think he said butterfly - I can't think of another creature that breaks out of a cocoon) in order to fly. If it is cut out, it never uses it's muscles properly in order to get the blood flowing to them and get it's wings working. I figured labor must do something good for babies; otherwise, why would we labor before a birth? My chiro brought that up after I asked what kind of impact a c-section birth could have on my dd long term. I was curious whether a c-s baby would need chiro care as much as a vaginally birthed baby since a c-s baby never squeezes and contorts through the birth canal. he said that c-s babies are often *more* in need of chiro care b/c the doctor makes the smallest incision possible and pulls whatever part on the baby he can get ahold up to yank the baby upward and through the abdomen.

Quote:
Originally Posted by Dal
cathicog, I'm another woman who had a c-section with a recovery that was not bad at all. The drugs took away nearly all of the pain.
I don't disagree with this since drugs definitely mask the post c-s pain.... but I HATED taking them. I would go until I couldn't take it anymore and then call a nurse in for pain meds. I hated taking them b/c I couldn't stand the thought of my brand new, hours old baby ingesting narcotics and heavy doses of ibuprophen (neither of which are proven safe for babies). I kept telling myself that the good of breast-feeding outweighed the risks from the meds but it didn't make me feel that much better!
post #15 of 26

re

what a touchy subject..... I've had a cesarean and a VBAC and with the cesarean, while I didn't do badly in the hospital, it was scary and out of my control, and the whole experience stayed with me for a VERY long time afterwards. I had such a difficult time during the birth and post partum period with my son that it took 10 years before I was ready to try to conceive again, and that was only with the love and intense encouragement of my husband. I think its great that some women have non-traumatic cesareans. Unfortunately, I was not one of them. My cesarean was terrifying, uncomfortable and at times humiliating. I was amazed at how many people were allowed to come in and out of my room when I was undressed or discussing private details with the nurses etc..... I was unable to care for my baby by myself for a couple of weeks afterwards, and I had an infection in my wound that caused me problems off and on for years.

I don't advocate that people just blindly choose cesarean or VBAC without looking at the risks. Cesarean saves many lives when its necessary. Its just sad that its gone from being used when necessary to being used when its convenient, all the while people underestimate how serious of a surgery it is, and what kinds of complications can arise. If you need to know about more women who have had difficult cesareans, I can get them for you. Sadly, most of the women I know who've had cesareans have had problems and negative experiences to some degree.
post #16 of 26
I had a very traumatic first c-section. I was emotionally devastated and in a great deal of pain - the painkillers hardly touched it. I was also very physically uncomfortable most of the time, which is harder for me to deal with than the pain. (DH has commented on this - I can deal with a lot of pain with relatively little difficulty...but a fairly minor degree of discomfort will drive me nutty.)

I was ready to have another baby the next day. I wanted another one...I wanted to VBAC...I wanted more labour. It took me 10 years to conceive a second one and carry it to term. I'll never know if my first section had anything to do with that. I eventually came to believe that I'd never have a second baby (let alone the 3rd and 4th that I wanted) emotionally tormented me for years. And, all those years, I wondered if my section had done that to me...and I'm never going to know what part, if any, the surgery played.

C-sections can have a psychological and emotional effect that is much more complicated than most people ever realize...even many of us who've had one.
post #17 of 26
I could just choose to have my gallbladder removed..sure people do fine without it..lots of people have it removed all the time and my gallbladder could go out eventually anyways.

I have some friends who have had their gallbladder removed and they do just fine.

So why not?

Why not just have my gallbladder removed?
post #18 of 26
It is the stress hormones (catecholamines) that are released during labor that initiate the flight or fight response and help babies survive outside the womb. This article goes into great detail on all the benefits of labor. It is better to be in labor prior to a c/section.

http://pregnancy.about.com/cs/laborb.../aa042300a.htm

also this one http://www.gentlebirth.org/archives/lbrygood.html
post #19 of 26
Just wanted to add myself to the list of women who had a very simple, clean and quick physical recovery from a c/s (footling breech 'discovered' in early labour) but emotionally...

18 months later I still have nightmares. It was devastating. Traumatizing. Terrifying. Post partum was awful. I gave up breast feeding: if I can't even birth a baby, why should I feed it? I cried and cried, and I cry for the women who are crying with me.

Slowly but surely I am healing.

K
post #20 of 26
I myself has a very pain free c-section. I know I was most likely a lucky few though. What I didn't like was that I couldn't see my baby tell 5 hours after they pulled him from my body. I for sure want a VBAC next time and think my baby will be healthier because of it as well.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: VBAC
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › VBAC › VBAC vs. C/S question