I'd like to say no, I wouldn't lie. Right now, it's not an issue b/c I have very vbac supportive midwives. I don't have a need to lie. However, at my first appointment, the midwife could not find my csection scar. Going au natural helps .
I totally agree with this:
Originally Posted by JanetF
I'd lie in a heartbeat. The risks of any birth are mine to decide, not a bunch of strangers who'll never see me again and birth is, after all, as safe as life gets
Doctors are out to protect their wallets. If they can LIE to me and claim that repeat csections are safer than vaginal births without presenting all the facts, then I wouldn't feel bad about lying about my birth. If this baby is a successful vaginal birth and we wind up living in a non-vbac friendly area for baby #3 (if we decide to have baby #3), I will have no problem saying I've only had a vaginal birth.
|I knew many docs would give moms false encouragement to VBAC, only to insist on repeat c/s at term when no other HCPs would accept them.
Grrrrr..... this happens a lot.
Regarding rupture risk. Yes, vbac has a rupture rate of about 1 in 200. That sounds freaky, scary, right? Not really. I HATE when people throw that around without explaining it. Very few of those result in death. Here is a great summary of vbac studies: http://www.storknet.com/cubbies/vbac/4studies.htm
Many studies DO include dehinscenses in the "rupture" count. We really don't know how many women vbac or just vaginally birth with dehiscenses.
Now, serious rupture is something to be concerned about. I am NOT downplaying it. There are women here and on the ICAN list that have lost babies due to ruptures so that is something to keep in mind.
Also, the statistic for 1 in 15,000 ruptures in unscarred uteruses might be a bit generous. From a summary that I bookmarked a while ago, it appears that 1 in 15,000 is correct for women who have normal vaginal deliveries. The number might be as low as 1 in 802 in women who had a failed trial of labor followed by a primary csection. Obviously, these women were unscarred going into labor. http://www.emedicine.com/med/topic3746.htm
This is a summary of a lot of articles and they combine studies so it’s a lot to interpret and go through
Quite frankly ANY hospital should be prepared and looking for a uterine rupture. Banning vbacs is not going to end ruptures. We have hospitals near by that handle 7000 births per year with a 50% csection rate. Statistically speaking, they should expect at least 1 unscarred woman to rupture every other year using the 1 in 15,000 stat. Considering csections put women at greater risk for rupture, they should still have a couple a year. So I don't buy the "they won't expect a rupture if you don't tell them argument."
Bottom line is that doctors are going to do what's best for them at the patients expense so I need to do what's best for me (as all women should do)
ETA: on my nursing board, there was a question about witnessing ruptures. Over 1/3 of ruptures seen were in unscarred uteruses. Anecdotal evidence? Yes! But I wouldn't discount it as something to think about.