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View Full Version : VBA2C and last one traumatic~ dr says C!




Cherie012
03-05-2006, 08:12 AM
Hi All~ I am currently pregnant with #4 and final. Below is my birthing story from my previous births.
Currently my DR ( generally pro VBAC, mind you) says a C only. But, if I gather enough evidence another VBAC no meds is relatively the same risk, I will push him harder. Please help~ my last birth was so traumatic, I cried for months and months over it. I don't want to repeat. This is my last child and I want a normal, natural birth.
thanks!
My first was delivered via C section in 1994, due to a breech baby. I was young and uneducated then, and wish I didn't have the surgery.

My second was delivered via successful VBAC in Jan 2002.

My third was a "emergency" c section. This is my issue leading up to my next birth.

I was augmented with pitocin during labor. I did have an epidural, and I suspect that it wasn't working properly. I had severe, sharp pain in my "lower uterine segment" area on the left hand side with each contraction. Instead of checking the epidural, the decision to do an emergency c section was made, for fear of uterine rupture. I was not bleeding at the time.

I was put to sleep for the surgery ( clearly at this point the epidural was NOT working, even when they bolus'd the med in the epi in prep for the section.) After his arrival, I was told that the area in question did NOT rupture, rather, it was very thin right there and I was "lucky".

So. This leads up to this, my final pregnancy. My OB won't hear of a VBAC, but, really, if there is only a slight more risk to a VBAC NO MEDS this go round, then I really, really need to try. I felt devistated, depressed, and traumatized by my last birthing experience. I really need to try for a natural birth this time, if at all possible.

Do you have any info that I can research into this? I am a RN, and believe in a patient's right to fully informed decision making, and don't feel I can get the 100% facts from my OB since he has his own hide to cover.:(




alegna
03-05-2006, 09:37 AM
:hug Good for you for doing your research! :thumb Honestly your best chance for a VBAC is going to be with a midwife at home. Safest too IMO.

good luck!

-Angela

eleven
03-05-2006, 12:36 PM
:wave Hi and welcome to MDC! (I think I recognize your username from another site... I'm a big Sachi fan and am waiting on pins and needles for my new onbu to arrive! :wink)

I'm very sorry that you had a traumatic experience and are being pressured into another surgery. I would recommend doing two things: getting your medical records and getting more information from ICAN.

You can request copies of your medical records from the hospital where your last surgery took place. If there was anything unusual found during your last cesarean, it will be noted in your operative report. (As far as I know, ALL uteri are thin at full term. I'm sure that "lucky" was the last thing you were feeling at the time. :hug I would think that since you had had a previous VBAC that your scar would have been strong and well healed.) Reading your records should clear up some details for you and provide you with lots of info about the birth. If you will be interviewing other providers (and it sounds like it might be a good idea, given the pressure for a repeat cesarean from your current OB), it will be helpful to have all of the information you can in order to discuss your particular situation with them.

If you haven't looked into it yet, definitely check out the International Cesarean Awareness Network (http://www.ican-online.org/). You can find out whether there is a chapter in your area for local support and information. There is also a very large, active Yahoo group where you can ask questions. The ladies of ICAN are veritable fountains of knowledge and will be able to help with a lot of the technical stuff. (I.e., your chances of rupture compared to someone seeking VBAC after once cesarean.)

Personally, it sounds like you're a great candidate for another VBAC. As long as there's nothing unusual in the records, I would assume that your chance of a natural birth this time is excellent, provided you have a knowledgeable, supportive care provider.

Sorry I wrote a novel! :nut I'm planning my own VBAC, so I'm a bit jazzed up on the subject!

Take care and good luck (to us all)! :)