What about weight? I'm probably about 20 pounds overweight. I'm not sure of my BMI. Should I try to lose weight before I get PG to increase my VBAC chances? What about overall fitness? I'm not in great shape because I'm a working mom and have no time to work out.
-younger maternal age
-white, non-hispanic race
-hx of previous vaginal delivery
-non-recurrent reason for C-section
Using their nomogram, an 40-year old african american woman with no history of vaginal birth, bmi of 27 (overweight but not obese) and a non-recurring indication for c-section (i.e. last baby was breech, but this one is not) has an approximately 45% probability of a successful VBAC. A 25-year old white woman with a bmi of 23 and with the same medical history has approximately 80-85% probability of successful VBAC.
(from Grobman et al., Development of a Nomogram for Prediction of VBAC, Obstetrics and Gynecology vol. 109, no. 4 April 2007)
keep in mind, however, as is often repeated on here, that YOUR pregnancy is not a statistic.
It certainly would benefit you, and a future pregnancy, to lose a bit of weight and adopt a healthier lifestyle/eating habits. However, 20 lbs is probably not going to make or break your VBAC.
If I were preparing to attempt a VBAC again, here are the steps I would take:
-continue eating a traditional foods diet (I have lost 100 pounds since DD2 was born)
-continue yoga and walk more often or swim for exercise (I do yoga 5 days a week)
-drink Red Raspberry Leaf tea after my first trimester, and more during my third
-I would take evening primrose oil orally starting at 6 months and begin inserting vaginally at 37 weeks
-I would not allow myself to go over 40 weeks pregnant (I make large babies. It's in the genes. I think my chances would be better if my next didn't weigh 11lbs. )
-I would make sure I did pelvic rocks daily and other exercises to encourage correct positioning.
-choose homebirth (or be very very careful with the practitioner I choose)
Now, that is just for me. Goals could and should be different for you. Here are some general tips on VBAC:
-lower abdominal horizontal incision scar
-do not accept induction
-choose midwifery care or homebirth
-have a doula
-take a childbirth course
Appalachian mountain woman, radical homemaker, homeschooler, childbirth educator, and doula loving her DH and three powerful little femmes. Deladis 8-4-05, Ivy 4-28-08, and Gweneth 7-21-12 HBA2C! -
Also, try not to have a epidural. It can slow labor and dilitation and cause fetal distress (late decels) and necessitate another c/sec. An epidural can be a lifesaver for a long labor, but it has its dark side also.
Staying active during pregnancy (walking, yoga, stairs, etc.), a good diet, going into labor naturally, staying upright during, no pain relief, and MW assisted homebirth. Just off the top of my head...
Momma to DD (12/04) and DS (11/09) .
I survived 16 mos! Ask me about breastfeeding a baby with posterior tongue tie, high palate, and weak oral motor skills- whew!
- at least one year (preferably two) between pregnancies
- bikini cut incision
- double suture closure
- healthy mama (mind and body)
- having already had a vbac (but of course there has to be the first one but it does increase the chances of having one if you already have,\)
Ak Hippie mama Yamia DSD '03 DS '07 DS2 '09 & DS3 '12
self awareness of your own body
walking as much as possible
going into labor on your own
no pain drugs
timing and luck