Does anyone know someone that had a rupture? - Page 2 - Mothering Forums
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#31 of 42 Old 12-09-2006, 12:36 PM
 
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The only other thing I can think of is looking at the Farm's stats. Their rates are awsome too.
Not to dispute any stats...but places like the Farm do have very firm guidelines about who can and who can't have a VBAC (and they only take women who meet their guidelines) so their numbers might not reflect the whole picture. For example, the Farm requires a double suture of a low tranverse incision...two points that reduce the chance of rupture.

One mama here was talking about a local hospital that had an almost 100% VBAC success rate...she was really excited about using that facility until she realized their success rate was due to the fact that they had very strict guidelines and only took a handful of women each year.

But yes...much of the world has far better maternal/infant health rates (the US is waaaaaaay down at the bottom of the list), and many of these countries assume at least a VBAC attempt. It's not a problem there, it shouldn't be a problem here. But then, the malpractice litigation in the US is off the charts compared to those countries, which probably has more to do with it than the medical community would like to admit...

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#32 of 42 Old 12-09-2006, 01:00 PM
 
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My dh's cousin had a rupture on her first labor-had a c-section and mom and baby were fine. She had another dd and also had a section for that one as well.

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#33 of 42 Old 12-09-2006, 02:07 PM
 
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I only know 1 other person IRL who had a VBAC. I've read several rupture stories on-line, and I'd say 90% included Pitocin at some point prior to the rupture.
I know of 1 rupture at the hospital that I work in. It was a first time labor with a prior abortion that her doctor didn't know about. The baby died. Her doctor used to be the only one in town who'd VBAC. But after seeing a UR (even though she wasn't VBAC), he changed his mind and won't do them anymore. Thank God, a women's medical group stepped up to the plate to do VBAC's here.
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#34 of 42 Old 12-09-2006, 06:59 PM
 
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I did. But not during a vbac. Just from having a cesarean scar and having braxton hicks. You can rupture either way...having planned c sections didn't stop my daughter frompassing away. So if you'd like a vbac, go for it! Because you can rupture with or without one.

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#35 of 42 Old 12-10-2006, 04:02 AM
 
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I do not know anyone. My Dr with DD #2 said the only rupture he'd assisted with was a mama who had no previous sections. My current Dr. (same practice) said that each subsequent VBAC is more likely to be successful. I think your Dr. was using scare tactics.
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#36 of 42 Old 12-10-2006, 04:28 AM - Thread Starter
 
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Thanks for all the responses!
Its amazing what the dr will say to scare you into doing things their way. My dr definately tried everything to get me to change my mind, especially when i was 7months pg and my house burnt down she said "ya might want to consider a c/s since all this stress may be too much": I should've found a new dr but i didn't think that was an option. Then when i went back for my 6 week checkup after having dd she said "your done right?" I said "i doubt it." Then she continued to tell me the older you get the more difficulties you'll have (i'm 34) She is no longer my dr! And i do plan on having more if at all possible.
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#37 of 42 Old 12-10-2006, 07:57 PM
 
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My SIL ruptured after her first c/s. She was induced due to pre-eclampsia 6 weeks early for her second, which of course, did not work, and while the doctor was performing her 2nd c/s he said that she had ruptured and that she must never ever labour again.

I don't know if it is BS but, she was induced, so that didn't help.

She and baby girl, now 6 yrs, are absolutely fine.

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#38 of 42 Old 12-10-2006, 09:33 PM
 
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I don't know anyone else IRL who has ruptured besides myself, but then I don't know any VBACers IRL either. I of course know MANY online (there is a yahoogroup with several hundred members besides the ones on ICAN online). I also know someone with the same cicumstances as a PP mentioned (where the mom knew something was wrong and begged and was ignored) My first was a c/sec for failure to decend/progress. I planned a VBAC for DD#2 but changed my mind at the last minute, when I was opened up I had two openenings in my former scar (had been a one layer closure). I planned a HBA2C with DD#3 and after laboring for 24 hours I ruptured while being moved onto the operating table (had been a two layer closure). It was VERY scary NO VBAC in the world was worth what we went through. The guilt was torture. It has lessened some but it was not worth it. My daughter is doing well now with PT 2x a week, and OT and special Ed, but I think her personality and ability to bond were greatly affected by what she went through. I go into more details in the All Children by C-section tribe and the UR tribe over in FYT.

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#39 of 42 Old 12-12-2006, 01:44 AM
 
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Slightly OT but I have a Q about this...

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If I remember correctly, Japan is number one for baby outcomes (fewest deaths) and although they do a lot of cesareans
I think in Asia most c-sections are done differently using a small incision thats sort of off-centered on the abdomon rather than straight across (i.e. not like a normal c-section) because its believed that cutting across the middle messes up the Qi, etc. Right? The incision is actually quite different than you'd see in a vertical or transverse c-section in the US and is more like an appendix incision on the side... Another reason why its done that way in Asia is because they know its important to keep the mother and baby healthiest this way as it requires less healing time- the transverse & vertical incisions in the US are usually for the doctor's convenience and liablity issues even though the side incision is better since it cuts fewer muscles and major nervous system passages. I might be WAAAAAY of on this so don't quote me, I have a degree in East Asian Studies and went to school in Taiwan, but don't know anyone personally who had a c-section from Asia so I might have been entirely misled!
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#40 of 42 Old 12-12-2006, 01:07 PM
 
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It depends on the country....Japan actually has a very low c/s rate (around 7%) and they usually show up in the "top ten" countries that have the lowest c/s rates worlwide.

On the other hand, China has a very high rate (around 26%) and the c/s rate in Taiwan hovers around 32% (for singleton births). China has only recently adopted the low transverse incision and the "classical" incision is still commonly used.

VBAC varies regionally as well...Singapore does have a hig c/s rate, but their VBAC rate is around 70% (which beats the US black and blue). But it can be hard to find accurate data for some countries since this information (c/s rate and vbac numbers) may not be made public or may not even be collected.

But this is getting a bit off topic...apologies all!

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#41 of 42 Old 12-12-2006, 01:56 PM
 
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my cousin ruptured during her vbac, though i don't know the circumstances. momma and babe were fine

an acquaintance of mine ruptured during labor with her first baby.

Midwifery Student and Mama to 2 daughters and 3 sons.     
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#42 of 42 Old 12-12-2006, 01:59 PM
 
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My first baby was a c/s then 11 years later I had an amazing VBAC homebirth...no problems at all. my third baby was another c/s (moved to a place where there were no midwives and had a doctor I didn't trust or like , who was completely unsupportive of VBAC births,...hence the next c/s). I'm now pregnant with baby #4 and have our original midwives again (yipee!!!!!)- and we are planning another homebirth.

As for the Ruptures- the only ruptures I've ever heard about were while induced with pic. or cytotech (which I can't believe they still use!!)- and two of the four ruptures were prima para births with no previous uterine scar!!

Here's a link to an article that I think every woman should read before giving birth:

http://www.midwiferytoday.com/articl...ogyinbirth.asp

Dani
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