I need help researching risks of VBAMC - Mothering Forums

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#1 of 12 Old 10-20-2008, 06:51 PM - Thread Starter
 
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I am trying to find some info on the risks of VBACing after more than one c-section.
I have had both my children by c-section (so I don't have a "proven pelvis") I really want to try for a VBA2C. (actually a HBA2C)
I am trying to be as educated as possible. I want to know how much the risk increases (if at all) after more than one c-section.
I know that each CS is more dangerous than the last, and I know that after 4-5 CS it's really dangerous to have more children. I want to have the option of having more biological children if I choose. DH and I have always dreamed of a very large family.
Also, RCS is more dangerous for me than most because of some complications that occurred in both my CS, and will most likely be an issue with every CS.

Can I get some links and good places for info?

I want to be prepared for next time. Also, my last labor went on for 89 hours before I finally had the CS, so I am looking for info on if or when length of labor can make a VBAC more dangerous.

Thank you!!
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#2 of 12 Old 10-20-2008, 10:05 PM
 
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Quote:
Originally Posted by kungfumoose View Post
Can I get some links and good places for info?
This is a good starting point http://www.ican-online.org/

I've also learned a ton just by hanging out in this forum!

Momma to DD (12/04) hearts.gif and DS (11/09) hbac.gif.
I survived 16 mos! Ask me about breastfeeding a baby with posterior tongue tie, high palate, and weak oral motor skills- whew!

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#3 of 12 Old 10-20-2008, 10:43 PM
 
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Check this and this out.

Honestly, one of the hardest components of a VBA2C is simply finding a CP.:

- Kim
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#4 of 12 Old 10-21-2008, 12:54 AM
 
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I just came across this link in a different post on this forum. It was really cool!

http://web.archive.org/web/200202132...c/rupture.html
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#5 of 12 Old 10-21-2008, 06:51 AM
 
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I had both my kids (7 and 4 years old) via c-section, unplanned and unwanted. the first after 24 hours of labor, second after 48 hours of labor. first one was closed up with one layer suturing, second with two. during the second one the doctor said I had a dehiscence. I am waiting to get the birth records to get all the facts and details straight. I never thought I would be wanting to do it all over again, but now I do, and need to know all the facts and details, just like you. I would also want a HBA2C, since I strongly believe that stepping my foot in a hospital again will result in another c-section. even a "friendly" and "supportive" hospital. But I do need to know that it is not a stupid decision on my part, one that will endanger me and/or the baby.

good luck to you!

Hugs,

Miri.

Mymaya, 40, mom to DS (11) and DD (8) and Maya, born September 17th, 2012.

 

"live and let live in peace" is one I like...... but behind my own home's doors, I breast feed on demand, hold my babies till my arms drop, travel the world with them and play music all day..... 

 

 

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#6 of 12 Old 10-21-2008, 10:28 AM
 
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The plus sized pregnancy website (by Kmom from ICAN) had a breakdown on all the VBAmC literature and some stories as well.

http://www.plus-size-pregnancy.org/

http://www.plus-size-pregnancy.org/C...sareans%20FAQs

Don't let the name fool you, that website has great info for moms of all sizes.
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#7 of 12 Old 10-21-2008, 10:31 AM
 
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Start researching here:

http://www.plus-size-pregnancy.org/C...after_2_cs.htm

Here is a pretty recent study on risks of multiple c-sections, each c-section has a much higher risk of complications than the previous c-section:
http://www.greenjournal.org/cgi/cont...tract/108/1/21
When I was planning my VBA2C, which ended up a successful homebirth VBA2C, here is some of the research I found:

According to the literature available, the risk of a uterine rupture in a woman with 2 or more c-sections rises to .9%, from .7% for a women with only
1 c-section. There is only a .2% increase in uterine rupture in women with
2 or more c-sections, a statistically insignificant difference, and an overall low absolute risk. Please see:

http://powertochange.osu.edu/article.cfm?id=2835

http://www.medscape.com/viewarticle/540538
(have to be medscape registered to view)

http://www.physorg.com/news70900197.html


However, the risk of "major complications" rises significantly with each subsequent cesarean. I was not aware that my risk of serious complications has risen from 4.3% with a second c-section, to a staggering and frightening 8.7% with a third cesarean. Please see:

http://www.medscape.com/viewarticle/540696
(have to be medscape registered to view)

The literature also makes clear that the more children a women plans to have, the more important that VBACs be attempted, a third c-section is riskier than a second, and a fourth becomes far riskier than a third.
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#8 of 12 Old 11-10-2008, 11:23 AM
 
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Hi! I'm new to posting! Has anyone out there had a VBA4C? I am six 6w 5d with number 5 and planning a VBAC. I wish I had known it was posible when I had my 3rd my Dr strongly refused to even talk about it so I figured there was no way. Now that I'm having #5 and all the recent research I'm scared either way (cs or vbac) that I'll make the wrong decision and although I've pretty much decided this is the route I want to take, I panic thinking about it. I don't want to put myself or my baby at risk....
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#9 of 12 Old 11-16-2008, 12:50 PM
 
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Good links/info. above, nothing really to add, just wanted to wish you well.

~Marie : Mom to DS(11), DS(10), DD(8), DD(4), DD(2), & Happily Married to DH 12 yrs.!
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#10 of 12 Old 11-16-2008, 02:45 PM
 
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What were the causes of your C-sections and of your long labor? I had a 60+ hour labor with DS#1 because he was OP - and had I been more knowledgeable about optimal fetal positioning and a few other things, there's a good chance I could have still birthed him vaginally - anyways, I ask b/c in planning my VBAC, I've actively tried to combat the causes for my first being a c-section, and think that's important for everyone trying to VBAC - not that everyone has that specific of a reason for the section.

You've been given great links, I wish you success!
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#11 of 12 Old 11-22-2008, 02:03 AM
 
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hi kungfumoose -- you probably remember me! I just had a hba2c in seattle about a month ago. I have the names of some homebirth midwives if you are interested. Also, there are a TON of women on the seattle ican list right now planing vbamc.

Ashley

Mama to 3 kids. We live in a yurt!
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#12 of 12 Old 11-25-2008, 02:50 PM
 
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The book Silent Knife by Nancy Wainer Cohen has good statistics, a little outdated, but lots of info. I didn't find much on homebirthing though so I'm still in search of a good book on that.
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