Chances of Vag Birth after C/sec in less than a year?

509 Views 11 Replies 5 Participants Last post by Satori, Apr 13, 2006

lilgsmommy

Discussion Starter · Apr 11, 2006

What are the chances of having a vaginal birth after a c/section, if your c/section was approx 1 yr before the time you would be delivering this time?

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littleteapot

· #2 · Apr 11, 2006

Just fine.

I'm doing one this time. It's certainly MUCH safer than a repeat c-section, that's for sure!!!

Quote:

From BIRTH AFTER CESAREAN by Bruce Flamm:
"Rumor has it that its safer to wait several years after a cesearen section before attempting a vaginal birth. There's absolutely no evidence for this belief. Studies on wound healing have shown that tissue regains the majority of its strength within a few weeks of an operation. The tissue that gives a healing wound its strength is called collagen. According to a general surgery textbook, 'Collagen content of the wound tissues rises rapidly between the sixth and the seventeenth days but increase very little after the seventeenth day and none at all after the forty-second day.' Since the uterine scar is almost fully healed within weeks after a cesarean section there is no reason to postpone plans for another baby."

(taken from birthlove.com)

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lilgsmommy

Discussion Starter · #3 · Apr 11, 2006

Thank you!

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egoldber

· #4 · Apr 11, 2006

Quote:

Originally Posted by lilgsmommy
What are the chances of having a vaginal birth after a c/section, if your c/section was approx 1 yr before the time you would be delivering this time?

There is at least one study which shows a slightly increased chance of uterine rupture when the delivery interval is less than 18 months, but it isn't a huge increase. The study is from the Feb 2001 issue of Obstetrics & Gynecology. The risk increasein that study was 2.25% chance of rupture (when delivery interval was 18 months or less) vs 1.05% (when delivery interval was 19 months or longer).

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littleteapot

· #5 · Apr 11, 2006

But was that study counting hospital births augmented with pitocin, or conting dehiscences? If it placed the non-quick-vbac rate at above 1%, it might have done one of those.

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Emilie

· #6 · Apr 11, 2006

OMG! Congratulations!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Good luck with Vaginal birth! Are you seeing a mw? I bet your chances would be higher with one.
GOOD LUCK!
Em

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egoldber

· #7 · Apr 11, 2006

Quote:

Originally Posted by littleteapot
But was that study counting hospital births augmented with pitocin, or conting dehiscences? If it placed the non-quick-vbac rate at above 1%, it might have done one of those.

The study did include pitocin inductions, but not dehiscences. Pitocin inductions would have been included in both groups and the study mentions controlling for that effect. I think the point of the study is more the increase in risk when the delivery interval is less than 18 months. There are things you can do (like avoiding induction) to reduce overall risk.

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lilgsmommy

Discussion Starter · #8 · Apr 12, 2006

Quote:

Originally Posted by Emilie
OMG! Congratulations!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Good luck with Vaginal birth! Are you seeing a mw? I bet your chances would be higher with one.
GOOD LUCK!
Em

Thanks! Im a little hesitent right now cause all my tests are faint, but its still a little early for me to get a dark +.

Im not seeing a midwife. I dont think I will either because of all my problems. Im gunna test a few more times, and then call my OBs office for a blood test.

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Emilie

· #9 · Apr 12, 2006

Ok. hope everything goes well....
Em!

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Satori

· #10 · Apr 13, 2006

You know they wont allow you a vag birth with trips...

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lilgsmommy

Discussion Starter · #11 · Apr 13, 2006

Quote:

Originally Posted by Satori
You know they wont allow you a vag birth with trips...

You are so lucky hes at work with the car.......I do have paypal though and I owe you a DDDC <insert evil laugh here>

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Satori

· #12 · Apr 13, 2006

Quote:

Originally Posted by lilgsmommy
You are so lucky hes at work with the car.......I do have paypal though and I owe you a DDDC <insert evil laugh here>

Like you'd drive up here....

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