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Confused...Help

518 Views 2 Replies 3 Participants Last post by  stafl
I really can't understand what everyone is saying? I don't understand all the initials??? But maybe someone could help me understand a few things please. I had my ds in 7-01 by c-section. For what ever reason he was unable to fit in my pelvis and was born with a black eye from hitting my bone during contractions. I was induced...He never made it past -2 station after 15 hrs of very hard labor I finally said yes to the cs. We are planning on getting pg by the end of this year. I would LOVE to have a vaginal birth. I feel so sad that I wasn't able to with ds. I have heard that it is risky and that it isn't encouraged. Why is it so risky? With the big space in births could I do this safely? I plan on talking to my dr. about this in July when I have my appt. But I would like to hear from you all first. Thank you. Tina
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Tina,

Hi! I'm sorry that you ended up with a cesarean with your DS, but congratulations on figuring out that you want something different for the birth of your next child.

Yes, many Drs think that VBACs (vaginal birth after cesarean) are "very risky", but they really arent... The main risk is of uterine rupture which happens around .6-1% of the time if you have had only 1 cesarean with a lower horizontal incision (on the uterus, not skin). There are a couple of things you can do to lesson the chances of this happening to you, such as: avoiding any induction/augmentation agents like pitocin, p-gel and cytotec.
www.vbac.com has a great page on uterine scar rupture where you can read tons of info about signs of ruptures, what actually happens during a rupture, statistics...

One of the main reasons that Drs are so afraid of "allowing" VBACs nowdays is the fear that if a rupture does occur, they will be sued - and lose. Many Drs. feel that the only cesarean they will be sued for is the one they didnt do, this is one reason why they practice defensive medicine and are sooo interventive.

Since your DS was in a funny position while you were laboring, next time you need to pay close attention to optimal fetal positioning while pregnant. There are a few good websites about this: www.spinningbabies.com and http://www.homebirth.org.uk/ofp.htm
Even if your baby ends up in a strange position when you are in labor, a lot of times, if you stay mobile it will help the baby move so he can be born easily. The hands and knees position is very nice, as is walking, doing lunges, swaying, "bouncing" on a birth ball... Laying in bed on your back and having you water broken are really a few of the worst things you can do if you have a baby in a malposition because it pretty much forces the baby to stay that way.

If you speak to your Dr. and find out that s/he is not supportive, it would be a really good idea to consider finding someone else. Having a Dr. that is suportive of a vaginal birth is very important unless you are planning on staying home until you are pushing or something like that.

Heres a few more links you might be interested in.

http://www.gentlebirth.org/archives/....html#Avoiding
http://www.midwifeinfo.com/topic-epidurals.php
http://www.parentsplace.com/expert/b...0547-1,00.html
http://www.ahcpr.gov/clinic/epcsums/vbacsum.htm
http://www.childbirth.org/section/resVBAC.html

www.ican-online.org
http://www.victoriousbirth.com/

I have to go now but wil come back later and post some more links and book titles.
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Some people put the risk of rupture even lower than what Lynsey said - like between 0.2-0.5% if mom isn't induced. It isn't *that* risky, really. IMO - certain medical interventions are much more dangerous to both mom and baby than vbac, but for some reason, doctors don't think they are too risky and use them very regularly.

YES, you can vbac!! Find a midwife who is supportive and believes in your body's ability to give birth. Get a copy of your medical records and sit down and go through them with her so you understand what really happened, so you can plan ahead for your next birth.

just a few more links to add to the great list already posted...
http://plus-size-pregnancy.org/
http://midwiferytoday.com/

and, after you read the articles, go look up the studies the articles are quoting, and see for yourself exactly what those studies are saying.
www.pubmed.com
www.medscape.com
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