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Discussion Starter · #1 ·
My doctor said he "strongly discourages" me from attempting a VBAC after 3 scars. It really scares me. I mean, basically he said "no" but what do you think? I definitely don't want to have to recover again from the cesarean. I have an 8 month old plus 2 other school age children to care for. I don't know how I'm going to do it!!<br><br>
TIA -<br><br>
Erin
 

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Ask your doctor what he is basing this advice of his on. If he can point to a specific study that says C-secs are better for mom and baby than VBAC, I would be very very surprised (and skeptical). Make him give you a straight answer about why he is so against VBAC!!!! If he says, "I don't like to do them, uterine rupture, c-secs are easier," or dodges the question, I would fire him and find someone who is VBAC friendly. If you haven't already, find an ICAN chapter near you. There probably are women there who could recommend someone who will help you achieve a VBAC! Just my two cents! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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I do know that based on the current literature, the belief is that multiple c-sections put you at higher risk for rupture. (But, there is the same belief that having babies - especially more than 4 or 5 - puts you at higher risk for rupturing...even without a cesarean! Ugh! It's not true!) Still, the rate of rupture (without induction or augmentation of labor) is pretty low even with multiple cesareans.<br><br>
(Your risk of something going wrong with your body/uterus is higher with every cesarean you undergo)<br><br>
Here's a great article from ICAN on the subject:<br><br><a href="http://www.ican-online.org/news/CW88-1.htm" target="_blank">http://www.ican-online.org/news/CW88-1.htm</a><br><br>
Here's a great look at why the 2002 JAMA study that poo-poo'ed VBACs is so flawed: <a href="http://www.parentsplace.com/expert/birthguru/articles/0,,243387_440547-1,00.html" target="_blank">http://www.parentsplace.com/expert/b...0547-1,00.html</a><br><br><br>
I would say that if you're looking to really VBAC, you might have to seek a provider that will support you.
 

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I just read an article in some parenting magazine about a woman who has 9 children. The first 3 were C-secs, the next 4 were vaginal, the last 2 were scheduled C-secs because her scar was getting thin. Her doc was willing to "let" her vbac because she was in really good physical condition. I have no particular opinion on this, but I did just read this relavent article, so I know that some docs are accepting and that some women can do it.
 

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Discussion Starter · #5 ·
Thanks for your input gals. Unfortunately, this isn't an issue for me anymore. I miscarried last weekend.<br><br>
However, your warmth has inspired me to stay! What a great community!<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"><br><br>
Erin
 

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Erin- <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> I am so sorry for your loss.<br>
Please do stick around, this is a wonderful community.
 

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I am so sorry about your loss!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">s...........<br><br>
If you need further help, please go to grief and loss forum or there is a miscarriage forum also...<br><br>
Use this time also to find an OB or midwife who is more sympathetic. Turn your loss into a gain.<br><br>
When G-d gives lemons, you can make lemonade!
 

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Erin,<br><br>
I'm so sorry you lost your baby. I joined Mothering in April 2002, when I was pregnant and looking for support for a VBAC after two c-sections. When my baby was stillborn in November, I found the Pregnancy & Infant Loss board a source of great comfort. I actually had a c-section with him, so that's why I noticed your thread, I've had three c-sections, too.<br><br>
Sending lots of love,<br>
Katherine
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/grouphug.gif" style="border:0px solid;" title="grouphug">
 

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Hi Erin!<br>
I too am so sorry for your loss. Hopefully in the near future you'll have another bean in there <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> But for now, this is definitely the place to be. You can never be too prepared or armed with too much info.<br>
The link revealing the flaws of the 2002 JAMA study is a good one. There's another more in depth article by someone very present on the ICAN listserv. If I can find it I'll post it, if someone else knows it, it's an extremely valuable resource.<br>
Just about any doctor you go to will refer to that study--it's that study that is causing all of the change in the (dare I use the word) industry. Because birthing is an industry we have to deal with this b.s.<br>
Anyhoo, the fact that the study didn't shed much light on what happens to women who are induced who have had c-sections (and I dont' even think it refers to who was induced compared to who ruptured), is alarming to me.<br>
Seems obvious that if you jump start a uterus with a scar and give it what could be unnatural amounts of oxytocin, bad things could happen.<br>
Yet doctors induce to keep you in a "controlled environment" and to keep your baby from getting to big blah blah blah....<br>
I hate that study with a passion <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br>
Take care and good luck!!<br>
Karen
 

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Today, I went to see my OB's nurse and asked her whether she thought he would let me try for a VBAC after two. She told me no, but she did say he would more than likely let me go into labor naturally, so, when I go in to see him in a few weeks, I'll talk with him. I feel comfortable talking to him about these things, as he has followed me for all my pgs. I trust his opinion and what he thinks is best... I'm not blindly following him, but I do know I am afraid of both the c-section and a VBAC... So, there you go...
 
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