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Discussion Starter · #1 ·
I delivered DD1 vaginally without an epiduril, pain killers, etc. They did however give me Pitocin to get my labor really started. The birth and situation were pretty traumatic. I suddenly came down with Pre-Eclampsia with HELLP syndrome. So, the delivery was completely emergency. Before I got to the high risk facility with NICU, my condition got so severe the typical c-section was no longer an option. I ended up having a 6-8 hour labor and over 500 stitches. I had to have an emergency surgery afterwards to repair the damage.

I had DD2 via c-section two years ago. Don't get me wrong, the c-section was a breeze compared to my previous experience. I bounced back within two weeks. But of course, I didn't have any complications either.

With my current pregnancy, I learned at the first u/s I have a pretty severe uterine scar. I asked my OB about the possibility of a VBAC at my first appointment. She was hesitant to answer and politely said, "We'll see." Keep in mind she's a big supporter of VBACs. I had my second appointment today. I again asked her. She told me straight-out no. She told me if she allowed me to do a VBAC, she really fears it would end in uterine rupture due to the severity of my uterine scar. She said I would end up delivering at the nearest high risk facility with NICU capabilities. I then told her I wanted to go to 40 weeks instead of 38 weeks if I had to have a c-section. She said that we'd see how things go (i.e. size of baby, complications, etc. I'm assuming).

I began going to this OB after the birth of DD1. (After everything that happened, I felt the first series of OBs weren't on the same team as me, so I said screw them and found my current OB.) The only time I haven't had her is for a few months of the pregnancy with DD2 when I was living out of state.

I trust my OB. I really, really do. And she feels more like a friend to me rather than my doctor. But for some reason, I really want a VBAC now. I don't want to jepordize our lives or health, though. I'm concerned about a second c-section and conceiving again after this baby since I keep hearing about the severity of my uterine scar. I can only imagine what a second c-section will do this time.

Thanks in advance for your replies.
 

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there is absolutely nothing wrong in getting a second or even third opinion.

did she say what exaclty it is about the severity of your scar worries her? is there a lot of scarring? is it the placement of the scar? thinness? thickness? shape? What is the research to back her up?

IME, "well, we'll see how things go" in OB speak actually means "snowball's chance in hell" of getting what you want. (I'm sure someone will disagree with me on that.)
 

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Discussion Starter · #3 ·
A second opinion is something I'm definitely considering. I love my OB; we have more of a friend relationship versus a patient-doctor relationship. But as you said, I do know she meant I have a snowball's chance in hell of a VBAC.

I'm pretty sure my uterine scar is low. I really have no clue. I know when I had an u/s at 7 weeks for dating purposes the sonographer in her office kinda freaked out over the scar. I'm due for another u/s in her office (anatomy scan) at 18 weeks. Sooo, I definitely plan on asking just what's going on there.

My c-section was relatively great. This same OB did the c-section. The healing went wonderfully. Everything. And I even breastfed my DD from day one. And it seemed to cause me less pain than when I delivered vaginally. I really want to be able to at least have the option of a VBAC in case something goes wrong and a c-section can't be done. Or just to experience a normal delivery. And since I have infertility issues, I don't want to do anything that will cause problems down the road should we decide to try for #4 in a few years... either while TTC or during the pregnancy. (I took Clomid to conceive this baby as well as DD2. It only took one round of 50 mg. Clomid with DD2. It took six rounds of 100-150 mg. Clomid with this pregnancy. Major difference to me!)

I know I have plenty of time to figure out what I must do. I'm only 14 weeks, but with hubby being active duty military and us living in seperate states (his enlistment ends in November!), October doesn't seem all that far away. One positive thing about a c-section for us anyways is I know he'll be here to go in with me as it will most likely be scheduled like my last one. Still trying to think positive here!
 

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I would (and I plan to for myself as well) investigate the possibility of doing a trial of labor--talk to her about whether there would be warning signs of a rupture before it was too late, or whether it would be safe in a hospital to do a trial of labor and then be close to emergency facilities in case of rupture. I don't know how long you have on average--as I said, I need to investigate these same things for myself as I think I am pregnant
:

But you could ask her about them. And I think it's a great idea to get a second and third opinion--so ask them their opinions too!

For the record, I think "trial of labor" is a crappily pessimistic phrase. But whatever gets you in! Good luck!
 
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