subbing here... I've also had two sections and would like to try for a VBAC for my next baby (yet to be conceived!).
v-bac after 2 c-sections?
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Not only is it possible, but the latest study suggests that it is not any more risky than vba1c.
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Quote:
Quote:
| Obstetrics & Gynecology 2006;108:12-20 © 2006 by The American College of Obstetricians and Gynecologists ORIGINAL RESEARCH Risk of Uterine Rupture With a Trial of Labor in Women With Multiple and Single Prior Cesarean Delivery OBJECTIVE: To determine whether the risk for uterine rupture is increased in women attempting vaginal birth after multiple cesarean deliveries. METHODS: We conducted a prospective multicenter observational study of women with prior cesarean delivery undergoing trial of labor and elective repeat operation. Maternal and perinatal outcomes were compared among women attempting vaginal birth after multiple cesarean deliveries and those with a single prior cesarean delivery. We also compared outcomes for women with multiple prior cesarean deliveries undergoing trial of labor with those electing repeat cesarean delivery. RESULTS: Uterine rupture occurred in 9 of 975 (0.9%) women with multiple prior cesarean compared with 115 of 16,915 (0.7%) women with a single prior operation (P = .37). Multivariable analysis confirmed that multiple prior cesarean delivery was not associated with an increased risk for uterine rupture. The rates of hysterectomy (0.6% versus 0.2%, P = .023) and transfusion (3.2% versus 1.6%, P < .001) were increased in women with multiple prior cesarean deliveries compared with women with a single prior cesarean delivery attempting trial of labor. Similarly, a composite of maternal morbidity was increased in women with multiple prior cesarean deliveries undergoing trial of labor compared with those having elective repeat cesarean delivery (odds ratio 1.41, 95% confidence interval 1.02-1.93). CONCLUSION: A history of multiple cesarean deliveries is not associated with an increased rate of uterine rupture in women attempting vaginal birth compared with those with a single prior operation. Maternal morbidity is increased with trial of labor after multiple cesarean deliveries, compared with elective repeat cesarean delivery, but the absolute risk for complications is small. Vaginal birth after multiple cesarean deliveries should remain an option for eligible women. |
Yes! I did! I am so very, very glad I didn't give up my VBAC dreams after my second c-section.
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There's a link to my birth story in my signature. Your friend might want to see about having an HBAC; the farther away from interventions she is, the less likely she will be to get pushed into them, and the better her chances for success.
I am planning a vba2c in a month
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So it is possible!
So it is possible!
I think in this case the mama in question doesn't know if she had dehisence during her previous pregnancies/labors? It would certainly be something to talk about with her care provider and (although some mamas here disagree) I personally feel that with a VBA2C the best place to deliver is in a hospital with immediate OR and NICU care available in case something does go wrong. Monitoring in labor is overused and often counter-productive to a VBAC attempt, but things can and do happen and it's important to be aware of the risks.
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