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I had a successful HBAC three months ago, and am looking ahead to the next. I know that a "proven pelvis" and a "proven scar" are good things, but any ideas on how good? Anyone have a VBAC, then go on to have a uterine rupture or CBAC?<br><br>
I'm a worrier, and like to go head to head with my worries. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Well, a lot more doors will be open to you if you have had a vaginal birth. Some birthcenters can't take VBACs unless the mom has also had a vaginal birth.
 

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I've looked for this info before and can't really find any. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Hopefully someone will turn up with something?? Anyone?
 

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I had read somewhere that your risk of rupture never actually decreases no matter how many VBACs you have, but personally I would think that having been successful before would give me so much confidence.<br><br>
One thing I am trying to prepare myself for is the eventuality that I could actually need another c-section for previa, or prolapse etc... just because my first c-section was unnecessary doesn't mean that I won't actually need one someday. It is something that every mom-to-be needs to be prepared for.<br><br>
Congratulations on your HBAC... and I would be very positive about future births in your case.<br><br>
-Iris
 

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Well, your chances of repeat VBAC are greater than that of first time VBAC. There is always some chance of uterine rupture--it even happens, though very rarely, on an unscarred uterus. Beyond that there's always the risk of needing a CS for the reasons any woman needs one. That's luck of the draw.<br><br>
I have heard of women who were CS, VBAC, CS--the 2nd CS, for the ones I knew, were just those random things. Barring those (you can't predict transverse lie, praevia, etc) I would say your chances of a 2nd VBAC are excellent.
 

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My firstborn was a c/s because of breech position, but followed 22 months later by a great VBAC birth. We've moved to a rural area, and I'm 12 weeks pregnant again. My family practitioner told me this morning that he wouldn't be able to help me with another VBAC - none of the closest hospitals will allow the attempt, even though I've had a VBAC. In fact, he said that there is a _slight_ increase in the risk of UR with each successive VBAC delivery, because of the effect contractions have had on the uterus.<br><br>
So, he's found me a list of midwives who will work with me - it will be quite a haul getting to them (50 minutes away to their offices and the hospitals they use). I thought having a "proven pelvis" would make this easier, but no. Of course, anyplace would accommodate an ERCS...
 

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I just wonder when we're allowed to stop defining our births by our initial surgery? I just gave birth after surgery and if I have a third baby, that too will just be a birth <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I have seen studies which showed that births subsequent to the initial post-surgery birth have the same outcomes as births without prior surgery. HBAC, VBAC, UBAC, FBAC, EBAC, whatever. How about just giving birth? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<div>Originally Posted by <strong>Xpcting#3</strong> <a href="/community/forum/post/9891193"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My family practitioner told me this morning that he wouldn't be able to help me with another VBAC - none of the closest hospitals will allow the attempt, even though I've had a VBAC. In fact, he said that there is a _slight_ increase in the risk of UR with each successive VBAC delivery, because of the effect contractions have had on the uterus.<br><br>
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Ha! And what exactly did he say the effect of each successive ERCS would be on your uterus? You have to just laugh at some of these doctors because the scaremongering and CYA is just so transparent.
 

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This is going to be my 4th VBAC. According to <a href="http://www.greenjournal.org/cgi/content/full/104/4/715" target="_blank">this study</a>, subsequent VBACs are more likely to be successful than the first. However, that doesn't mean jack in Houston. All of the birthing centers are forbidden to do VBACs, and the doctors and hospitals who won't do it don't care that I've done it before. That's just my experience.<br><br>
PS, I found <a href="http://pt.wkhealth.com/pt/re/ajog/abstract.00000447-200509001-00020.htm;jsessionid=Hh2CzHlmJsl1kDGy94KLzPqzTLdj1P7XW2B9HqXXJ5db3yh992HV!-1288052477!181195628!8091!-1" target="_blank">another study</a> which concluded:<br><i>Conclusion: Previous vaginal delivery including previous VBAC is the greatest predictor for successful TOL. Previous indication as dystocia, need for labor induction, or a maternal BMI >=30 significantly lowers success rates.</i>
 

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My first was a c/s for fetal distress. 2 years and 9 months later I had my 1st VBAC! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I year and 10 days later (can we say, SURPRISE!), I had my 2nd! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> I delivered in two different hospitals in central PA and neither batted an eye over the VBAC. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">However, that doesn't mean jack in Houston.</td>
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I found this to be true as well. I had a csection with #2 for previa. #3 was a VBAC in a hospital that I had to fight really hard for. When I found out I was pregnant with #4 I thought it would be easy since I'd already had one but it didn't matter. In fact, at every OB appointment I had to remind them that I'd even had a vaginal birth because all the nurses, doctors and even midwives saw was that I'd had a csection. I was just a ticking uterus to them. No birth centers would touch me. The hosptial was really pathetic. I was told they did 3 VBACs last year like it was something to be proud of. I knew I wouldn't be given a fair chance at natural birth there even if I could find a supportive provider.<br><br>
So I found a great homebirth midwife and had my daughter in July. So that would be a HBAVBAC? Homebirth after vaginal birth after csection? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> Just having a VBAC doesn't necessarily give you an advantage in future births as far as other peoples fear. If a provider is afraid of VBAC your proven scar isn't going to make him feel better. But I know that once I'd had my VBAC I was so much more confident in my body and my self and there was no way I was having an elective repeat csection.
 

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I've had one c/s (my1st for transverse lie, those babies just won't come out sideways!) the next 3 deliveries were all vbac.
 

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<div>Originally Posted by <strong>Goatriffic</strong> <a href="/community/forum/post/9951479"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">So that would be a HBAVBAC? Homebirth after vaginal birth after csection? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"></div>
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LOL, then I guess I am having a VBAVBAUBAVBAC: A vaginal birth after vaginal birth after unassisted birth after vaginal birth after c-section!
 
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