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Discussion Starter · #1 ·
I had a c-section with my twins. Twin B was transverse.<br><br>
I had two previous vaginal births with no complications.<br><br>
When I mentioned VBAC to my doctor he was so doom and gloom about it. I really feel like he skewed the numbers (said there was a 5% chance of rupture.. my own reading says less than 1% with my history). Very few doctors in my area will even consider VBAC so I guess I'm lucky mine is willing to let me decide but SHEESH.. could he have scared me anymore?????<br><br>
Has anyone else had a VBAC or planning one?<br><br>
Thanks <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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plannig a home vbac here.<br>
are there any homebirth midwifees in your area?
 

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Discussion Starter · #3 ·
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<div>Originally Posted by <strong>AddysMama</strong> <a href="/community/forum/post/7226746"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">plannig a home vbac here.<br>
are there any homebirth midwifees in your area?</div>
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I wish! I could never talk dh into a homebirth! We only have one midwife (that I know of) around here. Plus, I'm at least 1/2 hour from the nearest hospital and over an hour from the nearest good hospital.<br><br>
Good luck with your homebirth!
 

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why would you have to talk your DH into it? its YOUR birth, and YOUR body. if you want a home birth or a birth center birth YOOLU CAN DO IT!<br>
where are you at?<br>
check the finding your tribe section here and ask the locals near you who they would reccomend for a vbac
 

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I had a c-section with my first because he was breech. I was so impressed that this new Doctor I have asked me before I could even bring it up if I wanted another c-s or wanted a vaginal birth. I thought I'd have to fight for it!<br><br>
I am afraid of it though and worried about the episiotomy/tearing.<br><br>
Can you tell me the difference in recovery time between cs & v?<br><br>
Thanks,<br>
Wendi
 

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I'm having a HBAC for this little guy (or gal). Finding someone supportive of VBACs can be very difficult, but it's worth it to keep looking. Look into midwives too, they're sometimes more open minded about these things.<br>
Personally, I'd be worried about any doctor who tells you 5% rupture rate, when it doesn't sound like you're in any risk higher than 0.7% (with 4 years since your last and only c/s). Is he just trying to scare you so he can get the bigger paycheck with a c-section? Eh, doctors.<br>
Depending on where you live, and the attitudes in the area, you might be met with a lot of resistence. Both from the medical community, and friends and family. Consider hiring a doula, and looking into VBAC birthing classes in your area, to find people close who are going through the same thing. A support network is always a great thing.
 

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A good friend of mine had a VBAC (in a hospital). She had had one child previously, 2.5 years before.<br><br>
If your doctor is presenting things in a way that is frightening you and presenting incorrect information, I'm also thinking maybe it's time to look for another doctor (or midwife). It sounds like you do your research and you need someone you can discuss things with intelligently and feel supported by!<br><br>
Sending good wishes.
 

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Discussion Starter · #8 ·
The thing is that I'm kind of between a rock and a hard place. We live in one of the biggest OB/Gyn lawsuit areas in this country. To even find a doctor who will CONSIDER a VBAC is rare.. I made a LOT of phone calls just to find one who would even think about it. Most of them say no way.<br><br>
I totally understand and support homebirth. If I didn't have a previous c-section, if we weren't so far away from the hospital.. literally in the middle of nowhere... if if if.. I would totally do it. My older boys were born easily and quickly (relatively).<br><br>
I do think that my doctor was trying to scare me into another c/s. Why wouldn't he? More money, less liability, easier scheduling, etc.. ugh!<br><br>
I don't know what to do.. keep reading and researching I guess. I really appreciate all of the input though!
 

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I had a csection with my first because he was breech and a hospital VBAC with my second. It was amazing and I highly recommending doing all you can to have a VBAC. You can do it!<br><br>
There are pros and cons to everything. When I told my doctors and midwife tha I wanted to have a VBAC they were very supportive. They said that a woman who had a c/s due to a breech baby has a great chance of having a VBAC. The<br>
chances of your uterus tearing are pretty slim but legally you will probably have to sign a consent form that you understand this. There are risks to having a VBAC but even greater risks to having another c/s.<br><br>
Feel free to PM with any questions. Best of luck.
 

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<div>Originally Posted by <strong>TwoPlusTwins</strong> <a href="/community/forum/post/7230993"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The thing is that I'm kind of between a rock and a hard place. We live in one of the biggest OB/Gyn lawsuit areas in this country. To even find a doctor who will CONSIDER a VBAC is rare.. I made a LOT of phone calls just to find one who would even think about it. Most of them say no way.<br><br>
I totally understand and support homebirth. If I didn't have a previous c-section, if we weren't so far away from the hospital.. literally in the middle of nowhere... if if if.. I would totally do it. My older boys were born easily and quickly (relatively).<br><br>
I do think that my doctor was trying to scare me into another c/s. Why wouldn't he? More money, less liability, easier scheduling, etc.. ugh!<br><br>
I don't know what to do.. keep reading and researching I guess. I really appreciate all of the input though!</div>
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Something that women have done in areas where there are no VBAC friendly hospitals/OBs/Midwives, is to just refuse a c-section. You can go to whatever clinic you want for prenatal care, and then when they go to schedule you for a c-section... cancel. Say you aren't feeling well. They schedule it again... "Oh, I'm sorry, I made an appointment with my hairdresser for that VERY same day! Sorry!" You get the idea. Or, you can see a midwife for prenatal care, but plan on birthing in the hospital.<br>
Then, when you go into labor on your own, you can go into the hospital and simply refuse any interventions they want to throw at you; like continuous fetal monitoring (every 15 minutes is found to be just as effective, it's just more work for the nurses). Because of the EMTALA agreement, they HAVE to care for any woman in labor who is on hospital grounds. And, for them to do surgery on you, they need consent. So you refuse. And for a doctor, you just get the OB on call.<br>
I've talked to several women who have done this, and it's frustrating that they have to play such games to get the birth that they want. But, it can be done. It's just one option out there.<br>
Personally, I like knowing that it IS an option.
 

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In my town i was the last VBAC last year. sadly no ob or birth center will consider VBACs anymore and its an automatic c-section. i can travel 45min south to the last remaining hospital BUT they want a deposit of around $1500 to have a VBAC, this secures the needed hospital staff in case of a c-section.<br><br>
we are going with a HB MW and i'm not yet sure if i will have a HB or just show up to the hopsital in labor with my MW.
 

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I too had vaginal births until my c/s with my twins. I am hoping to have a vbac this time.<br><br>
Good luck to you!
 

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I did tons of research after c/s with dd1. I really wanted a vbac. I read both pro- and con, medical journal articles, insurance industry updates - everything I could get my hands on. My OB was actually open to doing a VBAC, but he did explain the risks to me down to the minute. In the end, through a lot of research and prayer - and circumstances (dd2 was LGA and the perinatologist physically shuddered when I asked her what she thought of a vbac) I went with a second c/s. I have no regrets (other than my first c/s).<br><br>
You, on the other hand, sound like a perfect candidate: you've had two regular births, your c/s reason was a transverse twin, and you've had plenty of time to heal. Ask your doc where he's getting his 5% number, nowhere have I seen that statistic (although maybe it's 5% if they use pitocin or some such..) I asked my OB what he read and where he got his information from. It really helped in my decision making process.<br><br>
All the best!
 

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i am planning a VBAC but i must be honest i am still really unsure if i will actually go through with it!<br><br>
I have a bladder and pelvic floor problem and i am still leary of causing anymore problems down there....i have enough crotch problems im not sure if i want to add more to the mix
 

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The biggest reason I want to VBA2C is that we want more kids. I had 2 vag deliveries and then a c/s due to tranverse lie after ROM. We planned a VBAC this last time and then needed to deliver early due to poor BPP's (he ended up having a snug true knot in the cord).<br><br>
From what I have read, the risk of uterine rupture is around .2-.7%, and the incidence doesn't go up much with 2 or more sections as compared to one. My risk of having a placenta previa goes way up with each c/s though. In a regular pg with no prior c/s it is .2%. After one c/s it goes up to 2.5%, and now after 2 c/s my risk is 5%. If I have another c/s my risk will be 7.5% with the next baby. And your risk of having an accreta with a placenta previa (where the placenta grows into the uterine wall, often causing an emergency hysterectomy) goes way up after 2 c/s. So we will be VBA2C. I know I can do it. The best way for Bellybean to come out is the way he/she got in there.<br><br>
We will be laboring at home with a doula and then going to the hospital at the last minute, barring complications. I have had early deliveries before and if it is before 34 wks we will probably go straight to the hospital. I seem to gestate shorter than most women. My last was 8 lb 3 oz at 36 wks.
 

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My story, FWIW. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I'm planning a homebirth and what will hopefully by my THIRD VBAC. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I had a completely unnecessary c/s back in 1996, followed by an unmedicated, doula-attended hospital VBAC 14 months later (when doctors and hospitals were more VBAC-friendly).<br><br>
My third birth in 2000 was a midwife-attended home waterbirth. Both VBACs were complication-free.<br><br>
When looking at the stats, remember - they don't usually separate out uterine rupture where labor has been induced.
 

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I just wante dto say good luck, and i hope you can get the care and birth you want. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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<div>Originally Posted by <strong>TwoPlusTwins</strong> <a href="/community/forum/post/7226366"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">When I mentioned VBAC to my doctor he was so doom and gloom about it. I really feel like he skewed the numbers (said there was a 5% chance of rupture.. my own reading says less than 1% with my history). Very few doctors in my area will even consider VBAC so I guess I'm lucky mine is willing to let me decide but SHEESH.. could he have scared me anymore?????</div>
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Hi! Welcome!!! He did skew the #'s rupture rate is in fact less then 1%. Run fast and far from this OB, he does not sound supportive, and you need and deserve someone who is 1000% supportive of you. Scare tactics are from doc's who don't really support you, I have had a few just pull numbers out of there you-know-what, and then ask me where I went to med school. I told them I can read.<br>
I am planning a VBAC too, August 18th is my offical due date. I was planning a ubac, but now am going for a home birth with a midwife, if we can get the $$$ together.... If we can't I am not sure what we'll do.
 

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Discussion Starter · #19 ·
Thanks for all of the replies. I know that many of you would drop this doctor like a hot potato but he is literally the only doctor I could find that would even CONSIDER a VBAC. He really is leaving the choice up to me. I am going in for my next visit armed with more information. I really think I am going to go for it.<br><br>
I wish I were brave enough to do a home birth but we are just too far away from medical care if something went wrong.<br><br>
I love hearing all of the VBAC success stories. I will let you all know what happens on my next appt.
 

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I'm hoping for a VBAC after a c/s with my first son born in Jan 2004. I'm due August 27th. I have found a really supportive community through the ICAN group (International Cesarean Awareness Network). They have national info & email groups but also some local groups. Through my local group I've gotten references for VBAC-friendly hospitals & providers etc. in my area. But more importantly a lot of great information from people who have done it already!<br><br>
It sounds like you're in a place where it's hard to find VBAC-friendly providers so definitely stick with the one you have if that's the best you can find, but also the more info you have and can ask questions/clarify the doctor's statements the better. I have a LOT of respect for you wanting to do this when you don't have a lot of support through providers and most likely others who can't understand. There's so much misinformation about the risks - people think you're putting yourself and baby at risk by trying VBAC when they don't understand the risks of c/s!!!<br><br>
It sounds like a lot of the women who have had successful VBACs in the local ICAN group had home births with a midwife. A home birth is just not an option for me either (yes, it does matter what your partner is comfortable with too). I'm worried about being in a hospital, even though I'll have a MW and it's supposed to be the area hospital with the highest VBAC rate, because it's just too easy for them to fall back on surgery. But I hope the more I know & ask the better prepared we'll all be to make this successful.<br><br>
Take care, Lisa
 
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