Can I Have a Vaginal Birth After 2 prior C-Sections?

Question

since 1999 i have had 2 C-Sections vertically and now iam pregnant with my 3rd child can it be possible for me to try a normal deleivery without my uterus ruptering?

Answer 1

I had 2 c-sections in the late 80's and then had 5 v-backs with no problems.
so yes it can be done....my c-sections were also vertical

Answer 2

there are some rare exceptions...
Vaginal birth after cesarean (VBAC) is a vaginal childbirth after a woman has previously delivered a baby by cesarean section. Although VBAC is a safe choice for most women, it can have some risks for both the mother and the baby.

In rare cases, a cesarean scar tears open, or ruptures, during VBAC. This can be life-threatening, causing severe blood loss in the mother and lack of oxygen for the baby.

Women with any of the following risk factors for a rupture of the cesarean scar are advised not to try VBAC:

A uterine scar that is not low and horizontal
Two cesarean scars and no past vaginal birth
Three or more cesarean scars
Pregnant with triplets or more
Pregnant with twins, in some circumstances
A medical condition or problem with the placenta that could complicate a vaginal delivery, such as when the placenta has grown abnormally low in the uterus (placenta previa)
A woman who chooses VBAC is closely monitored. As with any labor, if the mother or baby shows signs of distress, an emergency cesarean section is performed.

Answer 3

It is very possible!! I suggest that you use a midwife if you are thinking of having a vaginal birth this time. I used a midwife when having my daughter and it was a wonderful experience! They work so much differently than a doctor. A lot of doctors will tell you no, and that is usually because they don't want to take the time to go through it with you, also, they get paid more for c-sections and they can plan them. Anyway, I would definitely talk to a midwife in your area about your personal situation and see what she thinks. If this is what you really want, I think you should go for it! Good luck!

Answer 4

My sister had two c-sections and her last child was born vaginally..She had these same concerns at first but decided to do vaginally anyway, I hope this little bit of research will help.

Women who previously have undergone multiple caesarean sections are no more likely to experience a uterine rupture, a tear in the uterus, during vaginal delivery than women who previously have undergone one c-section, according to a study published in the journal Obstetrics & Gynecology, USA Today reports.

A study published in a prominent medical journal says even women who have had multiple Caesarian sections can safely deliver a baby vaginally.

For decades, it was thought that women who had a previous cesarean delivery (CD) had to deliver subsequent babies by CD because of the risk of complications such as rupture of the old abdominal and uterine incision sites during contractions and the birthing process.

The old medical adage, "Once a cesarean, always a cesarean" is no longer accepted as a general standard. VBAC is now considered a safe, and even preferable, alternative for most women, including women who have undergone more than one CD in the past. In fact, it is thought that 80-90% of women are candidates for VBAC which are successful in 60-80% of cases.

Answer 5

What are my chances of giving birth vaginally after having a c-section?
As long as you're an appropriate candidate for a vaginal birth after a cesarean, also known as a VBAC, there's a good chance you'll succeed. Of course, your chances of success are higher if the reason for your c-section isn't likely to be an issue this time around. For example, if you had a c-section after being fully dilated and pushing for three hours with a small baby who was properly positioned, you're much less likely to have a successful VBAC than a woman who has already had an easy vaginal delivery and then had a c-section when her next baby was breech. (Having given birth vaginally before boosts your odds dramatically.) Overall, about 60 to 80 percent of women who attempt a VBAC succeed.

If you decide to try it, you'll need a caregiver who supports the idea and has admitting privileges at a hospital where appropriate coverage is available around-the-clock and whose policies allow VBACs. An increasing number of hospitals are refusing to allow VBACs because of controversy about their safety, specifically the potential for uterine rupture (a rare injury, but one that can be catastrophic for mother and baby).

What would make me a good candidate for a VBAC?
According to the American College of Obstetricians and Gynecologists, you're a good candidate for a vaginal birth after a c-section if you meet all of the following criteria:
• You've had only one previous cesarean delivery and it was done with a low-transverse (horizontal) incision. Having had more than one c-section or an incision in your upper uterus that was vertical (also known as "classical") or T-shaped puts you at an increased risk for uterine rupture. Note that the type of scar you have on your belly may not match the one on your uterus, so your practitioner will need to review a copy of your c-section report.

• Your pelvis seems large enough to allow your baby to safely pass through. (While there's no way to know this for sure, your practitioner can examine your pelvis and make an educated guess.)

• You've never had any other uterine surgery, such as a myomectomy to remove fibroids.

• You've never had a uterine rupture.

• You have no medical condition or obstetric problem that would make a vaginal delivery risky.

• There's a physician on site who can monitor your labor and perform an emergency c-section if necessary.

• There's an anesthesiologist, other medical personnel, and equipment available around-the-clock to handle an emergency situation for you or your baby.

VBACs are very controversial, and you may find it difficult to decide whether to attempt one. The best approach is to talk to your practitioner about your individual chance of success. Start the discussion early in pregnancy so you'll have time to carefully weigh the benefits and risks.

What are the benefits of having a VBAC?
A successful VBAC allows you to avoid major abdominal surgery and the risks associated with it — including a higher risk of excessive bleeding, which can lead to a blood transfusion or even a hysterectomy in rare cases, as well as a higher risk of developing certain infections. A c-section requires a longer hospital stay than a vaginal birth, and your recovery is generally slower and much more uncomfortable. And if you plan to have more children, you should know that every c-section you have increases your risk in future pregnancies of placenta previa and placenta accreta, in which the placenta implants too deeply and doesn't separate properly at delivery. These conditions can result in life-threatening bleeding and hysterectomy. Finally, if you were disappointed about having a previous c-section, you may feel a tremendous sense of pride and accomplishment at being able to deliver vaginally this time around.

Answer 6

I think that this is the perfect question to ask your obstetrician!

There will be LOTS of women telling you that "yes! you can go v-back", but only your doctor knows you and your body! Ask him/her whether it's possible for you. Good Luck!
Even if you can't, a birth is a birth either way... you are not being short-changed by having a c-section. It's about your safety and the baby's.

Answer 7

HELLO PEOPLE!! WHY ANSWER A QUESTION IF YOU HAVE NO CLUE!!! SHE HAD 2 VERTICAL SECTIONS!!

NO you would not be able to have a home birth because of the way that your incision is. Because you have a classical (vertical) incision, you are at a very high risk for uterine rupture and there would be no one who would take you on as a VBAC patient.

Answer 8

If you're asking if it's physically possible, then the answer is yes. But the biggest challenge may be finding a midwife or doctor who will agree to it. I would suggest you read _Silent Knife_ by Nancy Wainer Cohen. It is probably out of print, but it has the information you are looking for. You may find it in a public library or used book store.

Answer 9

You will have to ask your doctor that question. I had a c-section and then had a natural birth after that. It worked out great actually.

I did not have a vertical ceserean however. Double check with your doctor, but I believe you will be fine.

Answer 10

i dont think you can after two c sections i had one c section and then a natural birth which they were going to stop and give me a emergency c section as they were worried my scar would split (i had a horizontal c section) talk to ur doctor and he will examine etc and go from there also they wil give u c section if there is any complications during pregnancy gd luck