Birth after Cesarean?

Question

This is my forth pregnacy all my pregnacies went very well I had a vaginal birth with my first my second was twins on of the twins had a knot in her cord so they gave me a cesarean and my last baby the just gave me a cesarean because i had one before now this is my forth pregnancy and last everthing is going great and i want to at least have a trial labor but iam hoping for a natural vaginal birth but my obgyn is not to happy with a decsion my husband is behind me 100% what do you think and do you think we should get a midwife?
SERIOUS ANSWERS ONLY!!! And I know about all the pros and cons, risks and everything!!!

Answer 1

NO if you're VBAC (Vag Birth After Cesarean) you need to have a doctor onhand in case there are any complications.

Most doctors won't do VBACs because they can be dangerous and you are putting yourself at risk of ruptures and hemorrhage.

I too am going to try a VBAC with our next baby...but there's no way I would do it anywhere other than a hospital with a doctor and a surgical team on site ...just in case.

Good Luck!!


*** I would tell your doctor that this is what you want, and if he in good conscience can't treat you because of it, can he recommend someone that DOES do VBACs because you are aware of the risks and it's what you want

Answer 2

Its called a VBAC (vaginal birth after cesarean). Its totally doable since you birthed naturally before, as long as you have a physician that supports you and a hospital that allows it.

However, since you have had two c-sections and I am wondering if the first was an emergency - and therefore probably a transverse and not sparing of your uterine integrity - there is less of a chance that you will find someone that will help you. You can not be forced to have a c-section, however, you can not force a physician or a hospital to support you during labor.

The risks include uterine rupture, which is 0.25% if you have never had a c-section, and 0.5% if you have, and if you do not have access to a hospital within 20 minutes of a rupture that could mean death of the fetus as well as the mother. There is also a consideration of the placement of the placenta as placental accreta increases with the number of c-sections as does placenta previa - both would mean that you need to delieve via c-section. Placental accreta is very dangerous for you and the fetus and means the placenta has implanted too deeply and their is a very high risk of death, it is thought to increase in incidence due to uterine scarring. If this is the case, you definitely do not want to risk anything but c-section before labor.

This being said, you can have a vaginal birth, you just need the right conditions and the right support to have this happen. My first was a c-section due to failure to dilate with B-strep and leaky placenta, my second was vaginal with a 10lbs 5oz baby.

To proceed with a VBAC, make sure your supporting physician verifies that you have an adequate pelvis, get a doula (they increase the chance of a successful VBAC), find both a physician and hospital that supports VBAC, make sure you outline why you want this and tell your doctor verbally and in writing why. The doctor will ask you at every appointment if you want a trial of labor, and be prepared to be sort of grilled. It's a scary thing for doctors - they do not like the possibility of loosing a patient and work hard to effect a positive outcome even if that means they go the route of c-section.

You could go the route of home delivery, women have done it. However, are you prepared to risk your life, your infants and the certification of the midwife? I personally thought about it and dismissed it as I could not do that to another person, or myself, or potentially leave my oldest child without a mom. (But that is me, I tend to be overly cautious).

Good Luck! Remember, you need huge gonads to do this - and you can!

Answer 3

Has it been over 2 yrs since your last c-section? Were your incisions all horizontal? Those are the two most important questions when attempting a v-bac. Ask you dr why she is nervous, is there something in your medical history that is ared flag, or is it just fear of a malpractice suit? The risk of fetal death during a v-bac is about the same as the risk during a c-section, so that should not be an issue. Yes, you will hear horror stories about v-bac's gone bad, but the same can be said for any vaginal birht, or c-section.

Good luck, and remember you call the shots in all medical decsions.

Answer 4

That have been notable facts to why you should not give vaginal birth's after a cesarean. Reasons being that it can cause death to the baby or yourself in worst case, or it can leave you with trauma to your body for the rest of your life. One study that I had to read in Med. School was that 62% of cases when giving birth vaginaly after a cesarean ended up in some kind of trauma for the mother or the baby and in some cases both. I would recommended you do more research and ask some more doctors. In my opionion trust yourself but at the same time trust your doctors.

Answer 5

I think you want a midwife then that's what you should do as long as you as delivering in a hospital in case there are any complications and you need a doctor. Also, from what I have read lately VBAC is on the rise and some doctors are now encouraging it beucase it is less invasive. If you doctor is not supportive I might think about getting a second opinion.

Answer 6

I had two emergency c/sections due to my childrens' heartrates dropping. With my son, I was also in distress. With my daughter, it turned out that her cord was wrapped around her leg.

I applaud you for wanting to attempt a VBAC. Obviously your incisions were bikini cuts, so that does allow a vbac to be attempted. The fact that your ob/gyn is a bit hesitant is natural, he/she is concerned.

My attempt at vbac did end up in the second emergency c/section.

I'm thinking that you should have a back-up plan just in case of emergency. I don't know how much a midwife can do if you do end up needing another c/section, and, in all honesty, you really need to consider having someone around who can perform one if the need arises.

I wish you all the best!

Answer 7

IF it is something that you want to give a try and your midwife isn't willing to let you then I would get another midwife. If she is willing to let you give it a try then I would stick with her.

Answer 8

how log ago that you and your twins, i say yes if you had them like 4 to 6yrs it will be ok, good luck