i had a C-section in my first pregnancy what r the chances for VBAC AND MY FIRST BABY IS JUST 16 MONTHS OLD?

Question

i am asking abt vaginal birth after c- section plz suggest me what will be better for m e?

Answer 1

In the United States more than one million women, 1 in 3, give birth by cesarean every year, the most common major operation performed in the country. Current evidence shows that the majority of women can have safe vaginal births after a prior cesarean (a VBAC)

Answer 2

It depends on the reasons for your first C-section. If it was the size of the baby or some other condition that is likely to occur again this time, you will likely have another C-section.
The best thing to do is ask your OB gyn. Some doctors are more willing to try it than others; if your insurance will permit it, seek one that specializes in high-risk pregnancies or VBAC's. I planned to have one after my C-section with my son; it was an emergency C-section because my labor was not progressing normally even after inducement, and eventually because of mild fetal distress. But when I started experiencing the same symptoms the second time (false labor, going past due date), I went ahead and scheduled the C-section. The added benefit was that it was much easier scheduling child care for my older child, notifying relatives coming from out of town, and even not going into the night with prolonged labor and being so worn out during childbirth. I was also able to have a tubal ligation during the same procedure.

If you don't like the answer you are getting from your current physician, you may want a second opinion. Read the responses you get on here as you make up your mind, and research the alternatives with their pros and cons carefully.
The health of the baby should be your primary concern; don't let anyone make you feel guilty for not experiencing "natural childbirth" or vaginal delivery. Just be thankful that modern medicine allows for alternatives for difficult deliveries--you or I might be one of those women back in the old days who would've died in childbirth or lost a baby if there weren't such a thing as modern C-section!

Answer 3

It depends on why you had a c-section in the first place. If it was for something like a breech baby or placenta previa then you should be able to attempt a vaginal birth this time.

If your c-section cut was also a vertical incision you might be advised to have another c-section as I think I read that the risk of rupturing the incision is higher in a vertical incision.

My best friend had a c-section 2 years ago. She is about 36wks with her second baby and had been booked in for a c-section on 2 Jan. If she goes into labour earlier they will see how she progress's but keep the c-section option open as she had failure to progress and dilate in her last birth with fetal distress and then a 10pd baby.

With a VBAC too, they will generally not let you go over your due date and they usually will not do an induction either. Its either you go into labour naturally or you have a c-section.

You need to discuss your options with your doctor. VBAC's can be wonderful if done under the right conditions but you also need to keep in mind the risks associated with it and then weigh up your options.

best of luck

Answer 4

When dealing with a patient who has had a C-Section in the past, a doctor will often refuse to allow for vaginal birth due to the chances of uteran rupture along the previously created scar line... especially if it has been only 16 months since the initial surgery. However, you will likely be able to find a doctor who would be willing to allow VBAC, as long as you are aware of the possible consequences.

"If you and your doctor agree to try a VBAC, you will have what is called a "trial of labor." This means that you plan to go into labor with the goal to deliver vaginally. But as in any labor, it is hard to know if a VBAC will work. You still may need a C-section. As many as 4 out of 10 women who have a trial of labor need to have a C-section."

Answer 5

that is between you and your doctor. I had my first baby emergency c-section. with my second one the town I lived in when I found out I was prego again, didn't have the staff for an emergency c-section if complications arose, so they told me I had to have a c-section. I moved right after this appointment, and my new OB said it was my choice, and they had the staff to take care of everything if things went wrong.as I got closer to delivery my doctor and I decided it would be best to do another c-section as I was having complications. So now number 3 will be delivered c-section. But this is something you should talk to with your doctor, every person and situation is different. and depending on the reasons as to why you had a c-section can help better determine if a second on is necessary or if a vaginal birth is possible! best of luck!

Answer 6

As long as you have a low transverse c/s scar and not a classical (ask your doctor, they rarely do classicals nowadays except in extreme prematurity and extreme emergeny) you should be able to TOLAC (trial of labor after Cesarean). If your first C/S was due to fetal intolerance to labor or malpresentation (breech, or transverse lie), a TOLAC is an excellent idea as your body was not the cause for the need for C/S. If you never dilated past a certain number, or the baby didnt descend into the pelvis while pushing it could be that your pelvis is simply too small to accomodate a baby, but one would never know that until it is tried.
Personally if it were me, If I had a C/S for fetal intolerance or breech, I would attempt a VBAC, if it was for the baby not coming down I would schedule a c/s.
As for the chances of you being successful, there is no way to know until you try.

Answer 7

I had a VBAC and would encourage you to ask if you can try one. You have to have a horizontal scar by your bikini line (both on your uterus and your skin) as opposed to a vertical line. A lot of VBACs don't work, so don't get too hung up on it. Your goal is a healthy baby, no matter how it gets here. If you want a VBAC interview groups of docs before you get pregnant. Ask what their success rate is for VBACs. You want to go with a doc (or group of docs) that is comfortable with VBACs and has a higher success rate.

Good luck.

Answer 8

That would depend on why you had one the first time round.
If that reason still exists then the answer is no.
eg pelvis too small, blood pressure problems....

On the other hand if the reason was only pertaining to that delivery than yes you could.
eg delivery not progressing. baby facing the wrong way, placenta to close to cervix...

Answer 9

you are not clear, i have not understand your question.