I just recently went to a public clinic appointment for my second bub (had a csec with my first which wasnt that bad) and had a totally different experience to you.
The obstetrician spent ages talking to me outlining what a vbac would involve. He said there are very small risks but if things are monitored properly it is very very unlikely the mum or bub would come to harm, same as with a csec. He said about 80% of women who tried vbac were successful and in his many years of doctoring (he was older) he had never seen a mum or bub come to harm from vbac. He said they do not induce women who try for vbac as this can increase the risk.
He said the size of the bub isn't really a factor as very rarely do women make babies they aren't able to birth (talking about size not other complications). And continous monitoring (still able to move around) would keep an eye on any pressure on the csec scar.
And here's the surprising bit... He said not only did I not have to decide right away, but that I could change my mind at any point, I could even change my mind and demand a csec when I was in labor.
I am sorry you are being pressured...
Last edited by VicPark; 24-10-2013 at 17:13.
Induction is preferably AVOIDED during a VBAC, partly because it increases the risk of uterine rupture, but also because it can lead to a cascade of intervention, which can be counterproductive to giving birth vaginally.
OP - google as much on VBAC as you can. You know what a caesarean entails... but you need to know what a VBAC entails. See what the risks are and if you're cool with them. You should be able to determine if it's pro- or anti- VBAC fairly quickly, so just keep that in mind when reading up.
If you're worried about another breech baby, you could also google the type of breech position your baby was in and see if there's ways to avoid that/help aid that in future.
Also - just think about what you want and weigh it up. For me, for example, yes, there's a risk of NEEDING an emergency caesarean and that being a PITA compared to an elective... but it's a mere POSSIBILITY. If I go straight for an elective, that's a certainty. Because a caesarean is the thing I want to avoid, I'm willing to risk an emergency caesarean rather than guarantee and elective.... that way I feel I've given it a good go, and done my bit to get what I think is best for me and my baby.
Do you WANT to give birth vaginally? Or do you WANT a caesarean?
I'm not sure if I missed the detail about why you wouldn't go for vbac? Is it just usual potential complications? I'm pretty sure in the uk vbac is preferred route. Reasons for Caesar should be factored in - eg with me breech so vbac was definitely seen as good option. I got my vbac but it was touch and go. Not sure what I'll do this time tbh. I won't let them give me syntocinon (sp?) without epidural, that stopped me dilating and put me into excruciating pain! (I'd got to 5cm easy but midwife said I wasn't in enough pain/progressing fast enough). Don't be bullied into making decision quickly - how many weeks are you? Do some of your own research.
It does sound like you need to see someone more supportive of VBAC. I had my CS booked for 40w due to GDM and birthing at a low risk hospital, but it was still agreed on by all concerned that should I go into labour1st I would VBAC. I possibly could have pushed to go to 41 weeks as my GDM was so well diet controlled. spontaneous labour started at 39+2. I was also scared of having another 'emergency' CS, but the 2nd one was a lot better especially the initial recovery.
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