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    Default No blood transfusion - Vbac or c section safest option?

    Genuine question. If you could not / would not accept a blood transfusion what would you opt for? A repeat c section where they could have all alternatives (cell salvage - collecting ur own lost blood during surgery and reinfusing it back into your body and all synthetic options) on hand and ready.... or try for a vbac where if u rupture / hemorrhage the situation is not as controlled?

    No judgements pls, got a big decision to make! Am going to consult with a senior obstetrician of course after speaking with an anesthetist today. Just was interested in the general opinion / experiences / point of view

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    Last edited by SoThisIsLove; 24-01-2014 at 19:46.

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    Well that's a tough one, honestly I would most likely go csection but that is knowing my own history and knowing the chance of needing a transfusion are high - if I didn't know my history I am really not sure so would probably take the advice of my obstetrician. Best of luck with it.

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    It would depend on why the first c/s was done.

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    c section was dds neck was deflexed, after 18 hrs of active labour i wasnt progressing (she wasnt stressed or anything) and was stuck at 7cm.

    Found out at my last midwife appointment that i actually made it to 9cm by the time i had my section

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    Can they collect blood leading up to a c section and transfuse it back to you if it's needed? (I'm not sure if that's a possibility, but it doesn't hurt to ask). Someone asked me if the hospital had collected any of my blood leading up to my c section (they hadn't, but I had signed paper work allowing transfusion so maybe that's why). As it was it wasn't needed, so all was good

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    is it possible to have your own blood withdrawn before the birth just in case you need ?

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    Quote Originally Posted by KatiesMum View Post
    is it possible to have your own blood withdrawn before the birth just in case you need ?
    I would do this. If that wasn't possible i go for a vbac.

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    I would honestly look further into autologous donation held over the duration of your due date, although I'm not sure they would remove blood from a pregnant lady, your body is already working overtime.
    I'd also be asking a lot of questions about the intra-op filtration as it's use in Australia doesn't appear to be particularly wide like in the UK or USA.
    I don't envy your position at all and personally would try for the VBAC. Although few c/s lead to excessive transfusions in my experience anyway(I work transfusion among other areas in a hospital lab).

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    Quote Originally Posted by KatiesMum View Post
    is it possible to have your own blood withdrawn before the birth just in case you need ?
    No its not. Only during surgery as its kept in continuous circulation as its filtered and put back

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    Quote Originally Posted by SoThisIsLove View Post
    c section was dds neck was deflexed, after 18 hrs of active labour i wasnt progressing (she wasnt stressed or anything) and was stuck at 7cm.

    Found out at my last midwife appointment that i actually made it to 9cm by the time i had my section
    If the risk of uncontrollable bleeding during a CS is higher than the risk of needing a "normal" transfusion during a VBAC I would go with a VBAC..but I have a feeling it is going to be the other way around and that you would be better off with a c/s if you would not accept a "normal" (sorry I don't know the appropriate word) blood transfusion and would refuse to have one at all.

    All this provided you could not have the option of having a supply of safe blood on stand-by during a VBAC.

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