The whole thing is just making me terrified of this birth. I wouldn't accept blood with my first and wasnt even fazed by the impending birth. Think I know too much now and all that can go wrong. Was much more naive first time round.
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SoThisIsLove - another thing to note is that the definition of PPH for VB is >500ml, however for CS it is >1000ml. So if the stats show more CS result in PPH than VB, there are probably a lot more yet who lose between 500ml and 1000ml.
All that said, I lost 990ml plus some significant clots (TMI warning - golf ball size) in the days after and there was never any talk of transfusions. Perhaps talk to your doctors to see at what amount of loss they may deem a transfusion as necessary. Even then, they may have a range where they may choose iron injections before a transfusion.
I also think your stressing about rupture is 100% normal. I'd read all the stats in the lead up to my VBAC attempt, I knew how low the risk was - really almost the same as the risk in any VB - but it's still the thing everyone talks about so you just can't shake the worry.
Just bumping this thread again as im getting close, now at just over 35 weeks pregnant.
Ive decided to go a VBAC and my middy is very supportive and theres no medical reason to make me a poor candidate but im starting to get nervous now. Ikeep reading that the chance of needing a transfusion with a VBAC is higher than with a c section....i hope ive made the right decision
May I ask why you don't want/can't have a transfusion?
I had never really given transfusions much of a thought, until I ended up in emergency after haemorrhaging 2.5 litres when I was 14 weeks pregnant. Over my pregnancy I ended up with 3 blood transfusions and an iron infusion. I'm not really sure what my options would have been without a transfusion, so just interested in your reasoning.
For religious reasons. I will accept many alternatives tho, cell salvage for one as uses my own blood in a continuous cycle (no storage required) as well as synthetic blood products. Just not whole blood products.
Stop reading!! No, not really. It's good to be informed, but stop reading things that will freak you out. I have been at the birth of many successful VBACs and looked after women on the postnatal ward and I think I've done maybe one blood transfusion. Of those that have required a blood transfusion - none have been attributed solely to a VBAC. Please stop freaking out about it. While I can't guarantee everything will go 100% smooth, if you think positively and focus on all the things you can do to make the entire experience a positive one!
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