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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24-01-2014 19:37 #1
No blood transfusion - Vbac or c section safest option?
Last edited by SoThisIsLove; 24-01-2014 at 19:46.
24-01-2014 19:50 #2
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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24-01-2014 19:54 #3
It would depend on why the first c/s was done.
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24-01-2014 19:55 #4
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
24-01-2014 20:15 #5
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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24-01-2014 20:16 #6
is it possible to have your own blood withdrawn before the birth just in case you need ?
24-01-2014 20:31 #7
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24-01-2014 20:35 #8
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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24-01-2014 20:48 #9
24-01-2014 20:51 #10
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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