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RE: VBAC - 3/5/2010 4:48:38 PM
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kohls356
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My first was a vaginal, my second a c-section, and my third a VBAC. I was a very good candidate for a VBAC and had a wonderful doctor that encouraged it. Although I didn't need much encouraging I knew I wanted to avoid another c-section if at all possible.
We knew I could labor and deliver since I had with my first and my c-section was because of complete placenta previa and had nothing to do with not being able to labor or deliver her. My VBAC was my easiest and quickest labor and delivery but I didn't have routine pregnancies with the first two so it is hard to compare actually.
If I had a doctor that would let me try and seems to think you are a good candidate for one I would most definitely give it a try.
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RE: VBAC - 3/5/2010 9:46:49 PM
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W.O.F.
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The US has one of the highest c-section rates in the world.....and one of the highest malpractice suit rates in the world as well.....
We also have one of the lowest VBAC rates in the world....but our infant and maternal mortality rates aren't better.
Unless they can give a woman a solid medical reason (like the type of internal incision she received) for not trying a VBAC....she should be free to pursue it.
I had the privilege of knowing a lady who had 7 VBAC births.....without any complications.
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RE: VBAC - 3/18/2010 5:39:59 PM
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christsstar
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I'm gonna join.
Had a c-section first time around due to sudden low heart rate. Dr thought that her heart rate was too erratic to sustain full labor. It wasn't an emergency as they were able to stabilize her HR by stopping the contractions. The umbilical cord was wrapped around her neck.
I'd LOVE to have a VBAC, but no clue if I'm eligible. Will work hard at finding a dr who will do it. I'm switching ob/gyn's anyway. Gonna start looking when/if I get pregnant again or need an annual exam ... whichever comes first.
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RE: VBAC - 3/18/2010 10:17:56 PM
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manda59
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quote:
ORIGINAL: christsstar
Had a c-section first time around due to sudden low heart rate. Dr thought that her heart rate was too erratic to sustain full labor. It wasn't an emergency as they were able to stabilize her HR by stopping the contractions. The umbilical cord was wrapped around her neck.
Just to say that if you had already gone into labour, and the c-section wasn't elective, then it is called/classified as an emergency c-section.
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RE: VBAC - 3/19/2010 2:26:01 AM
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myka
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Sarah, my sister had what was called an 'emergency c-section' that was a low traverse (horizontal) incision; she was in labor at the time. Although, with hers, she had a pre-existing scar (from a previous different type of surgery) that was at the same place that the C scar was.
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RE: VBAC - 3/19/2010 8:10:09 AM
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manda59
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quote:
ORIGINAL: peculiar_lady2
Manda...every dr I have ever talked with about this goes not by whether it was scheduled or not, but by the way the incision goes. If it is a horizontal then they had time to do things slowly enough, therefore not "emergency". If however it was up and down on your belly (lateral? is that the right word?) then they didn't have time to do the other way and is classified as "emergency". I don't know if it's a pond difference thing or just that those I have talked with say it that way, but that's how I have always heard it explained to me.
Well, over here (and backed up by Wiki, if that counts for anything!), the criterion for calling it an emergency Caesarean section is when a Caesarean is performed once labour has commenced.
The usual cut is a "transverse" cut - that's what they call a cut done horizontally.
What they call the cut that is done vertically, is the "classical Caesarean incision" that is done for absolute life-or-death emergencies. Wiki and other sources call that a crash emergency Caesarean.
In other words, here there are only two types of Caesarean section: planned (elective) and emergency. Within the category of emergency sections, there are "routine" emergency sections and crash emergency sections.
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RE: VBAC - 3/19/2010 11:30:29 AM
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christsstar
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interesting.
My dr didn't consider it emergency since they stabilized her HR and they had 2 hours to prep for it. Maybe she then was saying it wasn't an emergency to save baby's life.
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RE: VBAC - 3/19/2010 11:35:31 AM
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Brandy
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I think it's regional and situational as to what it's called.
In Christine's case I would err on side of non emergency but necessary. Emergency would be get in and get baby out in under 15 minutes to me. Having copious prep time would mean needed but not emergent. My sister was emergent. HR dropped and lost for 3 minutes while they tried many monitors, they had her in OR and sister out in 9 mins from Ob saying "get her to OR NOW". Fibroid on cervix made vaginal delivery impossible.
I had a friend give birth New Years Eve this year and she wanted to try VBAC but those wee babes and HR's!! 4 wks early she just couldn't handle the stress of labor.
Christine, I would start looking into your insurance's policy and OB's now just so you are informed. Cali has one of the WORST rate for VBAC because ins won't cover or the hosp won't "allow" it.
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RE: VBAC - 3/19/2010 11:38:37 AM
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christsstar
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i've been talking to other women in cali who have had successful vbac and am going to start looking for an ob now --- after easterr maybe.
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RE: VBAC - 3/19/2010 11:41:57 AM
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evegirl22
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My c-section was classified as an emergency, with the vertical incision, and they got him out in 15 minutes.
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RE: VBAC - 3/19/2010 12:33:44 PM
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Mrs.Wifey
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Yeah, Christine's wouldn't typically be classified as an emergency here. My niece was a "loss of heartbeat" emergency csection and they had her out in under 10 minutes. She also had a nuchal cord, those darn cords can cause some issues. They caused some decels for Gabby but fortunately changing positions helped her.
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RE: VBAC - 3/19/2010 2:02:39 PM
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anne-girl
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Interesting; here, the definitions are the same as Manda's--emergency is any c-section performed after labour has begun, and non-emergency is elective/scheduled.
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RE: VBAC - 3/19/2010 4:44:09 PM
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christsstar
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Is there a difference if it's classified on a chart vs. the mode they are in???? It could still be emergency since they didn't think I could labor safely but because they had stopped contractions they were able to do it as if it were scheduled. I was in the OR for 2 or more hours (don't know for sure, I fell asleep for part of it once the epi kicked in).
My friend's Emergency: umbilical cord fell out when dr broke the water. Baby was pulled out less than 8 minutes later. She said her scar is all sorts of crooked.
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RE: VBAC - 3/19/2010 5:08:31 PM
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manda59
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quote:
ORIGINAL: christsstar
My friend's Emergency: umbilical cord fell out when dr broke the water. Baby was pulled out less than 8 minutes later. She said her scar is all sorts of crooked.
A friend of mine had a very bad scar from her first C-section, which was a crash emergency. When she had her second C-section, the surgeon very kindly "tidied up" the first one as well and made it look a lot better.
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RE: VBAC - 3/19/2010 5:10:36 PM
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christsstar
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quote:
ORIGINAL: manda59
quote:
ORIGINAL: christsstar
My friend's Emergency: umbilical cord fell out when dr broke the water. Baby was pulled out less than 8 minutes later. She said her scar is all sorts of crooked.
A friend of mine had a very bad scar from her first C-section, which was a crash emergency. When she had her second C-section, the surgeon very kindly "tidied up" the first one as well and made it look a lot better.
That's nice of him. ;) Saves a trip to a plastic surgeon.
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RE: VBAC - 3/21/2010 8:29:00 PM
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sharonjef2007
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I'm so sad. It looks like that unless we move or I don't do prenatal care and have a home birth that a VBAC is out of the question. I just opened my mail from yesterday and got a letter from my OB/GYN. He is retiring if the healthcare bill passes. And, since it is passing and he is the ONLY OB in my area that will even consider VBAC...I'm stuck.
It makes me sad....very sad. Perhaps we just need to adopt the rest of our family.
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RE: VBAC - 3/21/2010 8:49:21 PM
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manda59
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Sharon
Could I just ask: though I appreciate that you wanted to try a VBAC, why do you have a problem with having another C-section? (I had a VBAC, but, on balance, would rather have had another C-section)
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RE: VBAC - 3/21/2010 9:05:30 PM
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sharonjef2007
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quote:
ORIGINAL: manda59
Sharon
Could I just ask: though I appreciate that you wanted to try a VBAC, why do you have a problem with having another C-section? (I had a VBAC, but, on balance, would rather have had another C-section)
Well, because out of respect for other ladies around here, I have not given my 100% true and detailed account of my c-section. I don't want to scare other women because c-sections can be a necessary evil.
I can live with the chance of needing an emergency section for some reason. But going into another pregnancy knowing that a section is the only way I will be able to give birth is not something I will do.
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RE: VBAC - 3/21/2010 9:09:44 PM
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Sideways
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I'll be straight with you Sharon, the second one is in some ways easier then the first. That being said, my second one was unpleasant, partially because I wasn't exhausted and because I knew what was coming. My blood pressure dropped to 50/25 at one point, and I do remember being a lot more scared the second time around.
But the recovery was very smooth and quick.
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RE: VBAC - 3/21/2010 10:04:47 PM
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manda59
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quote:
ORIGINAL: sharonjef2007
Well, because out of respect for other ladies around here, I have not given my 100% true and detailed account of my c-section. I don't want to scare other women because c-sections can be a necessary evil.
Well, with respect, that's actually entirely unnecessary if it's in a thread about C-sections or other "Un-natural" deliveries where women are *expecting* to read true stories, even very difficult ones (I started a thread a while back precisely so that women could be honest about such things). And plenty of other women have given full details - you really don't need to hold back. Any woman who is pregnant and doesn't want to know the things that *could* happen simply won't read such threads, so you don't need to worry on their account.
I'd be extremely interested to know what happened to you, and so, I would imagine, would a number of others.
quote:
I can live with the chance of needing an emergency section for some reason.
Now, you see I find that strange - because a planned C-section is likely to be far more straightforward and less stressful, purely because the body isn't in labour. I used to run a Caesarean support group where we lived before we moved here, and that was the experience of every woman I counselled who'd had an emergency C-section first time round, and then an elective second time round.
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RE: VBAC - 3/21/2010 10:18:11 PM
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manda59
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quote:
ORIGINAL: pink..
My VBAC should've never been allowed to happen.
Why's that? What happened?
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