V.B.A.C.

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
laura
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Location: Anchorage, AK

Re : V.B.A.C.

Postby laura » Tue May 25, 2004 01:22 pm

someone asked this question in Experts:
http://www.preeclampsia.org/forum/viewtopic.php?t=163

I think it's hard to find pro repeat section information on the net- the studies support it, but there are no roving band of docs who will set up a website that says "support network for repeat sections" -you too can have your repeat! [:)] I don't think a 1% chance of rupture is small- that's one out of 100 women who will have uterus that gives way while they labor- about the same chances I had of having hyperemesis (I had) severe preeclampsia (I had) and slightly lower than having oligo severe enough to deliver from (I had)- every time I play the odds, I lose!

The other thought is that many of the pro VBAC sites compare morbidity (sickness, complications, etc.) of VBAC and section- which may not be fair. All complications are not equal- The uterine rupture you risk with a VBAC isn't comparable to the separated inscision I had or some of the infections that people get with sections.

Laura
Moderator/AK Coordinator

Mom to Alicia (severe PE) 5/98 and Camille (htn, oligo) 4/03
http://www.babiesonline.com/babies/c/camilleandallie/

jenny5
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Re : V.B.A.C.

Postby jenny5 » Tue May 25, 2004 10:51 am

Hi, I had a vaginal birth the first time and an emergency c-section the second. I am going vbac this time (fingers crossed). The c-section was MUCH worse for me than the vaginal birth. The vaginal hurt, but it was pain you could deal with (plus there are all kinds of pain meds out there). And after, I was walking within an hour and took a shower before I went to bed. The section hurt forever and kept me from being able to do normal things with my toddler (not to mention how much the contractions that go along with breastfeeding hurt!!). The surgeon who did the section actually told me I should have no problem with a vbac (they were common where we used to live). Here in Kansas, no hospital close by will do one due to the limitations the insurance places on them. That is why I chose to give birth at a birth center. I would be very interested in seeing the study that claimed vbacs were dangerous for the fetus, as in all my research on the subject I have never come across that. In fact most of the literature claims it is as safe as a section with less post partum problems. Most concern lies with the mother and even then statistically it is just as safe (if you have the correct incision and are not induced). If you have never experienced a vaginal birth the thought is extremely scary, but remember (barring all the complications many people here have) your body was designed to do it!

Jenny (who is hoping for a vbac, but chose a birth center across the street from the hospital just in case!)
[:p]



mom to Jake (8-28-98)
and Lucy (6-3-00) born 34 weeks due to severe pree
Baby Sam due 9/20/04

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julie f
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Re : V.B.A.C.

Postby julie f » Tue May 25, 2004 10:03 am

IansMom,

Both my insicions are horizontal. I had to ask my doctor to check because like you, everyone I've talked to that has delivered so early that I've spoken to, has had vertical incisions on the inside. I'll have to ask if there was a reason she did it horizontally vs. vertically next time I see her.

Julie (27)
Zachary James, 7/22/03-7/27/03, born at 26wks - severe pe

Praying for a miracle... TTC #2 is a go!

Southern California Coordinator

twolfgram
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Re : V.B.A.C.

Postby twolfgram » Tue May 25, 2004 08:22 am

I can see I'm of a dissenting opinion here. I had an emergency C-section with my first and when they went to deliver Erik, my dr recommended a VBAC as its easier on Mom than the section. The VBAC was MUCH easier on me than the section. I wasn't sore, didn't have that incision to worry about!! If I can, I'm going the VBAC route again. I could barely move after my section and was home the next day after delivering Erik, with no pain!

Therese Mom to
DS 10/4/95
DS Stillborn 12/20/02
And "Baby dot" - EDD 9/11/04!

iansmom
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Re : V.B.A.C.

Postby iansmom » Tue May 25, 2004 07:57 am

Julie, i am curious about your internal incision. Is it vertical or horizontal? Like the others who delivered very early, I have a vertical incision (internal). I was told that it had to be that way b/c at 26 weeks, the uterus was too small to get the baby out the other way. Obviously, he could have just meant my uterus and not others. Just curious. I am not looking forward to surgery, but I am not upset that I have no choice, either. Happy & Healthy - that is all I want.

Ian 12/26/01 - 26 weeks P/E & HELLP
#2 EDD July 15, 2004

sonja
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Re : V.B.A.C.

Postby sonja » Tue May 25, 2004 07:53 am

I did not have a c-section with my dd, but I was talking to my peri the other day about a few friends of mine who are having a hard time finding OB's in their county who would even let them try a VBAC, I blamed it on the insurance problem for OB's in my state to which he replied, "No, its actually called dead babies." Kind of harsh wording, but he went on to explain that the University of Washington where he works had published the research on VBACs and he thought that repeat c-sections was the way to go. That being said I think that it really depends on the type of c-section that you had with your first and your OB's support. Good luck to you.

Joy

tahoe4
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Re : V.B.A.C.

Postby tahoe4 » Tue May 25, 2004 06:42 am

I had an emergency c-section first time with a horizontal incision. With this pregnancy I specifically asked for another c-section and I could tell my dr was glad about that. She said a VBAC is possible if there were no problems, but I would definitely choose c-section over the labor pains any day. I know, I'm very wimpy!

Stephanie

Casey - DD born 12/25/02 at 6 weeks premature
Prego again! - EDD 6/18/04, but c-section date will be 6/4/04 at 38 weeks

jenn122
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Re : V.B.A.C.

Postby jenn122 » Mon May 24, 2004 10:19 pm

I was so hoping for a VBAC this time, but it isnt looking good. My doctor said if my pressures stay under control they will let me go until 39.5 weeks before doing a repeat c-section but if I decide they will go ahead and do one at 38 wks. I doubt they will remain low long enough for labor to start on its own and I wouldnt risk an induction.

Jennifer

Alayna June 27, 2001
born at 36wks due to severe preeclampsia

EDD #2 August 4, 2004
http://www.geocities.com/alaynarosetta

laura
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Location: Anchorage, AK

Re : V.B.A.C.

Postby laura » Mon May 24, 2004 08:56 pm

Gloria- I didn't have to do the mag second time around- we delivered before I got too bad. So, within 12 hours, I'm walking- by 24 hours post section I was doing laps around the ward to get things moving so I could go home! I had Camille on a Thursday afternoon- I was home by Saturday afternoon- getting ready for the Easter Bunny. I was like- is this it? I'm having ten more [:P]

Laura
Moderator/AK Coordinator

Mom to Alicia (severe PE) 5/98 and Camille (htn, oligo) 4/03
http://www.babiesonline.com/babies/c/camilleandallie/

josiah1112
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Re : V.B.A.C.

Postby josiah1112 » Mon May 24, 2004 07:57 pm

Just like T, I also had a classical C-section when my
son was born. I was told from the get go- C-section
for you in a future birth only!
Laura, it's nice to hear that the second time around can
heal quicker than the first time!

Gloria mom to Josiah 11/12/03- 12/4/03 @ 26wks pre e
Moderator- Foro Latino
Future Adoptive Mom


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