Reply to Planned c-section vs. vbac

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Reply to "Planned c-section vs. vbac - what would you do?"

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[quote=Anonymous]Have you asked him what percentage of moms with prior cesareans attempt VBAC with his practice and what percentage of those have a VBAC? If very few women are attempting or having VBAC id consider switching providers. If he doesn't see or facilitate VBAC often, how much confidence can you have in his estimate of your likelihood of success? VBAC rates among hospitals and providers vary widely,  because the protocols providers apply in attempted VBACs vary widely...so success rate may depend more on your providers skill level with VBAC than on your pelvis. A provider who wants to do a cesarean at 40 weeks if you havent gone into labor yet will have a much different VBAC rate than a provider open to continuing to 42 weeks. As a doula I've had clients told by one provider that their chance for VBAC succes is very low, but when they talk to or switch to a provider who specializes in VBAC they're given a much better chance and are often successful in having a VBAC. I second the above recommendation for GW. I'd also ask your doctor how he came up with the 10% figure. There are so many variables that go into each birth that figures like this seem so arbitrary. This baby could be a different size or in a different position, you could get epidural later and/or retain more sensation, you could try different pushing positions....there are many things that could increase your chance of a vaginal birth this time. I think the number one factor that will influence your chance of success is choosing a provider with a high VBAC rate. If you stay with your current provider it seems likely that you'll end up with another cesarean -- they don't seem to have confidence that it could happen or skills to facilitate it.[/quote]

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