Reply to Planned c-section vs. vbac

Forum Index » Expectant and Postpartum Moms

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

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous]Hi OP here!!

Hew!  So I did have my talk with OB and want to update everyone... It went ok but not as well as I hoped.  He did elaborate on his number of 10% success rate. He did clarify that for a general VBAC candidate, chance would be 70-80%, but specifically for my case (where labor started naturally, no pitocin, water broke on its own, pushed for two+ hours with almost zero progress) it is around 10%.  He basically said that it is the shape of the pelvis combined with head size that contributed to my c section, doesn't believe epidural has, even though it could have resulted in longer pushing time.  He encourages me to try for one if I want to, but still stands by the stance that I am not a good candidate.  He says if I go into labor early (maybe at 38 weeks or something like that) and baby is smaller, I would have a better chance.  If I chose VBAC route, he said I can wait till 41 weeks but at that point we will have to have a c section.

OB pointed out around 1% risk of uterine rupture, and about 1 out of 5 of those resulting in significant risk to mom and baby, but in a hospital like Fairfax with staff ready all the time, the risk of something serious happening is slim.  He said the c section has usual risk that I already was aware of, with risk of placenta placement increasing to 0.6% after two c sections.  He thinks with VBAC, risk is more shared with baby/mom, with csec it is more toward mom and future pregnancies.

He said it is my choice to get epidural or not during VBAC, and he won't require epidural/IV to be put in. He said he does VBAC's but most successful VBAC candidates are those with breech or placenta previa the first round.

It seems that he supports whatever I want to do, but doesn't believe it will be successful...

I also had a chance to talk to a midwife at a birth center after that, who in turn thought I would be a good candidate for VBAC and that many women hear that from OB and still succeed at VBAC.  Although center was really nice and I really liked the midwife, I am not comfortable giving birth in a non hospital setting...

I am trying to get a second opinion from another OB, but when I called a couple, it looks like they require all my medical records to be transferred?  But I am not set on or ready to switch yet. All the doctors that are recommended do not have as nearly stellar rating/reviews as my current one and I keep suspecting if I am doing the right thing by leaving his practice.

I am getting really nervous because I am three weeks away from hitting my third trimester!

Help!!!
[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics