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Childbirth

Vbac2 is it possible

17 replies

kel78 · 26/02/2008 18:00

I have had 2 caesareans and I am pregnant again the last caesarean was over 3 years ago. The problem is I really dont want another caesarean but the midwifes tell me I have no choice. They say that after 1 caesarean then yes but after 2 caesareance I cannot try for a vaginal birth. Is this true??? I would really like to hear off anyone who has done this as I feel I am not likely to get any support and I really dont want to be pushed into another caesarean. Any advice please??

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ILikeToMoveItMoveIt · 26/02/2008 18:06

From memory, needmorecoffee had 2 or more cs followed by a vbac, and victoriansqualor is going for a vbac after 2 cs. It may be worth looking out for these 2 ladies.

It sounds like your hospitals' policy more than anything else - as it is possible.

Find out as much info as you can, then talk it through with your mw's / ob's.

Good luck xx

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needmorecoffee · 26/02/2008 18:07

I had 3 scetions then a vbac at home
You have a right to a vabc whatever the hospital says and you can paint yourself blue and swing from the lampshaedes if you want

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VictorianSqualor · 26/02/2008 18:42

Bout to have dinner, but will answer after with proper info and links and stuff, but yh, it's possible.
Am 34 weeks with my 3rd going for VBA2C.

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ILikeToMoveItMoveIt · 26/02/2008 18:45

Spooky

NMC and VS - I am not a stalker! I am going for a VBAC and have seen your names a lot on the VBAC threads

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ButterflyBessie · 26/02/2008 18:53

Hi, just to reassure you that it is definitely possible, I have had two VBA2Cs.

I did have to work hard in terms of changing hospitals, finding a consultant who would support me, writing to HOM (head of midwifery) at hospital to only provide me with supportive midwives etc.

The AIMS website is good for advice as is the ukvbachbac yahoo chat site

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VictorianSqualor · 26/02/2008 19:04

Yeah Yeah

As needmorecoffee says no-one can tell you what you can and cannot do in your labour.

What reasons did they give for a yes after one but not two? I assume they are talking about the increase in uterine rupture after more than one CS?
Well, to put it mildy it's bollocks

Here is the green top guideline study recently published which I was given by my first consultant this time wrt what the actual studies read by the RCOG go by.

It states the actual figures in part 6.2.
I would suggest taking a print off of this with you to your cons appointment. There is almost no increase in the risk between one and two CS's so there is no real reason to say yes to one but no to two.

here is a page worth reading on how to get a VBAC and what is likely to be told you have to have, eg the CFM or cannula in your arm etc.

These are things you need to decide whether or not you are happy to have during your labour, the only one I really agre with, as do most VBACers is the no induction.

Induction can complicate things and even with a VBA2C you do not have to have the baby by the time they say, if you go over you can ask for expectant management so baby only has to be taken out by CS if it is in danger.

Have you seen a consultant yet? That's who you need to talk to not the midwives. Also where abouts in the country are you? Some hospitals are better than others for VBAC rates.

Remember, unless your CS's were because of a physical reason you cannot give birth, you have about a 75% chance of getting your VBAC, as with any birth.

Good Luck.

Don't hesitate to CAT or email me if you need mroe help.

fan-fkn-tastic @ hotmail . co . uk (no spaces).

Alos Lulumama and Klaw are worth looking out for, there is a VBAC thread here too.

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NAB3wishesfor2008 · 26/02/2008 19:06

I can't believe it is a flat no. You need to get advice from a professional and someone who is going to be supportive.

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Buckets · 26/02/2008 19:08

I know someone who is planning her 2nd home VBA2C!!! Anything is possible.

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VictorianSqualor · 26/02/2008 19:11

NAB, It can't be a flat no, the problem is the prof's like to try making you believe it is.
I was refused a VBAC after my first CS in 2004 and forced into a CS with DS.
When I discussed this time round with my consultant she was fuming that he could try telling me it was up to him.
She isn't too pleased about me having my VBA2C because I have otehr complications but ehr exact words were 'It's your birth and your body, I will do all I can to advise you and care for you whatever you decide' She ahs even written it on my notes. I think many of the cons/m/w's like to beleive the patient is uneducated and ahs no idea so will make it seem that way whereas it's not the reality of the situation at all.

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NAB3wishesfor2008 · 26/02/2008 19:29

I had an emergency section with number 1 and it was assumed it would have a section with number 2. I told my consultant I didn't want one so he said, don't then. I had 2VBACs after. I had seen another consultant who didn't know me from Adam and she scared me witless with figures of what could go wrong. I decided I would listen to my usual guy and the one who resutured my scar. To be fair things did go a bit wrong almost with my 3rd baby and I won't risk another one, but it is about bodies not statistics imo.

BTW How are the inlaws VS?

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VictorianSqualor · 26/02/2008 20:00

Oh, it's great news NAB, Nan has agreed to sell up without FiL having to use his power of attorney and they are buying a large house with an annexe as soon as the sale of both houses go through so grandad will lvie in the main house with MiL&FiL and nan will have her own cottage on the grounds.

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VictorianSqualor · 26/02/2008 20:01
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NAB3wishesfor2008 · 26/02/2008 20:32

That's great. I think of them whenever I see your name. Is he still in hospital?

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VictorianSqualor · 26/02/2008 21:01

Yes, for now.

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kel78 · 27/02/2008 10:18

Thanks all, Ive only just 12 weeks but when I mentioned it to the two different mws they said no you have 2 scars to worry about etc etc. Then they try to make you feel as though you would be being selfish and putting the baby at harm with all the stats. So I thought I would find out some info ready for when I see my consltant in a few weeks. I can now print off the info thanks VS and go in armed with info.

The reasons I had the 2 cs was I was very young on 1st and baby was breach and kind of doubled over with legs over head and bum down so they said they couldnt even turn her.

2nd CS was I had placenta previa which I know could happen again this time but if not would love to have natural birth.

Had a really bad experience on 2nd CS, I had a low lying womb infection which wasnt picked up until 8 weeks after so they kept taking swabs and giving me antibiotics which didnt touch it. The drs told me if I had womb infection I would be much worse and they would now but luckily for me a temp german dr spotted it straight away. He said it was a low lying womb infection which gives diff symptoms gave me the correct antibiotics and I was better in days. So I had weeks of pain for nothing.

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maxbear · 27/02/2008 10:44

Having had two cs for reasons that will probably not recur gives you a good chance of managing vba2c. Your mw's are out of date to say you can't do it as vs says. It was the usual advice for several years but things should now change in light of new research. Have not checked but I expect the rcog link that vs did is the one I am referring to. I have been lucky to have had two uncomplicated births, but I always thought that if I had had two cs I would go for a vba2c if all the other factors were favorable. Good Luck, will look out for your birth announcement in about 28 weeks time

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VictorianSqualor · 27/02/2008 12:05

TBH kel, when I went to see my cons I was lucky, she had printed the study off ehrself and had a look, well she was a doctor under my consultant so maybe she was trying to get something under her belt before sh ebecame cons, who knows?
But anyway I mentioned it to someone who uses the same hospital as me and they had to show their cons the info, who then said he was quite embarrassed not to have known so hopefullyyour cons will either know, or be happier once s/he has read the info.
Keep us posted.

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