Csection six months ago and pg again, will they section me?

[littlegreengloworm]

Emcs due to slow progression and baby swallowing meconium. What will happen this time?

I am a bit worried about rupturing. Any advice appreciated.

[Chopsypie]

I have a 17 month age ago between my babies.
I was offered a choice between VBAC and c section, with lots of info given on the risks of both. I wasn't pushed in either direction.

I went for c section, largely due to my hospitals poor successful VBAC rate, and their 'conditions' that would have been imposed on me during labour.

I chose to have a c section and retain my control over my birth, rather than go for VBAC and be dictated to.

I didn't have any complications during pregnancy, but did have a lot of internal scar tissue so my c section took a while longer than it was supposed to, but no danger to me or baby at any time.

Feel free to PM me if you want to chat. And congratulations!

[littlegreengloworm]

Thank You chopsie. I really don't want any risk, whatever is safer. On a practical note how did you find the short gap ? X

[Chopsypie]

Not too bad. I was very lucky to have two children who were both quite laid back, and I have really good family support.
It was (and still is!) intense and I feel like I'm constantly on the go.
But they are 2 and 3 now, incredibly close, they hate being apart and I wouldn't swap it for the world.

[frankiebuns]

I'm going for section this time for same reasons but I have comlications and have no faith in my bodies ability to go into labour naturally, my body prefers to hang on as long as possible!

[neversleepagain]

My sister has 12 months between her two. She had a choice but chose a c section.

[ChicaMomma]

They will advise against a VBAC due to chance of rupture.

Bear in mind though that the recovery from a PLANNED section will be a lot better than that of an EMCS like you had the last time.

I'm getting a section (90% chance that is) in early june due to a breech baby, they've told me if i really want a VBAC send time around to leave it a good 2 yrs between labours. Which, at 38 yrs old now, i'm not really happy to do- i'll be doing what you're doing, trying again after 6-9 mths.. I am happy to be having a section though to be honest. Give me a gentle, planned, controlled section of a manic emergency section after failed VBAC any day of the week.

have a link for you somewhere on the risks of a vbac after little time- it's on my phone though which is currently charging up, will dig it out for you in a little while and post it.

[Mummymidwife87]

VBAC and ELCS both have risks, and are potentially dangerous. Depends on the trust whether or not you would be encouraged to have a VBAC or not.

Check out the RCOG patient information for more information

www.rcog.org.uk/files/rcog-corp/Birth%20After%20Previous%20Caesarean.pdf

[LackaDAISYcal]

I had a vaginal birth for my third child after two sections (one EMCS, one electove). There is only 17 months between DD and DS2. I researched everything as much as I could, hired a doula who knew which consultant would be the best for me, changed hospitals to get that consultant and helped me through the whole thing. They agreed to hand held monitoring, no ARM (not necessary as my waters broke on their own), and as natural a process as possible. In the end things didn't work out quite as planned (an undiagnosed joint problem that meant I wasn't as mobile as I'd hoped, baby lying back to back, I was knackered after three or four days of very annoying stop/start contractions, DS2's heart beat dipping meaning I did end up on the monitor) and although it was a forceps delivery in the end, I was still fully in control, given time to think about the decisions that needed to be made and they even agreed to dimmed lights and relaxing music in the theatre whilst they did the do with the forceps (first time ever that the gynae on duty had done this apparently!)

I could not have achieved all that without my doula; she was ace.

PS the risk of rupture is really very small; smaller than that of cord prolapse, yet they never even mention that. If you do decide on a VBAC, do an advanced search around September 2008 with my name. There was a long running thread around 2007-2008 called "support for imminent VBACers" with lots of advice and links and useful information.

Congratulations and good luck. Small age gaps are hard work, but my younger two are so close and really good friends, that it was worth it.

[ChicaMomma]

Littlegreen, this is the article I was talking about. Vbac facts and the risk of uterine rupture.

vbacfacts.com/2011/11/11/birth-intervals-uterine-rupture/

Stamilio (2007) found the rate of uterine rupture when women got pregnant less than 6 months after their cesarean to be 3.05%, which was three times higher than their average rate of 0.9%.

3% seems on the high side to me, wouldnt be a risk i would take personally! I know it's only 3 in 100, but still..

[littlegreengloworm]

Thank you for the info, sorry wasnt on for a couple of days, I will print those off. I thin la section might be safer but they have suggested trial of labour :( (gp has said)

[LackaDAISYcal]

But, that article goes on to say that the study wasn't large enough to make any firm conclusions and that 64% of the births studied were artificially started which causes contractions to be stronger and increases the chance of uterine rupture in a scar free uterus.

I'll see if I can dig out the info I had but in the meantime from The NCT. It says uterine rupture happens in 0.35% of VBACs where labour wasn't augmented, so without ARM, being induced or having oxytocin to speed things up. The risk of cord prolapse is naturally between 0.1% and 0.6% (so on average a similar statistic) but does anyone choose a section because of it? No.