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VBAC - advice needed

7 replies

Qasidy · 02/04/2023 02:21

I'm planning on going for a vbac following a c section 20 months ago, I'm due to give birth next month and I am now starting to get anxious and paranoid about my scar rupturing during labour.
I want to find out the scar thickness which may help alleviate some of my anxieties and help me make a more informed decision about the type of labour I should have.
Does anyone know how I can request a scar thickness diagnostic/ scan, if I do request it will the hospital organise this or are they like to refuse. I just feel it would really help having a scan done to check the thickness to help me stop myself from losing my mind

OP posts:
MojoJojo71 · 02/04/2023 09:53

I don’t think anyone will bYou can always ask but it’s quite a specialist scan and they may not have anyone trained to do it at your hospital

MojoJojo71 · 02/04/2023 09:55

Oops posted too soon!

what I wanted to say was that I don’t think anyone will be able to answer this for you, it will vary so much hospital to hospital. It’s never a bad thing to ask though.

Rollercoastertycoon · 02/04/2023 10:00

I can't advise you on the scan.

I had my second child 2 years (it was 25 months) after my first section. The only time anyone mentioned my scar rupturing was in relation to having an induction. I was advised against an induction because of the risk.

As it was I had a second csection because he needed to come early for other reasons and I couldn't be induced.

TreadSoftlyOnMyDreams · 02/04/2023 10:09

Was your original C-section problematic - crash section for example.

If you are scheduling another section then my understanding is that you will be under the care of a consultant. You can request a consultation to go through your birth notes and that is a suitable point to talk about scarring.

For what it's worth I had a conversation like this with a family member who is an obstetrician after my first which was a section due to failure to progress. He said that unless there had been complicating factors the first time around (rupture/emergency surgery) it was v unlikely to be an issue. Scarring and risk of rupture with direct care by a consultant (as opposed to a registrar supervised by a consultant) was more likely for someone heading towards 4-5 c sections as they had been opened up
so many times. So while it's not impossible, it's vanishingly rare.

Qasidy · 02/04/2023 10:59

@TreadSoftlyOnMyDreams my first section was an emergency section due to fetal distress and I also ended up getting a infection which was cleared with antibiotics, I don't know if that increases the chances of a rupture. I read online the if the scan thickness is thin then it's more likely to rupture but it's not then less likely, I might speak to the midwife and see whether they can do this type of scan, really hope they can x

OP posts:
TreadSoftlyOnMyDreams · 03/04/2023 13:05

I had a review of my previous medical notes with a senior midwife which was very useful/ eye opening. I thoroughly recommend it. At no point in my labour had I been told the baby was back to back for example.
Nor was I told during labour that there was difficulty medically assessing me. Numerous references to narrow pelvis and so on.

highseas · 03/04/2023 13:13

I think some hospitals will scan but only if something really indicates that it's necessary.

I had an ELCS then 3.5yrs later another ELCS, during the second I was told if I'd laboured I would of almost certainly had a rupture as the scar was so thin and already starting to open.

I had a further pregnancy and I believe that had I experienced any worrying pain they would of scanned the scar.

I had some chats about scar rupture and I spoke to a midwife who said in 20 years she's seen one rupture, mum and baby survived. She said they take people for a section at the first sign that something isn't right so catch it before a full rupture.

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