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Childbirth

Share experiences and get support around labour, birth and recovery.

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Original poster

Does 2 c sections mean you have to have a 3rd?

8 replies

worldgonemad72 · 26/02/2011 22:55

ive had 2 emergency c sections, but for different reasons. My son was born nearly 2 years ago and im having my implant out next week. When or if i get pregnant will i be offered a choice or will i have to have an elective csection? my dh wants me to have another csection but i want to have 1 last try at a 'normal' birth.
Thanks

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SeeJaneKick · 27/02/2011 00:31

I think you can try avbac but I also think they will advise against it. I have had 2 sections and wouldn't risk a vbac. Too many risks.

chloeb2002 · 27/02/2011 05:42

I've just had cs number 2 and was told before ig I wouldnt be offered a vba2c. However I haven't talked it over it my main obs who is one of the senior consultants. I think it depends why you had emcs. I had one emcs as Ds didnt engage while I was induced then fetal distress. Dd was elcs as she was breech till just before cs! ( like 10 mins before) and surgeon who operated said her head and my pelvis would not have worked again either! ( forceps cs delivery!) so next time she would rather I didn't consider it . But I add I may do :0) I think as well they want you to have had one natural delivery to try vba2c.

missp2010 · 27/02/2011 09:56

It must depend on where you live, and who your consultant is, and I would assume the reasons behind previous c-sections. They're more than happy for me to try a vba2c, in fact they suggested it, I'm not having to try and persuade anyone. I haven't had a natural delivery before. I have been told be the senior midwife that the risk of rupture only increases after a third cs, apparently it is the same if you've had one or two previously.

Original poster

worldgonemad72 · 27/02/2011 14:37

Thanks everyone, my dd age 9 was breech and i wasn't dilating (sp?) so after about 20 hours i had a csection, i cant remember much about my second labour but my dh tells me ds had become distressed and there was something wrong with my blood pressure.
Getting excited now about starting to try for our last baby!

OP posts:

EmptyCrispPackets · 27/02/2011 14:45

I would suggest as a Midwife, that you see if your unit has a VBAC clinic. There is usually a dedicated midwife & consultant who can advise sensibly without scaremongering (as some consultants do!).

From a personal POV, I have had 2 emergency CS. First one was 'failure to progress' (hate that term ) after IOL, second was due to having Polyhydramnios and it sending me into labour and the Drs were worried about rupture.

Next time, I am going to go along with the idea that if I labour and progress well then leave me be, as long as me and baby are ok. If I got to post dates and there was no sign of labour then I would have a ELCS. I wouldnt want IOL, nor do I think it would be suitable for me with my history.

See how things go, but definitly see if you have a VBAC clinic/designated VBAC consultant or Midwife.

Good luck

bellastella · 28/02/2011 21:18

Yes you can VBAC! You can always VBAC after one or more C sections. However....

How supported you are by the midwives and consultants will depend on their personal views. There are medical guidelines and statistics galore that you can explore and make your own decisions about. It's more likely that you will be put off having a VBAC rather than be encouraged to be honest. You may have a VBAC clinic available at your local hospital which would led by a pro-VBAC consultant.

I am going for a VBAC after having 2 C-sections, 1st was emergency (went in at 6cm, 12 hours later was at 9cm but babys head was starting to get swollen), 2nd was elective (was supposed to be home birth but didn't go into labour by term +14, discharged by midwives, then ELCS 2 days later after much badgering). My hospital has a VBAC clinic and I met the registrar today for the first time, I'm 33 weeks today. I was very nervous and defensive and was fairly mute to start with but was very surprised at the number of options I was given. Nothing was ruled out! Some things were advised against but still everything was my choice and if I understood the risks and implications then anything could happen. I am still quite gobsmacked...

Original poster

worldgonemad72 · 01/03/2011 21:47

Thanks, i have had my implant out today and was talking to the doctor about it, he says i would have to have a csection but when or if i get pregnant i will talk to my consultant about it, my doc is a bit 'old school' lol

OP posts:

dreamingofcalm · 01/03/2011 22:39

It is possible to have a vba2c, I even managed a vba3c . It was a struggle achieving it though but luckily for me I found a very supportive consultant midwife who actually LISTENED unlike the consultant and registrars who went ballistic at the mere mention of a vbac and eventually refused to have me under their care.

Like Bellastella as long as they were happy that I understood the risks and implications (and I made sure I read all I could about vbacs) then they were happy for me to try.

For me it was important that I at least tried for a natural delivery. I knew it would have been my final pregnancy and my last chance to fulfill my dream of a natural delivery. Even if it had ended in a 4th cs I wouldn't have been disappointed because I had tried and I would have accepted it wasn't meant to be.

Good luck and keep us updated.

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