VBA2C

59 replies

carlypen · 21/10/2005 09:13

anyone had any experience of this good or bad i would love to hear it. thinking about it for baby number 3 and so far have been surprised by support of gp and midwife

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whatsmyname · 28/02/2006 17:47

On the issue of scanning the lower half of the womb after a previous c/s, I asked the sonographer if he could do this at my scan yesterday since I'd heard about people having it done and getting problems picked up early. He said it wasn't really something that would show up and that when people talked about this, he thought they were probably referring to an internal scan. Oh well.

rachp · 28/02/2006 21:52

Hi whatsmyname,

There was a piece of research that showed that scanning of the lower uterine segment at about 37 weeks for thickness was a predictor of uterine rupture. I think it was by P Rosenburg et al ... can look it up if you like ... it concluded that women with thicker LUS were less likely to rupture. No ruptures at all in women with a thickness of over 3.5mm I think (scrambling brain these days). I had it done, my consultant had never heard of it either, but I really wanted some confidence and reassurance for VBAC attempt, and didn't really want my consultant knowing the result (especially if it was borderline) so went private. Had it done and BUPA for £80 and gave me total peace of mind. Over 7mm thickness
It is an external scan, just with U/S like normal.

rachp · 28/02/2006 22:01

found it - may be worth showing to you doc. There has been later research, including a paper in 2005 that confirmed the usefulness of the technique

\link{http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=9417464&query_hl=5&itool=pubmed_DocSum\uterine rupture and scan abstract}

Rach69 · 28/02/2006 22:08

I don't want to frighten anyone and it is very rare but my sister in law had a ruptured scar 14 years ago with an attempted induced vBAC. She nearly died and had to have an emergency hysterectomy and her baby nearly died and has cerebral palsy as a result. I say result because it took her about 10 years to fight for compensation from the hospital for her own loss and mental trauma as well as that of her daughter (they were proved to be negligant on several counts). The only good thing to result was that now they are much more careful with induction and particularly their use of syntocin. I have just had my first c-section with my fourth baby and IF I got pregnant again I would not allow them to induce or augment my labour. If I didn't go naturally, I would argue for a planned section. I think this research about the thickness of the scar is crucial as my SIL had a previous infection in her wound and apparently the scar was very thin.

treacle2 · 23/04/2006 14:35

I just want to add that my ds was born last Tuesday - VBA2C. :) My doctor was very against it from the beginning, but at my last visit I said that I was worried about the recovery time from a CS as I have 2 other daughters aged 3 1/2 and 1 1/2. She said that she understood so said we would 'have a go'. It paid off and I am delighted. I am up and about, driving my daughters to nursery, 5 days after delivering and can give ALL my children lots of attention and hugs without worrying about my scar :o I just want to thank everyone who has posted messages on this board as it has been a great source of information.

Uwila · 23/04/2006 15:58

Lovely news, Treacle. Congratulations.

eidsvold · 24/04/2006 00:33

i have had 2 sections and as they wheeled me in for no2 I was told that should I have no3 it should be a section also. I was lucky with dd2 - I pushed for a vbac and had my consultnat agree to let me go 2 weeks over and if nothing happened then we would go the elective c-section route..... dd2 did not make an appearance by 2 weeks over and so the decision was made.

I know here at the hospital in Aus they were very reluctant to do anything to bring on labour preferring me to go into labour naturally. I did however have an obstetric registrar that wanted to book me for a section at 38 weeks ( i was only about 20 weeks at the time) and I was uneasy about that - I am glad I got to go to term and beyond with dd2 - she was clearly ready to come out and perhaps may have eventually come in her own time but she was 9lb 7 oz at birth and that size was a risk in itself.

kitegirl · 24/04/2006 07:05

Great news treacle2! Congratulations!

I am pregnant with baby no 2, ds was born with ecs (breech) and I have been deliberating with VBAC/ECS this time. I am very uncomfortable with the way my midwife is pushing me towards a VBAC, and she has now started to suggest that I should have a home birth. With my medical history (big baby, blood clots etc) I think that is at least irresponsible, bordering on negligent. I found the same approach with ds, and I am starting to think this agenda driven by whatever motives is putting women at risk. In most cases a natural birth with no medical intervention, at home, will be fine, but you are always taking a gamble that it won't be. Why risk you or the baby if the medical means are there to keep you safe? I would not consider a VB2C for these reasons, and probably am heading towards an elective this time round as well to be safe.

nowanearlyNicemum · 24/04/2006 10:48

that's brilliant news treacle2, well done you!
thanks for letting us know that there's light at the end of the tunnel!! am expecting no.2 in October following previous em c section and am DESPERATE for VBAC. we shall see....
:) :) :)

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