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Childbirth

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

Has anyone ever had a quick successful vbac ?

8 replies

jaykay34 · 18/06/2014 15:51

My first birth (11 years ago) was with twins....was induced at 38 weeks...had 6 epidural top ups over a 30 hour period...fully dilated but was too tired and had no urge to push...so ended up having an emergency caesarian. The whole thing was awful and I felt myself being coerced into situations I couldnt say no to as I was made to feel like a bit of an inconvenience - like being induced and the epidurals.

Anyway...fast forward to now. Am just having a singleton his time. I had a VBAC appointment and the consultant read through my past birth notes and said she felt very confident that the VBAC would be a success. She felt that if I hadnt been induced last time then I would have delivered normally - and as I had fully dilated, there was no reason why I shouldn't this time.

I haven't had any nerves about this birth and generally have a good feeling about it. However, I have read a lot of stories about VBACs where there has had to be lots of other intervention ie forceps, ventouse...or just generally long labours - and wondering had anybody just had a straightforward one ?

OP posts:
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Mummymidwife87 · 18/06/2014 16:24

The fact your body has laboured before makes the chance of a VBAC being more successful.
Look in to ways of avoiding intervention and instrumental birth, ie. avoiding epidural, natal hypnotherapy, mobilising

emsyj · 18/06/2014 22:08

I did! Although I had a home birth, which I think had an influence. I planned a hospital birth but with midwife led care. In my area, we have an alternative private company offering an NHS funded midwifery care option, where you have one midwife throughout pregnancy and, if you choose to birth at home, they will also deliver your baby. For insurance reasons, they can't deliver you in hospital, but they will come to you at home and you can stay at home as long as you want and then they'll come to hospital with you to advocate for you.

So, anyway, I had a midwife with me at home when I was in labour with DD2. I asked her to call the hospital to say we were coming in, and to ask them to fill a pool. Essentially, they laughed and said I wasn't allowed a pool without consultant approval (which obviously I wasn't going to get, given that I hadn't seen a consultant throughout my pregnancy and I was at that point fairly advanced in labour) and that I would 'have to' Hmm have continuous monitoring and be on the bed. I couldn't really take all this in and so ultimately I stayed at home. I had a fairly quick (6 hours from first contraction to delivery) labour and a straightforward and easy delivery with no tears or stitches. I had no internal examinations and just gas and air for pain relief. I was very fortunate to be attended by a fantastic midwife who (this is crucial IMO) knew me well, having met me at 5 weeks pregnant and cared for me throughout.

My first birth was a crash section for foetal distress at 10cm dilated. Much the same as you, I was told that I was not at any increased risk of having another section because the reasons for the first one were baby-related rather than for a reason relating to me that would be likely to arise again.

I also have a friend who had her second baby a week after me. She had a section first time around and didn't want a repeat section. Her first labour had started spontaneously but then stalled, so she had ended up with induction. She desperately wanted to avoid another cascade of intervention and so she had a number of meetings with her consultant (she opted for consultant led care) prior to the birth over a period of several months where she went through all the things she was unhappy about regarding her first birth and what she wanted next time. She did say to me that she felt they treated her with kid gloves second time around because they viewed her as being 'difficult', so that's something to bear in mind - the squeaky wheel gets the grease, so if there are particular things you're concerned about then speak up - don't wait (like I did, waiting til labour) to the last minute when it's too late!

In the end, my friend agreed a birth plan with her consultant that she would wait for labour to begin spontaneously, would not wish to be induced but instead would prefer to move directly to another section if labour did not progress or if she went post-dates. She went into labour spontaneously about 10 days early and the same thing happened as previously - she got to 4cm and then stopped. They offered her induction and she decided (very much decided, was not coerced or pressed - she felt listened to and that it was presented as an option, not a 'must do') to accept induction but with an epidural. She had a peaceful delivery with a few stitches and was very happy with her experience overall.

Can I have a prize for the longest ever post???? Grin

Solasum · 18/06/2014 22:10

Yes! I had no interventions at all. I recommend hypnobirthing visualisation.

emsyj · 18/06/2014 22:10

Sorry, what I meant to say was - having discussed my second birth with my midwife afterwards, she was of the opinion that if I had gone to hospital and had the continuous monitoring (such that I would have had to be on my back on the bed - not an option to be mobile at my hospital) I would have most likely ended up with a forceps delivery. I had to give birth to DD2 standing up as she wasn't coming down when I was on all fours. Once the midwife advised me to get upright, she was out within 10 minutes. This wouldn't have been possible/'allowed' in my hospital, although I believe there are options to be mobile despite monitoring at other hospitals elsewhere in the country.

emsyj · 18/06/2014 22:11

Yes to Hypnobirthing also ^

Hypnobirthing courses are now offered on the NHS in my area.

BiscuitMillionaire · 18/06/2014 22:51

Yes I had a home vbac, after traumatic emergency CS first time around (very overdue, started induction, fetal distress). With vbac, contractions properly started about 5am, called mw at 11am, DD born at 2.30pm. I didn't even use gas & air in the end as I found it too distracting. No tears, just graze. I didn't want to get in the pool too soon, so ended up hardly being in it at all. The issue with vbac is that pushing stage cannot go on too long, due to increased stress on scar, so the mw was keen for me to get out of pool so it would happen more quickly.

I listened to the natal hypnotherapy CDs beforehand, so mws were surprised how relaxed I was.

THIS77 · 19/06/2014 04:55

Just had a VBAC in the pool at 14 days over. Accepted waters being broken but refused drugs for induction. Luckily didn't need them. Intense contractions but managed on gas and air. After established labour began, delivered in about 4 hours. I did tear though. Glad of the experience and I suppose once I have recovered I'll be pleased I didn't have another section. Currently feel more sore than I did after my section though!

DIYandEatCake · 19/06/2014 21:16

Yes! Dd was an elcs for breech - my vbac with ds 6 months ago was amazingly straightforward - got to the hospital already at 8cm, ds was born an hour later with no intervention, no stitches either (just a small 1st degree tear that healed in a few days). I felt fantastic, went home the next morning (he was born at nighttime), it was such a different experience to the long recovery with the cs, and I'm so glad I went for it. I know I was very lucky, but for me the gamble paid off.

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