Will I be expected to have a VBAC as previous elective CS was due to breech baby?

[Pinkjenny]

I struggled a bit to think of a clear title for this thread, but I had an elective cs with dd at 38 weeks, as she was breech, and had been from 27 weeks. ECV was discussed, but not an option due to her position.

No one discussed vaginal birth with me at the time, and to be honest, I think I would have opted to have a CS anyway. I am now pg with dc2, albeit only 5+2 (so getting way ahead of myself here!) and am wondering about VBAC.

Lots of the threads in the archives are about VBAC after EMCS, as opposed to Elective, and people wondering whether the same complications will arise again. Now I'm assuming that dd being breech was just bad luck (please God, no more clicky hipped babies ), so will I be expected to go for a VBAC?

I am totally undecided at the moment, but it seems ridiculous to have surgery unnecessarily.

Does anyone have any experiences?

It's all pointing towards VBAC for me (albeit at this very early stage). I wasn't brave enough to start a thread entitled, "I am due to give birth on NYE, AIBU to have a CS to get it over and done with before Christmas?"

PJ I have the VBAC handbook will send it on for you. You could always do it at home as well you know no absence from A then at all.

My MW very supportive of VBAC so have a chat with yours, mine was a bit as CS wasn't due to lack of progresion or baby stuck in transit then they are quite happy for a VBAC.
Consultant this morning did say I would need continuous fetal monitoring and have immobile labour to enable to check if uterine rupture likely as apparently heart rate can indicate problems with scar. Little does she know I am planning a HBAC .

as if

Charley - I'm not sure my neurotic nature makes me the ideal candidate for a HB! Thank you, that book would be fabulous.

Lulu - obviously, if I do decide to have a CS, it will not be for the reason mentioned in my previous post.

, PJ!!

Nothing beats an elective section in terms of plannability!

ROFL @ duedate, though, lots of water under the brigde until then !

its is definitly strange this time not knowing when the baby will arrive! by about this time in my last pg the csection was booked!!

my mw is very supportive about vbac and am seeing the consultant on monday so hope he is too.

I will let you all know on monday how I get on though and will def ask the synto v prost question for another opinion!!

Let us know what they say about the induction drugs llynnnn. As I've mentioned eariler, my hosp have just said that they never induce when someone has had a section, full stop, hospital/trust policy. Interesting that they would take such a firm line if others are happy to do it...

mrsrawlinson you are not being irrational and if your trust/hospital is like mine (fingers crossed) the decision will be yours.

Pinkjenny, like you my first DS1 was born by c-section due to breech presentation. Was fortunate to have DS2 vaginally. Was a far better experience in terms of sense of satisfaction after the birth and generally feeling well rather than battered as I felt post c-section. I would recommend giving VBAC a go!

My first two DC were born through elective CS due to them beeing breech. My third DC wasn't breech and I had a very successful VB!

When I got pregnant with DD2, I didn't even consider going for a VBAC with 2 SC. Also, I was sure my uterus was shaped in a way that doesn't enable the babies to turn. I resumed to having another SC.

So, when we found out DD2 is head down, I got very confused with contemplating about a VBAC.
So, I know exactely how you feel, Pinkjenny. Both SC were fine and easy. No compications, healthy babies and a very quick recovery. Why not have a 3rd one? Why take the risk?
The odds gave 50% success, and the birth can go both ways. I really didn't know what to do.
I got all the information needed from the docs, made sure I will be specially taken care of while trying for a VBAC, and went for it.

When contractions came and labour started, I must admit, I forgot about the CS and was concentrating on the pain birth. 4 hours after beginning of contrations, DD2 came out through my fanjo and not through my tummy .

What helped ME, is not to making a decision untill the time came. I knew that when the time came, I would know what is best. So, perhaps you can get all the information you need and wait till your LO is ready to come out.

Good luck and have a healthy and easy pregnancy.

hi lulu the thing is with synto yes it can cause hyperstimulation BUT it can be turned off! Prostin can also cause hyperstimulation but there's no way of getting rid of it.

lulu and anyone else that is interested in induction of vbac with prostin have a look here www.homebirth.org.uk/pe2.htm

Thanks me23 but prostin is the one thing I will be avoiding this time around, whatever happens!

Yes Lulumama You did send me info. I have still go it. I also sent you a pizza express voucher a while ago
Hope all is well with you I'll be looking for you as September nears

well, i saw the consultant yesterday. he was supportive of me trying for a vbac, but had to tell me the pro's and cons of doing so (mostly cons i think!)

he said there's about a 60-70% chance of it being successful and they will only allow a short active labour (between 4-10cm dilated) which he said is about 6 hours before intervening. Also during this whole time I will have to be on the bed with the fetal monitor on as this is the earliest way they can detect any problems mainly rupturing.

I was a bit down after hearing all this as I always thought I'd be as active as I could during labour (i'm a real fidget at the best of times! ) but I'm still going to give it a go.

He has also made me an app for when i'm 41 weeks to be induced and said I can be induced as normal, but obviously with the above conditions!!

llynn. you do not have to be on the bed, you do not have to have constant monitoring

you can be advised. strongly advised. but you have the ultimate say so

on teh support for imminent VBACers thread there are links to research re CFM and other useful things

even if you have CFM, you can sit on a birth ball, stand by the bed, and of course if you need the loo, you can be disconnected from teh monitor

you do not have to lie on a bed immobile. that is teh best way to reduce your chances of a VBAC!!

AIMS.org.uk is also a good resource

also, re the 6 hours.. if labour is progressing , but slowly, and baby is happy and you are happy, there is no reason to intervene.

fwiw, i went from 3 - 10 cm in 2 hrs 45 minutes in my VBAC. i also did have CFM ,but was encouraged to stand up , to move and to be active as possible.

I had CFM for my VBACs and was also encouraged to sit on a ball, move around the bed etc - the mws just repositioned the monitors if they moved around. It was fine for me as I really didn't want to wander round the corridors anyway.

thanks for the replies lulumama and poledra. i always take what the consultants say as gospel, but good to know i will have options and will be able to move about a bit, thanks for the reassurance