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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Natural Birth after Caesarean

12 replies

Dunnyjo · 18/11/2005 09:56

Just wondering any one who has had a natural bither after having a caesarean? The mw said i should relly try for natural birth but i HAVE to have it at the hospital and not at the maternaty place near me all incase the scar errupts. Not to worry me or anything

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NomDePlume · 18/11/2005 09:57

There are loads of VBAC mums on here, dunny. Kaz33 is a name that rings bells

cupcakes · 18/11/2005 10:02

I had a vbac 2 years and 9 months after an emergency c-section. Went into labour naturally and had dd in hospital after 5 hours with gas and air. It was a wonderful birth and it really put to rest a lot of 'issues' I had after ds's (horrible) birth.

Dunnyjo · 18/11/2005 10:08

I would love to have it natrally as in a funny way i enjoyed it last time with the gas and air until realising it was breech. But the whole thing just scares me though. The mw did say if i managed it that far last time (under 5 hours at that point) i should do fine but then i worry everything will go wrong and i will be traumatised by it all lol dont want to sound dramatic but it took me months to get over the last one, due to the caesarean and all that panic in the ambulance i think! Not sure all i know is i did not feel right for a long time after it.

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Dunnyjo · 18/11/2005 10:10

Sorry realised i have posted in the wrong area! Did not see child birth lol

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JingEllBells · 18/11/2005 10:17

I had a VBAC, Dunnyjo. It was brilliant. I've posted about it before, so you could search for my name (normally Ellbell) and VBAC and see what you can find.

The risk of scar rupture is very small, but obviously if it does rupture it's serious (for you and the baby) so that's why they like you to be in hospital, so that they can get you into theatre in minutes if necessary. The risk of rupture is increased massively by induction of labour, so I decided that if I hadn't gone into labour naturally by 42 weeks I'd have another section instead. Doctors were fine with that, but in any case I had dd2 at 37 weeks.

I also decided that I would not have an epidural. Because the epidural numbs your lower body totally it can mask any unusual pain (e.g. pain from the scar area that goes on in between contractions) that might be an indication of a scar rupture. Oddly enough, it seems that many hospitals are happy enough to give epidurals to VBAC mums, without issuing this warning, although they insist on continuous monitoring 'for safety reasons' (see below). Personally, I felt it was better to be as in touch with my own body as possible.

Many hospitals have a policy of continuous monitoring for VBAC births. This is (IMHO - but also in the much less humble opinion of my consultant, whom I trust implicitly) totally unnecessary. Try to get your consultant to agree that you don't need continuous monitoring and that, unless there is any cause for concern, you'll be monitored with a hand-held thingummyjig at 15 minute intervals instead. This will allow you to be mobile in labour, to sit in the bath if you want to, to assume whatever position you want. I am convinced that I wouldn't have coped if I'd been strapped to a bed the whole time.

There are various other things that they might insist on because you are a VBAC. For instance, they may want to insert a cannula when you are admitted to hospital, and they may want to take bloods to cross-match and save (in case things go wrong and you need a transfusion... worst case scenario, obviously). Neither of these things seemed worth fighting about to me, but in the event when the doctor came to do the cannula I took one look at the needle and threw up and she retreated and I never saw her again.

Some hospitals have 'time limits' on the second stage (e.g. at mine it was 1 hour for first-time mums and half an hour for subsequent births) before they start talking about intervention. I don't know what happened with your first birth, but I had not been in labour at all, so I asked to be allowed as long as possible to push my baby out myself. (In the event it was over 2 hours, and no-one mentioned forceps or anything, so it was fine - I think a lot depends on the midwives you have at the time.)

I don't think that they can force you to go to hospital, but there obviously are safety issues, which you'd have to weigh up. Try to get as much information as you can before you next see your doctor or midwife, so that you can go in there and put forward a reasoned argument. My own experience was that my hospital birth was great, but it was great because I worked hard to go in there armed with information and aware of my 'rights' and the issues involved. The midwife who checked me in did read my birth plan and comment on the phone to another midwife that it was 'very demanding' , but everyone else I dealt with was sympathetic to my wishes and did all htey could to help me have a brilliant birth experience.

Good luck. I hope it goes well for you.

(Oh, and by the way, if you really want another section you have the right to ask for that too...)

Dunnyjo · 18/11/2005 10:36

Thankyou for the information! I know if i let myself worry i will drive myself crazy. But Last time it was not actually as bad as i thought it would be. My son was breeched and noone noticed till i was 8cm! They rushed me to the hospital and i remember a nurse checked me and almost screamed that its now 9cm! Did not worry me a bit seeing her face shocked like that! Yeah right thats when it all went down hill because i was just useless and felt exauhsted. I am going to keep reading about it and talk to my md next time i see her. Thankyou for all the great advice xx

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Dunnyjo · 18/11/2005 10:37

What is a cannula? Sorry i have no idea? Did not like the sound of that

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helsi · 18/11/2005 10:41

I am with this concern at the moment too. I had an 18 hour "labour" after being induced bt I never dilated more than 4 cms. As the baby had passed miconium and was a bit distressed, they did an emergency c-section.

This time I have also been told I cannot have a home birth or birth centre and I will need to be in hospital.

I don't know what I want really as after the terrible time with dd1 the c-section was a relief.

I also have SPD and so may not be able to deliver vaginally, they will monitor that as pg preogresses.

JingEllBells · 18/11/2005 12:10

Cannula is a needle-thing with a tube on it that they put in a vein and leave it there... it keeps the vein open in case they need to give you IV drugs or fluids in a hurry. Sounds worse than it is. Perhaps a medical person will come and explain it better than that.

harpsichordcarrierforcharidee · 18/11/2005 12:21

i am a vbac! happy to give you my experiences if u cat me
get the consultant on yr side from the outset

geranium · 18/11/2005 17:02

VBACs please keep your stories coming. This is interesting for me too. I was induced, reached 10cm after 37 hours and then realised baby was in wrong position and had emergency c-section.

Bit worried about what to do if baby doesn't appear naturally by about 41+ weeks but guess JingEllBells has the realistic option.

Also, how long do they let you labour for? At booking appointment midwife said you come in at first twinges for "trial of labour". If labour is as long as first time round will they wait if scar seems fine or do they give you a time limit?

tex111 · 18/11/2005 17:11

I just had a scheduled C-section two weeks ago. I had an emergency cesarean with DS three years ago and after much soul searching decided to book an elective.

My decision was based on the fact that my first C-section was very straightforward and I recovered quickly. I was also worried about scar rupture. I know it's very rare but I had a real paranoia about it.

The cesarean was fine but I have to admit that if I had known then what I know now I would've had a trial of labour and hopefully a successful VBAC. I had a lot of scar tissue and adhesions from my previous cesarean so this one was more complicated and my recovery was much more painful and much slower. I think it just goes to show how different each birth can be.

It is a really tough decision and I certainly went back and forth for ages. Just do your research, trust your instincts and make the choice that feels right for you. Best of luck!

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