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

Elcs or Vbac?

7 replies

Newmom2b · 29/08/2014 21:59

Had an elcs with dc1 due to breech and wondering what to do this time? Haven't met with consultant yet but will be given the choice of vbac or elcs.
WWYD?
Part of me would like to experience vbac but part of me thinks knowing a date etc would be easier in terms of organising care for dc1.
Is there a chance of breech again?
Thoughts? Opinions? TIA x

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GreatJoanUmber · 29/08/2014 23:30

Only you can weigh up the pros and cons for your situation. Take into account longer recovery time, and very restricted mobility after another caesarean - this was the hardest part for me. The older DC want extra love and attention after a new baby is born, and it's hard when you can't lift them/ do much with them because everything hurts!
Fwiw, I tried for a VBAC after my first EMCS - ended in another EMCS but I'm still glad I tried. With my third I opted for an ELCS as I had childcare for two little ones to sort out, and good reason to believe I'd struggle to have him naturally (seeing as he was 10lbs, I think it was the right decision!). The physical recovery was even harder than the previous times though.
I don't think breech position is more likely just because you've had it before - it's a different baby, after all!

MsAdorabelleDearheartVonLipwig · 30/08/2014 00:06

I swore I'd have an elcs after my emcs with dd1. Then for some reason I changed my mind and went for a vbac. It went really well. Quick labour and straightforward birth. What sticks in my mind is how fantastic I felt afterwards compared to first time around. And with a toddler to look after as well as a newborn, it was nice not to have that post-cs recovery for several weeks.

You can always go for it but have strict notes that say at the slightest sign of trouble you want a cs.

Greenrememberedhills · 30/08/2014 00:17

Having been in this situation, I would go for a vbac every time.

But I agree you should go with your gut.

junkfoodaddict · 30/08/2014 07:18

I'm in the same position as you Newmom2b.
I had EMCS in Dec 2011 due to a placenta abruption after I was induced due to restricted foetal growth and loss of fluid. I had a rare reaction to the induction (violent contractions) which led to my uterus having a slight tear just as they were performing the EMCS. I lost a lot of blood.
Now I am 11 weeks almost and have my scan on 8th Sept and an appointment at the VBAC clinic on 3rd Oct. Despite me being told a c-section would be highly likely for another pregnancy, part of me is scared they will make me go for a VBAC. My recovery from my c-section was brilliant once I was up and about (48 hours due to me being in the high dependency unit). it was tricky to get up from a lying and a sitting position at first but I found a way of doing it.
I want an ELCS due to many reasons:

  1. Very anxious that labour would bring on another abruption and my uterus may tear again.
  2. It was a horrifying experience for DH - took 2 years almost to prersuade him for a second chid. he originally said no because of what happened.
  3. We're 40 minutes from the hospital (nearest is 15 minutes away and only midwife-led). They have a 'habit' of turning away women when not in fully established labour. Happened to a friend who ended up giving birth in an ambulance half way to the hospital. This scares me if anything was to go wrong.
But there is part of me that wants a VBAC as I know you can be home within 6-12 hours all being well and I can move about easier and drive! Despite weighing up the options, it is still impossible to decide which is best. Birth doesn't scare me (much!). With DS there was a chance of an ELCS due to a low lying placenta and then at the 36 week scan (when they found out he wasn't growing and I had lost fluid) the placenta moved and I was able to birth naturally (before it was realised I needed inducing). I went into hospital feeling very, very calm.
dottytablecloth · 30/08/2014 09:31

Are you certain you will be given the choice?

I had a section with my first baby and they are trying very very hard to force me to have a vbac with this one.

I'm anticipating a battle Sad

gunwalloe · 30/08/2014 14:01

I was given the choice after my first emcs and chose vbac I then had two successful vbacs but on the 4th needed a emcs now on number 5 I would love to have a vbac but they are very reluctant to let me try.

Fedupofplaystation · 30/08/2014 22:59

I had an EMCS with Dd and, having extensively read the literature surrounding VBAC vs ELCS and weighed up the pros and cons for me, I've opted for a ELCS which is due to be taking place in November.
I was very nervous about attending my first consultant appointment as thought I'd end up having to argue my case with a midwife, however the consultant could see that I'd made an informed decision and just went with that.
I think what's most important is weighing up the pros and cons for you as what may be important to you, may not be a big deal to someone else. Don't let HCPs bully you. Try to find the actual data that information is based on as I found a lot of myths existed surrounding this topic.
Congratulations and good luck x

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