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Pregnancy

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

Elective c section vs VBAC

9 replies

MyBabyBoyBlue · 22/03/2021 22:25

Hi all, I'm hoping to get some opinions on whether to have an ELCS or VBAC and to ask what other people's experiences of having made the choice have been?

I'm expecting DC2 and had a fairly traumatic birth with DC1 which ended (after 3 days) in an EMCS. I was induced after my waters broke and nothing happened. I was pushed into an epidural I didn't want by midwives who said I wouldn't cope with the induction contractions without one and, having already started having the contractions and being told they would go from zero to unbearable v quickly, I agreed.

I had to have my hind waters broken with a hook which resulted in me sitting in a pool of my own blood. There was an issue with how the epidural was put in which meant after an hour or so it stopped working. When I said I was in pain, the midwife told me I was being dramatic and that I couldn't feel anything - when the anaesthetist came back to check on me 2 hours later it turned out that there was a blockage in the tube and it hadn't been working.

I reached 8cm after 14 hours on the induction drip and the baby's heart rate started dropping to the point where they said they would do an EMCS. I lost a lot of blood during the op as still heavily contracting but not enough to need a transfusion luckily. The next day, my midwife told me she knew from the very start of my labour that DC1 would never come out naturally because they were mispresenting and stuck in my pelvis - meaning I should have been taken straight in for an EMCS and not had those awful awful 3 days first - I fully believe that my C section recovery was slow because my body was so exhausted from those three days.

I felt the whole way through that nobody listened to me or what I wanted and the whole experience is one I would much rather forget.

This time round, I don't know whether I should try a VBAC and risk going through the whole thing again and end up with another EMCS anyway, or whether I should go straight for a planned c section.

Does anyone have any advice? Xx

OP posts:
MyBabyBoyBlue · 22/03/2021 22:25

That was a bit of an essay! If you read to the end, thank you!

OP posts:
Toomuch2019 · 22/03/2021 22:35

You'll get lots of views either way.

I had my second at a similar time as two other friends who had had csections first time round. Both tried VBAC and ended up with emergency sections.

I said I wouldn't be induced again after a horrendous induction experience first time round but would try VBAC if I laboured spontaneously. However I didn't so ended up with another caesarean which was so amazing after the awful first time.

But that's just my experience and I'm sure there will be many on here with positive VBAC experiences.

My advice would be to go with your gut and what feels right for you. Either way good luck!

TOWGA · 22/03/2021 22:38

I'm currently expecting second dc, I had very similar experience to you, induced, waters broken, epidural, I only got to 5cm after 3 days of induction and 28 hours after waters had been broken, I had a emcs! I also had sepsis! I'm going for a planned c section this time, I don't want to have to go through labour again!

EvilOnion · 22/03/2021 22:41

Speak to your midwife and ask to be referred to a consultant to discuss it if you're not already.

Mine helped me think it over and talk it through before making a decision.

#1 was an EMCS and #2 was an ELCS.

Chelyanne · 22/03/2021 22:42

After that experience I wouldn't blame you for going elcs.

I had an elcs with breech twins last time, it was a very calm procedure. I did have heavy blood loss as 2 large placenta sites but did not need a transfusion. Recovery was pretty good despite my wound getting infected and I didn't need painkillers at all.
Still I hope to go vbac this time, I had 3 vb's before the elcs. I wouldn't volunteer for an induction every again after having one with our 1st though, so much worse than a natural onset and my 2nd took 6 days to arrive from being 1cm dilated. I am prepared to go elcs or emcs if things don't look good for a vb.

Muststopeating · 23/03/2021 07:30

I can't offer advice on vbac. Having done 2 vbs, I normally do think its generally the safer option.

But in this instance I just wanted to say I'm really sorry you felt ignored. That's really rubbish and should not happen anymore! I believe there are ways that you can provide feedback to a hospital and you should consider it, even if only to feel listened to. A midwife telling you you can't feel anything when you say you are in pain is obscene.

MyBabyBoyBlue · 23/03/2021 23:28

Thanks for all your replies, my gut is saying planned C section - I know it is major surgery but with so many unknowns with a VBAC and the horrible experience I had last time, I feel like it is probably the best thing for me. Now to convince the consultant!!

OP posts:
MyBabyBoyBlue · 23/03/2021 23:31

@Muststopeating - it was just horrendous- I did make a complaint to PALS a few weeks afterwards but it was never followed up and after a while I decided to try and forget about the whole thing. Part of me wishes I had pushed it though, I will never forget the epidural and being sneered at about being dramatic!!

OP posts:
TheCraicDealer · 23/03/2021 23:56

I also had a failed induction- waters went by themselves but had the drip on because there was meconium in them and they wanted to speed me up. DD was back to back and I had a patchy epidural, it was excruciating. Before the epidural the midwife tried to get me to get up and mobilise and it was so intense I boked on her. The section was the best part of the whole thing tbh. I agree with you about your recovery being linked to what state you're in when you go for an ELCS. I was lucky in that I'd only been on the top whack of the drip for 16hours before they offered me one.

I have no desire to "do" a vaginal birth whatsoever. Tried labour, thought it was shit and scary, not fussed on doing it again. It helps that my section recovery was fine and I was walking round Marksies three days later, so I don't worry about that aspect.

An ELCS has got to be better than your last experience if you're well rested, have eaten in the last three days and hydrated. Whereas with a VBAC you're rolling that dice again, even if the threshold for intervention is much lower than the first time round.

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