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Original poster

Uterine Rupture VBAC?

16 replies

Whosamawotsits · 10/12/2024 19:45

Evening all,
I'm currently 37 weeks pregnant with my 2nd, my first born being an emergency c section around 14 years ago.
I want a vbac this time and have been told at every appointment so far that this is fine and theyre happy with me/baby, however at my last consultant appointment they discussed the possibility of needing to induce and they laid on pretty thick the dangers of a uterine rupture and how much more likely it is to happen when getting an induction and they usually end in a csection anyway.
Before this appointment I wasn't aware of any risks and I'm now worrying they're going to insist that I go for a c-section again should I need inducing.
Does anyone know if 14 years of scar healing would make any difference? Has anyone been induced with no issue or had a rupture? I hear of vbacs regularly however have never heard of anyone having ruptured even though the chances are 1 in 200. I feel like I've been living under a rock and never expected for this to suddenly be a potential issue.
Thanks!

OP posts:

OtterAnimagus · 10/12/2024 19:52

I had a VBAC in may. I knew what I wanted and went armed with the facts to the consultant appointment. Induction does carry more risk when it is a VBAC so I agreed that they could book me a c section on the last advisable day which was 40 + 10 if my memory is correct. I had baby via VBAC on the midwife led unit at 40 + 5.

Countrygirl38 · 10/12/2024 19:53

I was induced with my second child and have a vbac. This was almost two years after my first was born by C-section .I only had gel though not a drip to induce me and then had my waters broken. Everything went well.

Pendeer · 10/12/2024 20:07

A Mum who I met in the school playground was that 1 in 200. She was very lucky that they realised it had happened immediately and it was a full uterine rupture with her baby in her abdomen. She was in surgery for over 4 hours whilst they sorted her out with her husband not knowing if she would need a hysterectomy or whether she would live. They did plan 3 children but he said absolutely not after that.

I think when you are aware of the risks they can monitor you but you need to always prepare that a planned vaginal birth can end in a c section even when there hasn't been a previous section. I hope it goes well for you.

Donttellempike · 10/12/2024 20:07

A previous uterine rupture means there is a weakness where the scar is, and it could re rupture. so really really listen to what the clinicians are telling you about the risks.

Nc546888 · 10/12/2024 20:19

It’s their job to warn you of the risks so you are fully aware.

look up the chances of a successful VBAC I think it’s like 60-70%

Blue2020 · 10/12/2024 20:31

I had a csection at 35 weeks 20 months ago and I’m now 21 weeks. The consultant said if it’s natural it’s a 1/200 chance, I asked what happened if I was induced and she said the odds of a rupture are 1/100. At that moment I ruled out induction.

I think I’m leaning towards booking a csection for full term and if happens naturally beforehand I would be willing to try vbac. I’m quite good at hitting the odds- 1st pregnancy missed miscarriage, 2nd pregnancy (placenta previa, preeclampsia).

Blue2020 · 10/12/2024 20:34

My mum had my brother by emergency csection mid way through labour due to baby being stressed and then 10 yrs later she had me by vbac naturally with no issues at all.

inquisitiveinga · 10/12/2024 20:42

Just throwing it out there that I had an emergency c section and 6 years later opted for an elective. I know this isn't your current wish but wanted to reassure you that if you do ultimately this way then do not fear! It was the most magical day of my life... my first child's birth was obviously amazing and the joint best day of my life... due to the emergency aspect I can't quite call it magical though 😅

All the best x

ThisWarmQuoter · 10/12/2024 20:52

Are you on Facebook? If so there is a fantastic page called VBAC support group UK. It is full of information and other women’s stories, it might be helpful for you to join

elb1504 · 10/12/2024 22:10

I'm hopefully opting for a VBAC, but my consultant doesn't want me to be induced because of the rupture risk so will likely have a c section booked for around 41 weeks if labour hasn't happened.

MarigoldSpider · 10/12/2024 22:24

I think the answer to this is to avoid induction which makes uterine rupture far more likely.

FutureFry · 10/12/2024 22:34

When I was going for my VBAC, there was 4 years since my c section and the consultant said this was a "nice gap" for healing.

They did induce me as I had bleeding at 39.5 weeks, but they would only use "low dose" drugs, and they didn't work so it was another c section. :(

Yuckyyuckyuckity · 10/12/2024 22:41

I had a VBAC earlier this year. Similar to PPs my plan was VBAC if I went into labour naturally, but with a 'backup' csection booked if I got to the point where an induction would be necessary. Luckily I had him a day before my due date!

It was the stat about the risk of uterine rupture doubling with inductions vs without that decided it for me, that risk was just too high.

Number3pending2024 · 10/12/2024 22:55

I have had 2 induced vbacs after an emcs. First time was balloon induction and went into labour and second was just waters broken to move things along. They use the monitor and keep a close eye on you so I personally felt safe. I was also told that the drip induction is the thing which increases risk? Not sure how true that is. Wishing you the very best 😊

Objectrelations · 10/12/2024 23:15

I had started to rupture trying for a VBAC. Luckily it was caught before it went completely as they decided to carry out a CSection because 'they didn't like the look of how it was progressing' meconium in the waters and other signs and discovered during c-section apparently my baby's foot had embedded in the scar and it was opening.

MissAtomicBomb1 · 11/12/2024 22:01

Well C-section or no C-section I would have refused an induction.

I've had an EMCs and an ELCs. They were worlds apart. With an ELCs, It's possible to have a skin to skin during the op, father cut the cord, etc. look up natural C-section.

I'm not sure why people get so fixated on a VBAC. There are no medals. Experiencing a vaginal birth isn't a bucket list item. Just listen to the doctors and do what you need to do to get the baby out safely.

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