I had c-section for the first baby, because baby was in stress and heart beat was fluctuating. I am due for the 2nd baby next month and the ob/gyn wants me to schedule c-section for 39th week. She will not induce the labor. She does not want me to go in labor, even I do go in labor she will still do the c-section. She told me that if she will let me try the vaginal birth the uterus might repture from the scar,which is dangerous for the baby.
I went online and read about it. There is only 1% chance of this happening and 60-80% women have successful vaginal birth after the first c-section. I have family member who had first baby with c-section and then normal birth. I am really confused. I want to atleast try normal labor or decide when the time comes.
I don’t want c-section because of the long recovery and no help. On the other hand if it has to be done then it has to be done.
I wanted to know the opinion from all of you specially Chips or any other dr here. Please help.
Re: C-Section
**Unless there is some reason in addition to the Previous 1 C-section , e.g Breech or Unstable lie , Twins , Big Baby , CPD etc there is no reason why you can't at least attempt a trial of VBAC ( Vaginal birth after caesarean) . In fact the OBgyyn insistence that she doesn't want to let you go into even spontaneous labour at all is a lil strange to say the least especially if there is no related additional factor.....In fact I think you should see some other obgyn for a second opinion
A second C section means all future deliveries will be by C-Section which would further increase chances of morbidity in future pregnancies , increasing rate of placenta previa , accreta ( low lying placenta or morbidly adherent placenta) uterine rupture and also limiting the number of pregnancies you can have as it isnt advisable to continue to make babies after 3 sections as each time you are increasing the chances of rupture and other morbidities ........ **
Re: C-Section
Thanks Sheyn, I did not know you venture in this forum.
Ob/gyn has not given me any other reasons except the one I wrote. I have talked to other dr and she pretty much said the same what you wrote. I can't change the ob/gyn because of the timing. Even if will try to change, it will take few weeks and my due date is coming closer.
Re: C-Section
**I try to stay away.........this forum feels like i'm on the job 24/7 :D
Well if you cannot change her then I'd still suggest that you talk to her about your concern and ask her why exactly is she insisting on a C-section apart from the risk of uterine rutpure which after a 1st section is less than 1 % in fact. Maybe there are relative factors that have gone into making the decision that you may not be aware of.
Even after all is said and if there are no other reasons apart from the risk of rupture , you can still insist on a trial on VBAC as a patient it is your right to refuse any treatment that you feel you don't need. Now I don't know all the facts here so I'm not gonna say you SHOULD have A VBAC trial however you just need to be aware that your OBGYN needs an "informed consent" before she can go ahead and for that you need to make an "informed decision"!
Good luck.**
Re: C-Section
how far ago was your first c-section has a role to play in the doctor's decision. If the two pregnancies are 1-2 yrs apart, then thats not enough time for the uterus to heal and become stronger, however if there's a gap of upto 3-5 years or more, a successful VBAC is possible.
A uterine rupture risk though small can be pretty serious, it can result in brain damage or still birth of the baby
Re: C-Section
i had a VBAC with my 2nd child. although my dr. was of same opinion as yurs but i insisted on normal birth. and my pregnancies were 1 year apart. thanks God i did not have rapture but i ended up in bit serious condition bcz of having 3rd degree tier and more blod loss. i fainted during delivery, i had 2 bottles of blood given. mainly bcz my daughter was 9.6 pounds. it was a scary experiment for me so for my 3rd child i opted for c-section. but there r many women who have successful VBAC. whatever u decided , I pray u have a smooth delivery and a healthy baby.
Re: C-Section
Is there a specific reason, given your scar tissue, incision, surgery circumstances that might make labor risky?
Re: C-Section
Raima are you in Pakistan? Most ob/gys would make you go through a second C-section if you already had one.... i guess coz they earn more that way!!
Everything else has already been said by the PPs :)
Re: C-Section
I had my first child with c-section. I also wanted to try vbac with the second pregnancy. My first doctor had told me that the I would be able to try vaginal birth next time because of the way they made the incision.
I discussed it with my current doctor and she said she would need to see the operative report for the first one before she can allow it.
After she got the report she said I can try.
There are many things that they check.
First the type of incision that was made. Even though my current ob/gyn told me that it is rare these days that the vertical incision is made on the uterus but still she wanted to make sure.
Second the reason for the c-section first time. If for instance you were not able to dialate the first time, there is a risk that you may not dialate again.
If labor needs to be induced then even though now the hospitals use pitocin but the other drug (i dont know the name) cannot be used to induce labor when trying for vbac.
And the hospital facility shuld be able to handle the emergency in case if anything happens like rupture.
You should clearly ask for the reason and she should be able to tell you. May be there is a genuine reason she is insisting.
Re: C-Section
raania, I am having the 2nd kid after almost 8 yrs.
My incision, baby's weight etc is not the reason. The only reason she gave me is that the uterus might rupture. I had appt today with different dr in same practice. She said I can wait under 39th week, if nothing happens then I should schedule c-section. She will not induce me. I am just going to wait and see. Inshallah everything will work out for me. Thanks for the replies.