I Don T Know If I Want A Repeat Anymore

10 Replies
kay101 - October 29

I'm 9 weeks, had a c-section with my first, and was pretty sure I was going to repeat with this one to eliminate the risk of uterine rupture. My doctor said as long as everything goes ok, I could try for a va___al birth if I wanted to. The thing is, she asked how many kids we want because 3 c-sections are ok, but after the they become much more risky. We honestly don't know how many kids we want, it's still early on in life, we're still young and have plenty potential baby making years ahead of us.

 

ShoppingForTwo - October 29

Hello Kay101, question. . . have you researched what the risks of a VBAC are? Do you know that your baby and you could possibly die, most likey your baby? How many months ago was your first c section? My sister had 5 c sections before she got her tubes tied, and her doctor never mentioned that being too much. I've heard of women having 8 and even 14. I'm sure the number of c sections vary from doctor to doctor as is the time you should wait to conceive after one. I am having a repeat c section in June, and I personally wouldn't risk a VBAC, I've already loss my daughter and won't take any chances of lossing another. I would like 4 more children after this baby and my doctors don't see a problem with that. You have plenty of time to decide, but one suggestion, if you do decide for a VBAC I've read that you shouldn't get an epidural because it can mask the pain of a uterine rupture. Good luck with that.

 

ShoppingForTwo - October 29

One more thing, what does your doctor mean if everything goes ok? Like what has to go ok for that to be a consideration? AND I also thought about this right after my daughter was born and researched it. . . There are a lot of sucess stories as well as horror stories and I've noticed most of the sucess stories come fromt the women who have waited 5 or more years between a c section and VBAC. I don't think my doctor even does VBAC's. . .

 

kay101 - October 29

My daughter is 3 1/2. What she meant by everything going ok is that I have no complications during my pregnancy. I asked which would be safer, and she said both are carry equal risks, but during surgery the risks can be more controlled. Uterine rupture only runs a very small risk, and can even happen during a normal pregnancy where the woman has never had a c-section. I've read my share of horror stories on here about scar tissue from women's c-sections attatching to their organs and man are they some creepy stories. Before I had actually thought, Ok great another c-section. Mine went fine last time and even though this probably sounds odd for a woman to say, I'm not overly fond of the idea of pushing out something that big down there! It seems like either way there's a possiblity of losing out. It's like hmmmm do I take this risk or do I take that risk?

 

ShoppingForTwo - October 29

Mmm I see what your saying. This is a bit of what I read in the bath tub today (not too hot of course) VBAC is becoming more common, medically speaking, the method of delivery is NOT as important as the well-being of your baby. Before you and your doctor make a final decision, you need to weigh the risks and the benefits to you and your baby with both types of delivery. In some cases there may not be in a choice in the matter but in other cases you and your doctor may decide to let you labor for a while to see if you can deliver v____ally. Advantages of a vd include a decreased risk of problems a__sociated with major surgery and recovery after a vd is shorter. Research shows that IF hormones are used to induce labor than the woman is 15x more like for her uterus to rupture and 5x more likey if she is induced intravenously. I read that the doctor will montior you more closely if you are having a VBAC but if your uterus rupture they have mere seconds/minutes to get that baby out, and of course saving the mother is the top priority. They also say discuss this decision with your dh and come to a decision together. Personally, if something went wrong, God forbid, I'd like to know that it wasn't my fault and that I did everything possible in my power to make sure they came in this world safely. I'd feel better knowing something bad didn't happen because of a personal decision of my own. You said guys haven't decided how many kids you guys want so (if that is the ONLY reason you want to attempt a VBAC) why is it a big deal now? Maybe you guys will only decide on 3 kids? Mayb, maybe not. I for sure want at least 6 kids total. :) I'm from a big family, what can I say.

 

ShoppingForTwo - October 29

I think you have better chances since you had your daughter 3 and a half years ago. Yes yes yes the risks during a c section are A LOT more controlled. And truth be told, risks during a c section only apply to the mother not the baby. Risk during VBAC are detrimental to both mother and baby. I'm sure a women who has never had a c section uterus could rupture but I'm pretty sure the chances are drastically higher with women who have had a previous c section. I don't think their is a possibility of losing your baby during a c section. . . . Maybe but I've never heard that. I've heard of babies dying from tramutic labors, bleeding to death from uterine ruptures and many other un-common things that can happen during labor, but I've never heard of a baby dying from a c section. But at the end of the day, the decision is yours and you have to weigh out the risks matter to you. Good luck! And no matter what you choose I hope its wonderful and you have a healthy baby in your arms in June.

 

kay101 - October 30

Statistically speaking, there's less than a 1% chance of uterine rupture, which if it does happen, usually ends up just resulting in another c-section. I wasn't even thinking of going any other way until I read those aweful things about scar tissue and all the problems c-sections have caused women on this forum. And then being told 3 is safe but it can become risky and problematic after that, four kids seems like a lot, but who knows, once ours get a bit older we might get that we want a little one in the house again syndrome. Very tough decesion. I know I have a while to think about it but still, it's going to be on my mind a lot.

 

ShoppingForTwo - October 31

Yah I guess your right Kay101. You sound pretty PRO- VBAC, the best of luck to you. That is a very personal decision and of course a lot of people have different answers to that question. I guess just in my mind that 1% chance of my baby bleeding to death before they can give me an emergency c section is too big a chance to take purposefully. . . I guess already loosing a child makes me a bit more conservative and less Evil Kinevilish. Lol. Uterine rupture doesn't JUST end in a c section. . . Lol I think you should do more research. . . Stastically speaking, how many of those babies live? Are brain dead, or have mental problems due to lack of oxygen? Need blood transfusions? Speaking of statistics, here's a bit more info. . . The mother may hemorrhage and require a blood transfusion, the uterus may not be repairable and must be surgically removed (HYSTERECTOMY), the baby may not survive the lack of oxygen, and (rarely) the mother's life, too, cannot be saved. Many women who have had a severe uterine rupture will be advised NOT to get pregnant again, due to the risk of repeated rupture. The uterus can rupture before or during labor. In a large study of mothers who had one previous low transverse cesarean, the risk of uterine rupture was 1 per 625 women who chose repeat cesarean without labor, 1 per 192 women who went into labor and tried for VBAC, 1 per 129 for those who had their labor induced without prostaglandins (usually with Pitocin), and 1 per 41 when prostaglandin medications were used for induction. When the uterus did rupture, 1 in 18 babies died, and 1 in 23 of the women required a hysterectomy. To put these sobering numbers in some perspective, a__suming the risk of losing the baby is the same in these different situations, of the women who tried for VBAC and didn't use prostaglandins, 1 baby in 3,500 labors would be lost. WOW 1 BABY IN 18 DIE FROM UTERINE RUPTURE. . . That's a lot! You COULD end up being that "1%", you never know. . .someone has to be that low percent. . . People always think, oh that won't happen to me! Your considering this because you MIGHT want more than 3 kids??? Well what if you have to get a hysterectomy because of a rupture, then it will be a catch 22 and yu will only be able to have 2 anway. Well like I said before good luck with whatever decision you make. What are your dh's thoughts? Oh and by the way I'm NOT pa__sionate about this subject lol, I'm just giving you my two cents. . .

 

ShoppingForTwo - October 31

w w w .geocities. c o m /miasmommy_99/miasfriends. h tm l This is a site for women who have lost their babies due to VBAC uterine ruptures. Maybe the info your read on here can influence your decision or help you make a very informed, intelligent decision that's best for you. Ok? Well I hope I helped, or at least made you think, ok ta ta

 

maknyle - November 8

Hi, Kay. My 2nd child is a little over 6 months, and both of my children were delivered by cesarean. My son was an emergency, and it was pretty scary for me and also a big let down. I got pregnant with my daughter when he was just a little over 2. After searching through a few doctors I finally found one that would let me try for the VBAC that I wanted so much. Once she got head down the doc kept telling me that her head was face up and stuck in my right hip, but there would be time for her to move still. As I got closer I began dilating a little, but then everything stopped. He started telling me that she might not be able to move because she was out of space in there to get turned around. So ultimately about 5 days before her due date (and plenty of nonworking contractions...I really thought it was going to work out for the VBAC) I had to schedule my section. He told me that he really thought that everything was going to go smoothly because of all the contractions and dilating, but baby had other plans. So, I didn't get my VBAC. A scheduled C-section is so much better though. In the hospital I felt like I had just had a baby versus the first time when I had my son I felt like a patient. My doctor also later told me that my scar was relatively thin, and he thinks what happened was for the best. So it all worked out. However, I would not have done it any differently. We are planning on trying to get pregnant again after the first of the year. (Doctor says I should be good for a few more if I want.) There will be no more attempts for me, but If I was doing my 2nd all over again I would have still tried for that VBAC. I really wanted to experience birthing in that way. It was very important to me, and I cried for such a long time when he said that I had to have another section. I say if your doc thinks you are a good candidate then you should go for it. Good luck!

 

djh - November 18

I say that the risk is out there about uterine rupture, but the risk is 1%. With the huge amount of induced or augmented labor going on, the risk for uterine rupture is higher than ever for ALL women. If you decide to go for the vbac which I support, just make sure they don't amp you on pitocin and that your doctor has thoroughly a__sessed your particular case to know if you are good candidate. I wish I could have had a v____al delivery, but my bony pelvis size was never going to change. I did go into labor with each of mine so they had their "real birthdates" and even though my labors get really intense, really fast, I had no uterine rupture even with a see-through scar. GL on a healthy baby and the delivery that's best for you and LO.

 

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