Should I risk having a vaginal delivery after a C-Section (VBAC)?

My first pregnancy ended up in an emergency c-section because of cephalopelvic disproportion. (Haha I love using that term - in simple terms, my pelvis was small, my daughter's head was big.) Because there is a good chance it could happen again with this 2nd pregnancy, I have a c-section scheduled for December 22nd. I have had a lot more contractions with this pregnancy and have been very active, so I feel like there's a good chance this baby could come earlier than the 22nd. Should I be encouraging it, by walking lots and having lots of sex? (Not that that necessarily does anything for sure. Lol) Or do you think that's asking for trouble?

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Anonymous

Asked by Anonymous at 12:36 AM on Nov. 13, 2008 in Pregnancy

This question is closed and filed in the CafeMom Encyclopedia.
Answers (11)
  • i think it could happen my mom has the same thing and only had one c section so 7 out of 8 were born vaginaly
    iloveyall2008

    Answer by iloveyall2008 at 12:37 AM on Nov. 13, 2008

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  • A natural delivery is always safer than a c-section! I would at least try. I tried on #2. If I ever have a 4th I will be trying.
    ColleenF30

    Answer by ColleenF30 at 12:39 AM on Nov. 13, 2008

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  • I had an emergency c with my first because I had HELLP syndrome. Kind of different circumstances. One of my doctors really pushed and even tried to intimidate me into having another c-section while the others told me they were FINE if I wanted to try again. I managed to have a super quick and easy delivery with #2 and I agree that I would at least want to try. But, I think it's something you should discuss carefully with your doctor. Maybe they could do an ultrasound and take some measurements, maybe this one's head won't be so big! Best of luck to you.
    Slinkee

    Answer by Slinkee at 12:58 AM on Nov. 13, 2008

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  • VBAC's are safe, however, docs don't like to do them. The reason they don't like to do them is when you schedule a Csection, you have to sign paperwork saying that you understand the risk of surgery. Having that signature makes them less liable if something goes wrong. You don't sign paperwork like that for natural delivery, so, if something goes wrong they are wide open for a law suit. The irony in this sucks, because you are actually more at risk personally during a section than you are during a natural delivery. Do your homework and read up on the facts. You will not get the facts from your doc because he has to cover his ass with the insurance companies. They are more worried about their risk than yours, I don't care how nice they are.
    A great book on this topic and others is "The Thinking Woman's Guide to a Better Birth" by Henci Goer.
    SashaJ

    Answer by SashaJ at 6:50 AM on Nov. 13, 2008

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  • Find a different doctor. Usually a diagnosis of CPD is false and c/s results because of lack of skill or patience on the part of the doctor. I know many women who had c/s because of CPD and have gone on to have VBACs with larger babies than the ones they had c/s with. If your doc has already scheduled a RCS than your chances of VBACing with that doc are slim and none. Visit the ICAN website. Look around, find out the real facts. It is NEVER too late to switch doctors. Never! I wish you the best. Good luck to you. :)
    wineasaurus

    Answer by wineasaurus at 7:39 AM on Nov. 13, 2008

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  • At the end of the day, it all depend on the size or your baby. It's really important to talk with yoru doc on this one b/c of the potential problems.
    Anonymous

    Answer by Anonymous at 7:54 AM on Nov. 13, 2008

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  • that is your choice. alot of doctors wont let you. my second c section was a million times easier though. good luck!
    whitenena

    Answer by whitenena at 8:07 AM on Nov. 13, 2008

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  • With a reason like that, what would have changed since the last time? Was your first baby freakishly large, or is your pelvis just really small? If you have a small pelvis and nothing has changed, you don't want to have another emergency c-section when you could schedule it and have things go a lot more smoothly and predictably. I would HATE the idea of a c-section and hope that I will be able to do everything vaginally for all my children, but if I had a problem like this the first time, I would be leery of the same thing happening again.
    kabbot01

    Answer by kabbot01 at 8:40 AM on Nov. 13, 2008

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  • It doesn't hurt to try, I wish I would of with my second. Now with my third they won't let me try for a VBAC because it is considered risky for women with two or more c/sections and no vaginal births. Research VBAC births, they are safer then you've been lead to believe.

    I had the same issue with the head and pelvis for my son. My daughter however would not of been an issue. Good Luck!
    PeytonNBella

    Answer by PeytonNBella at 9:54 AM on Nov. 13, 2008

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  • I think some of the responses are a little off. CPD just means that you were not able to push the baby out. It could be the head was big, it could me the entire baby was big or it could mean the head was in the wrong position. You sign consents for both c section and for vaginal delivery and they cover the dr, and the pt the same way. At this time its a little eary to be doing anything to help labor. Last thing you want is a baby in the NICU. Walking doesn't do anything until you are actually in labor. Most doctors say if you go into labor prior to your due date then feel free to try the vaginal delivery. Most doctors will not allow a vaginal delivery after the due date for a vbac. The important part is to discuss all risks and benefits with your doctor.
    Kifole

    Answer by Kifole at 9:59 AM on Nov. 13, 2008

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