What if my doctor refuses to do a Vaginal Birth After Caesarean (VBAC)?

has anyone ever had one? I just found out I'm about 6 weeks pregnant. My first daughter was breech so I had to have a C-section. With this one, I REALLY want to try a VBAC, but the doctors at the hospital I deleivered her at say they won't do it, so I'm tryng t find one that will. What was your experience? Do you know who makes a good canidate? Anything you can tell me would be helpful!


Asked by Anonymous at 5:26 PM on Dec. 10, 2008 in Pregnancy

This question is closed and filed in the CafeMom Encyclopedia.
Answers (8)
  • go to www.ICAN.org to read more about c-sections and VBACs I am going through the same thing. I have had 2 sections and want a VBA2C for our next one. Don't know when, but would like it to be soon.

    Answer by Maddape48854 at 5:37 PM on Dec. 10, 2008

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  • My Aunt had a successful VBAC after her first child was breech, I had a C section for my first also and am thinking if/when I have another I would try for VBAC. I think that anyone is a candidate, but you ned to keep in mind that you are a higher risk. Lots of women have successful VBACs. My docs told me that I could try for VBAC in the future, but I can not be induced with pitocin. I would try to find a midwife practice if I were you. They'll be able to give you the most info and are the most supportive of VBACs. Good luck!

    Answer by beckcorc at 5:38 PM on Dec. 10, 2008

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  • First of all, VBAS is short for vaginal birth right?... I always thought that doctors prefer women to deliver vaginally as opposed to a c-section unless there are complications. I had a vaginal delivery but my midwife said to keep my options open for a c-section next time since I had a large baby. My mom had me c-section and both of my brothers and my sister vaginally. I was her first and the doctors and hospital had no problem with it. I think maybe you should get a second opinion. As long as there are no complications I think that you should be able to do it! I wish you the best of luck and congrats on the pregnancy!

    Answer by TiffanyReed at 5:40 PM on Dec. 10, 2008

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  • TiffanyReed, the reason why doctors tend to push csections for mamas who had one is because they don't want you to tear you scar tissue when giving birth vaginally. If this happens, it can be very dangerous, to both mother and unborn child.

    With that said, I had a csection with my son and would like to try for a VBAC for the 2nd baby, whenever that will be. I go back in forth in my head about it, so I'll probably be doing lots of research, like you Anonymous, before it happens.

    Good luck!

    Answer by ap9902 at 5:55 PM on Dec. 10, 2008

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  • Definitely look for a doc that will do it. You can find one! Doctors are scared, because there's a teeny tiny chance that the scar can tear, which is increased if you are induced, FYI. A doula friend of mine had a home VBAC, and it was such a great experience for her. Her first was breech, too, and she said the first thing out of her mouth when her daughter was born was "I did it!"
    I had an emergency c-section with my son, and I am really hoping for a VBAC with the next one.
    You might want to check out Rikki Lake's "The Business of Being Born." Might strengthen your feelings about this! =)

    Answer by musicpisces at 4:34 AM on Dec. 11, 2008

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  • I had both my kids by c-section i could of had my 2nd vbac but i diodnt want to caz it was taking to long( i wanted to see my baby) but the dr say i could because my last c-section was more the 4 year ago. They say that there is lees thing to go wrong for you and your baby if it has been more then 4 years. Hoped this helped.

    Answer by mammaboyz113 at 10:04 PM on Apr. 3, 2009

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  • I am looking into vbac for my next pregnancy. I am affraid I won't find a doctor to do it because I have HEP C, and they push c sections for that when it is not needed. I think I am going to talk to a natural birth center, and a midwife to see if they have referalls for doctors that are supportive in a vbac situation. I am also going to interview perspective physicians and make sure that my wishes are followed where they weren't last time. The one thing that I do know is that the hospital I choose to deliver in has to have the ability to do an emergency c section. If the hospital isnt equipped its illegal for them to perform a vbac because it endangers your lives. That might be the problem, I would ask if I were you, and look into options at other hospitals, I just hope you aren't in an area with only one hospital. I hope that helps. I have researched it and I know your pain.

    Answer by Anonymous at 2:57 AM on Apr. 26, 2009

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  • Here's the scoop...you have to find out why your doc won't perform a vbac. Is it because he or she is not trained to perform one? There are alot of complications which can arise due to the uterine scar possibly tearing. A doctor who is doing a vbac delivery should be trained and confident in their ability to recongnise a problem and deal with it quickly and effectively. Should your scar rupture you have to have an emergency section and minutes count. That said there is a higher risk during a repeat section of something going wrong than a vbac, assuming you are a good candidate.
    One other reason for refusing you a vbac would be the direction of your incision from your section. You can't tell just by looking at your scar. You may have a horizontal scar outside but the scar on your uterus must be horizontal also or you don't qualify. Also the reasons for your first section counts also.
    If you qualify..go for it though!!

    Answer by londonmommyof2 at 4:40 PM on May. 31, 2009

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