I am pg with my 4th baby. Had a cs first time due to baby's heart rate dropping during labor. Cut me with a vertical (around belly button and down) incision. The 2nd baby was fine and no complications a little over 2 yrs after that. Same incision. Had a baby last July (4 yrs from the last), bikini cut. She said while she was performing the cs that my uterus looked great lol like I had never had any incisions. Said I healed well and all that. Sooooooooo, What if I wanted a VBAC with the baby I am carrying now? Due 12-12-12. I mean, can I? And where I am from ANY type of VBAC is unheard of and clearly taboo. The nearest place that would even CONSIDER it is 2 1/2 hours away. Whatcha think mamas?
Quoting toria2316:Sorry hate to sound dumb but what is vbac? lol
I think you should go to the doctor that is further away and as them what they think and if they would consider supporting you doing a vbac. That is really your only option aside from doing a home birth. But I think it would be hard for you to get a midwife to support you if the wrong incision was used.
What happened with your last c-section?
I had a VBAC but they wanted a horizontal incision, not a vertical. Maybe try finding a midwife. That would be your best bet.
1. Having had a vaginal birth, whether VBAC or not, significantly reduces your risk of uterine rupture in a subsequent VBAC attempt. In a non-induced VBAC after a single c-section, this risk would be reduced from 0.5% to nearly 0.1%. After two c-sections, or even after a vertical c-section, the risk should also go down.
2. Again, a non-medicated, non-induced, VBAC after 1 c-section has a general uterine rupture rate of about 0.5%. With a vertical incision, a VBAC has a rupture rate of closer to 4%.
3. A VBA2C by itself does not have a statistically significantly higher risk of uterine rupture than a VBAC after a single c-section. This stat is for low-transverse incisions.
4. A T-shaped incision has a much higher risk of rupture. You didn't have a T incision, though, but rather two separate incisions, one transverse and one vertical.
5. A vertical incision that does not extend into the upper uterine segment has a lower risk of rupture than one that does. If your vertical incision is completely contained in the lower uterine segment, it would lower your risk, but only your surgical records will be able to tell you this for sure.
This is right on.
If you have your operative report, it helps with the second opinion. They can tell what type of uterine incision you've had from that. Skin incision and uterine incision don't always go in the same direction.
Quoting JasonsMom2007:
I had a VBAC but they wanted a horizontal incision, not a vertical. Maybe try finding a midwife. That would be your best bet.
1. Having had a vaginal birth, whether VBAC or not, significantly reduces your risk of uterine rupture in a subsequent VBAC attempt. In a non-induced VBAC after a single c-section, this risk would be reduced from 0.5% to nearly 0.1%. After two c-sections, or even after a vertical c-section, the risk should also go down.
2. Again, a non-medicated, non-induced, VBAC after 1 c-section has a general uterine rupture rate of about 0.5%. With a vertical incision, a VBAC has a rupture rate of closer to 4%.
3. A VBA2C by itself does not have a statistically significantly higher risk of uterine rupture than a VBAC after a single c-section. This stat is for low-transverse incisions.
4. A T-shaped incision has a much higher risk of rupture. You didn't have a T incision, though, but rather two separate incisions, one transverse and one vertical.
5. A vertical incision that does not extend into the upper uterine segment has a lower risk of rupture than one that does. If your vertical incision is completely contained in the lower uterine segment, it would lower your risk, but only your surgical records will be able to tell you this for sure.
Was your gender feeling right?
- rbrewster
on Jul. 11, 2012 at 12:20 AM