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Forum: VBAC: Vaginal Birth After a Caesarean

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  #1  
January 26th, 2011, 04:18 PM
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Hi! I popped in briefly just after my son was born via c section. Now we're TTC #2...we've been NTNP since DS was born 14.5 months ago, TTC for the past 3 months or so. Anyway, I'm Elizabeth, 22, mommy to Judge 14.5 months and wife to Barry.

My questions, the dr that delivered DS does not do VBACs and the hospital has banned them, so I know I will have to find a new dr. I've located a dr/hospital within reasonable distance that will do it, now I'm just waiting to get my medical records from my current dr. First of all, I've heard that certain things from a previous c section can rule me out for a VBAC...what do I need to look for in my records? Also, what questions do I need to ask when interviewing other providers?

Thanks in advance for any info!
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  #2  
January 28th, 2011, 05:41 PM
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Most c-section incisions these days are of the low-transverse variety, and that's what your dr. will be looking for in your surgical report. Doc will also want to know why you had a c-section. A uterine rupture, in my opinion, is the only thing that should rule you out.

You'll want to ask your provider if they "allow" VBACs to go past term, how they handle induction, what type of monitoring you'll be required to have, if they will attempt to turn a breech baby, how they might handle an u/s that suggests a "big" baby (these are highly inaccurate and a provider looking for an excuse to cut just LOOOOOVES to use this one) and how they handle long/stalled labors (another favorite reason to cut).

Good luck and don't back down. I did with my 2nd baby and ended up with a repeat c/s and I truly regret it.
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  #3  
January 28th, 2011, 08:28 PM
NutMeg76's Avatar Platinum Supermommy
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Ask the doctor his attitude to women that are not picture perfect on their weight. Some doctors automatically decide by seeing a woman that if she is overweight she will require a c-section, period. This weight bias leads to many an unnecessary surgery.


Plus-Size Pregnancy Website Index
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  #4  
February 9th, 2011, 12:38 PM
The Purple Butterfly's Avatar Stacey
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Location: Atlanta, GA
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Quote:
Originally Posted by MichelleNB View Post
Most c-section incisions these days are of the low-transverse variety, and that's what your dr. will be looking for in your surgical report. Doc will also want to know why you had a c-section. A uterine rupture, in my opinion, is the only thing that should rule you out.

You'll want to ask your provider if they "allow" VBACs to go past term, how they handle induction, what type of monitoring you'll be required to have, if they will attempt to turn a breech baby, how they might handle an u/s that suggests a "big" baby (these are highly inaccurate and a provider looking for an excuse to cut just LOOOOOVES to use this one) and how they handle long/stalled labors (another favorite reason to cut).

Good luck and don't back down. I did with my 2nd baby and ended up with a repeat c/s and I truly regret it.
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  #5  
February 9th, 2011, 08:48 PM
Gray_baby's Avatar Platinum Supermommy
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Hey Elizabeth!

Michelle gave some great suggestions for questions. One of the OBs in my office actually reassured me that he's seen women go on to have successful VBACs with bigger babies than their c-section baby so he told me not to worry about this baby's size - I was pretty stunned when he said it because I've heard so many women say their docs warn them about big babies. So definitely ask about that. My doc also said they don't induce VBACs and they don't like you to go past 41 weeks though I've heard some women are told 40 weeks!

If you haven't checked it out yet the ICAN website is VERY informative.
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