VBAC really THAT important???

iVillage Member
Registered: 09-23-2009
VBAC really THAT important???
18
Sat, 01-02-2010 - 1:04am

I don’t want to offend anyone, but I feel like I have to say this. Reading the posts here have literally made me sick to my stomach. Ripped uterus, babies put in the NICU, even babies dying…

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iVillage Member
Registered: 01-02-2010
Sat, 01-02-2010 - 2:31am

Well for someone who didn't wan't to offend anyone you sure did a lousy job of that.Your post was very rude and insensitive to say the least.Last I checked this

iVillage Member
Registered: 07-21-1998
Sat, 01-02-2010 - 9:35am

More kindly, I would say that you've been drinking too much of the official Kool-aid. C-sections are not perfectly safe, but doctors are biased to want all the risk in their hands, rather than either in the mother's (and there is much a mother can do to have a safer VBAC) or left to chance, even when the total risk of problems for baby and/or mother is lower. That's a purely human nature thing; the same as why people are more afraid of flying than driving themselves.

However, many OBs are postively brutal with threatening a woman that her baby could die if she wants anything different than what he wants, and whether you believe it or not, the doctor's self interest does not always align with what is safest for the two patients. It is in the doctor's interest to do a c-section to avoid lawsuits (the more open ones even admit it.) The perception of lawyers is that any problems (that might have been caused by the c-section) are unavoidable and the doctor was active in trying to make the best outcome.

Further, a scheduled c-section is VERY advantageous for the doctor, because he can pick the time, and get a full night's sleep before. (Many folk here had their first c-section because the next best thing FOR THE DOCTOR is an induction, for the same reason. Unfortunately most will not mention that the odds of an induction on a first-time mother leading to a c-section is 43%, according to CNN. Other sources put it even higher)

Sometimes the doctors are outright lying, either about the mother's conditions, or about the "odds" of success or problems or about how much they can predict ("You couldn't possibly birth anything bigger than a mouse" and the woman goes to another doctor or a midwife, and easily delivers a 9-lb child)


A healthy woman with no known risk factors other than 1 or 2 previous c-sections IS safer and is likely to have a healthier baby than from a scheduled repeat c-section. It is even safer, if she actively learns for herself what are good and bad practices, and has a supportive physician looking for problems but not overreacting and causing problems for no reason other than impatience.

Now, would you REALLY like not to have another c-section? Then I suggest you DO think twice about everything your doctor tells you. Fact check him. Do research (here is a good start, but not the final word) Get a second opinion. You cannot delegate your thinking to anybody, even an expert, because there is always such a thing as "conflict of interest" and you're the one who has the highest stake.




Edited 1/2/2010 9:44 am ET by ca_dreamer
Cthulu Crochet

iVillage Member
Registered: 12-20-2007
Sat, 01-02-2010 - 9:44am

Here's a blog posting you might enjoy: http://mamachildbirtheducator.blogspot.com/2009/12/just-be-happy-you-got-healthy-baby.html

However a baby is born, there are risks. The risks of a uterine rupture happening during a c/s are just a shade below that of a vbac. If you read the studies, the risks of uterine scar rupture is .5-1%, and of those that occur, only 5% of babies are likely to die and much lower with maternal mortality. Actually, the risks to baby and mother with a repeat c/s are pretty great too. http://www.childbirthconnection.org/article.asp?ck=10166#babies Not to mention that a repeat c/s planned before the due date places the baby at greater risk of spending time in NICU.

So either way, babies can die. I've read a lot of birth stories. Bad things happen during a regular vaginal birth, during an unplanned c/s, a planned c/s, an emergency c/s.

But what the body undergoes during labor is so beneficial to the baby and to the mother that even if I did have to undergo another c/s, I would go into labor first and then do the c/s.

Do the research on all sides of the story and then make your decision. That's what I've done. I'm choosing to go through the birth process with a birth care provider who practices evidence-based medicine, not with one who practices malpractice-based medicine.

Loral


Loral


iVillage Member
Registered: 07-21-1998
Sat, 01-02-2010 - 10:06am
We both forgot to add that each additional c-section increases the risk for FUTURE pregnancies, where a successful VBAC decreases the risk. Heartbreaking was reading the story about the lady with placenta accretia who casually mentioned that she'd had 4 c-sections before, and that was probably the reason.
Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 04-18-2009
Sun, 01-03-2010 - 2:38pm

I think we all would agree that we would do anything for our children.

Rose 


iVillage Member
Registered: 11-16-2007
Mon, 01-04-2010 - 3:04pm

I recently had a very successful VBAC. I totally support it. However, I do see what she is saying to some degree. Maybe I am wrong, but it sounds like she isn't saying VBAC is bad, but that she doesn't understand why a mother simply FOR THE SAKE of a VBAC would push things to the point of uterine rupture and other horrible disasters during birth. I personally didn't take her post offensively because that's the way I read it. I can definitely see why everyone who is a good candidate wants to try VBAC because it IS better for everyone (mom and baby) all around. We must be careful to remember that each of us has had different experiences, and that sometimes what happens to us may be unique. I know what it is like to experience that after having a c-section go perfectly (because of breech) with my first born, but then experiencing a stillbirth at 23 weeks with my second born, relating to blood clotting disorders I didn't even know I had. I felt extremely alone and obviously, I have horror stories. Unfortunately, what happened to me is not the norm. Millions of women all over the world give birth to healthy babies c-section or not, and don't ever have a stillbirth. I also faced the reality of knowing that things DO go wrong, and because of that, it was very difficult to believe things would go right. It's very easy to take terrible circumstances and find it difficult to remember that things CAN go well. My firstborn son was very healthy after the c-section. He never had any problems. It is important to remember that not every c-section baby is going to have problems, just like not every VBAC will end in uterine abruption (the risk of that is very low). When we read other's stories it is very important to not freak ourselves out and think that what happened to them will happen to us. I think everyone on this board ultimately wants the best for their baby. Sometimes, when things don't go our way, it's very vulnerable and we feel very angry and upset. Perhaps what this woman was meaning to say was that while VBAC would be wonderful, in the end, she wants to do what's best for her baby and hopes that is what everyone else wants... but feels scared now because of the scary posts she has read? I guess I can't speak for her. I just feel that I can see both sides, and think that it is important to keep the perspective that each one of us makes our own decisions based on our own circumstances at the time. If our circumstances have been difficult in the past, it is very easy to become sensitive and angry because we felt we did what was right at the time, and feel attacked when someone says something that seems to imply that we did something wrong. VBAC's DO go right every day. They are much safer than many doctors would let on. Many doctors seem to encourage planned c-sections because of their own desires and not with the mother's best interests in mind. Sometimes, their purse strings could be what they have on their mind according to my OB. If anyone can try a VBAC, I highly recommend it. But, I hope for those of us who opt out, the rest of us could be supportive because we are all doing what we think is best based on what each of us knows and has experienced in the past. I wish everyone on here the best. Good luck to eveyone no matter what your decision.

heatheranne

Proud mommy to Nehemiah born through VBAC screaming on Feb.20th, 2009.

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iVillage Member
Registered: 09-23-2009
Mon, 01-04-2010 - 5:43pm

Heather, thank you for understanding the point I was trying to make. I don’t feel there is anything at all wrong with a VBAC if you are a good candidate and have a supportive doctor. I know it is how God intended babies to come here, and there are many advantages of a vaginal birth. I just don’t understand the thinking of some of the woman on this board. Ones that have had 3 or more c-sections, and have to go from doctor to doctor to find someone who will let them “risk” having a VBAC. If that many doctors tell you no, maybe there is a reason… (and maybe it is not even money!!!) the women who against all medical advice, try to have a home VBAC, and then wait way too long to go to the hospital. Those are the women I can’t believe need to do this, just for the sake of doing it. As I have followed their posts, they almost all end badly, with major complications, and even sick babies because of it. I am interested in a VBAC, and I will talk to my Dr. about it at my next appointment, but if he does not recommend it, I will not do it. Case closed. I can say this with confidence because I trust my doctor. I know he will do everything he can for my safety, and the safety of my baby.

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iVillage Member
Registered: 03-30-2008
Mon, 01-04-2010 - 6:48pm

I cannot speak for everyone obviously but I know the most of us are not trying to find a doctor who doesnt care or something when we search for different OB's trying to find one who would approve a VBAC.

I live in a very non-VBAC friendly area of the country. There is only 1 OB office here (with 5 OB's in it) and that is the only option - unless you drive an hour or more away. The OB group that we have does not approve VBAC's... it does not matter if you are a good or bad candidate- they do not allow VBAC attempts-period. There are a couple midwives in the area also but by state law- they require to be backed up by an OB who will support them with VBAC and they cannot find one here who will back them up so all our legal midwives cannot perform VBAC's. Unfortunately, this is the town my husband and I have a 5 yr commitment to live in for his work. My DD ended up being breech and ended in a CS. Since, I am actually a good, healthy candidate for a VBAC attempt.. I did not find it fair that I would be forced in miltiple CS's just because I am currently in an area where they are not performed. So- I traveled and searched for a VBAC friendly facility. Now I finally found a great VBAC friendly midwife service who works within a GREAT hospital and are backed up 100% by several OB's who will agree to jump in and assist them on a moment notice if need be. Did I drive from OB to OB getting denied for VBAC's? Yes- I did. But it is not because It would be dangerous to me or to my baby to have one. It's because OB's here are inexperienced in them, uneducated about them and would prefer to do what they know (be a MEDICAL doctor and perform surgery). It isnt that they arent greatly appreciated in the end. Many Moms would not be here, nor their babies- if it werent for the education of our medical doctors... but many of them (at least around here) are only trained to be a medical doctors and do not believe (or trust) the women's body to birth on its own and don't like the un-predicatablities of natural birthing (esp if you are VBAC). I found a place that is VERY educated in VBAC's and after looking at my records and history and seeing how me and my DD did... they decided that I have a great chance of having a successful, healthy VBAC (for me and baby). I dont feel that searching around and getting other opinions and finding OB's (or midwives) that have more expertise in the subject of VBACing is being careless or not having priorities straight. Some women do not have the luxury of living near well rounded, well educated (in ALL areas of birth- not just the medical aspects of birth) OB's and do need to search out for someone who will or can give them a more honest and realistic opinion of whether they are truly able to safely VBAC. I dont believe that anyone who finds an OB who approves to VBAC found an OB who just doesnt care if them or the baby comes out ok. All OB's need to watch out for their own butts and protect their medical licenses and they arent going to approve a VBAC that they dont think is possible or they feel is unsafe to attempt. So, if we find someone who is willing to allow us to try to VBAC and believes in our ability to- of course we will want to go to them so that we have the best possible chance. And finding that person may take many phone calls and take some research when you arent in a place where every other OB is knowledgeable and comfortable with VBACing



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iVillage Member
Registered: 07-21-1998
Mon, 01-04-2010 - 11:18pm

You might have made your point better if you hadn't said we made you sick. That's pretty hostile, no matter how you slice it.

Risks happen. The only way to have a totally safe pregnancy is to get sterilized first. I doubt your doctor is a perfect paragon. (Mom used to say, "If you were perfect, they'd have nailed YOU to a cross"). So it might make sense to trust him, but never, ever blindly.

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 09-23-2009
Mon, 01-04-2010 - 11:46pm

You must be reading my posts with lots of anger, and I’m not sure what… I never said anyone made me sick. I said I was sick to my stomach reading some of the posts on this site. And that is nothing but the truth. Reading about the lady that tried so hard for a VBAC,

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