VBA2C

I know I'm kind of getting ahead of myself (seeing as how I'm not actually pregnant), but I've had 2 CS and would really like to try a VBA2C.
My first was an emergency section, my second was planned (though I went into labour before my CS date). My children are 6 and 3.5 years old.

Anyone have any information about VBA2C? Most of the info I can find is about VBACs (though I have found some info about VBa2C). Has anyone experienced one?

Jumping the gun, I contacted the midwives practice in my area and they have advised me that "in this community" anyone wanting a VBA2C would have to see an OB. They recommended 2 that might possibly work with me. I was a little put of by their stance. Apparently the midwife regulations state that if a patient wants to do a VBA2C, there has to be consultation with an OB, but they are not willing to do that. They will not assist. I found that more than a little discouraging, to say the least.

Anyway....I guess I just want to know if anyone has tried to have a VBA2C and if they were successful.

Thanks in advance,
Angie

Yep, me!!!! I had my VBA2C in December & had to stand my ground with my consultant. Once he realised that I'd done my homework, he supported me & even delivered ds3 with forceps as he was back-to-back. He did his utmost to ensure that I didn't have another c-section! It still gives me a thrill of pride now to think of what me & ds3 achieved together! The VBAC handbook is really good - I think that's what it's called - I got it from Amazon. I also used a hypnotherapy cd for VBAC's, the labour cd was not for me at all. I needed to listen to my internal voice, not someone irritatingly wittering on through a cd! The UK-based VBAC Yahoo support group is ace too. You soon realise that a VBA2C isn't that strange, when there's ladies planning VBA3/4C!! That's all I can think of atm, but pm me if you want. I don't mind & would love to help you achieve something rather cool! ;)

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Ive had a vbac2 with also having a previous vag del in 2008, then section in 2010. & 2011 then last august a bag del again and went really well wasnt even 5 hrs from my waters breaking with nothing before to him being born if you have support from drs and midwives and you feel right to you the drs in labour will keep up with things and they know when things arent right do what you feel right xx


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Btw if you're in the UK you DO NOT need to accept a referral to a consultant at all. I don't think I'd bother next time around - I want a HBAC next! You do not need to ask permission for anything, they have to get your permission even though many make it feel like you need to ask. I was a stubborn pain in the arse & told one midwife while I was in labour that the machine she was using to monitor ds3 was overdue a service. She was trying to say that it didn't look good for us as she couldn't get a good trace of ds3 - it was purely down to his position. Anyway I saw the service due sticker, pointed it out to her & she stormed off never to be seen again! Stupid woman :wink: All I can say is be a well-informed, stubborn pain in the arse & you're in with a bloody good chance!

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Sorry I'm on my phone & just went into your profile. I see you're in Ontario - lucky you! Beautiful part of the world ;)

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I am not sure I am following?? Are the midwives not willing to do the VBA2C even if an OB is consulted? Is there a reason why you don't want to see an OB? Maybe I am misunderstanding??

I'm hoping to do a VBA2C with my next. I want a midwife and possibly home birth. I just read Ina Mays Guide to Childbirth and it was AMAZING

I'm not against having an OB, I just figured if anyone would be open to the idea of a VBA2C, it would be a midwife, but they won't come near me, apparently.

My last OB was very happy that I was willing to do a RCS and the OB who delivered my first told me he'd let me try a VBAC, but not try as hard as the first time. For the most part, OB's (and midwives) in my area are not willing to "take the risk".

The nurses at the hospital asked me when I was in labour with DS2 if I wanted to have a go vaginally, but STUPID me said no. I was told when I was 35 weeks he was already 10 pounds and that freaked me out thinking I had a 12 pound baby in there (10 pounds at 35 weeks plus 1/2 a pound per week....). He was only 9.7 when he was born. I regret the decision I made, but what's done is done.

I really hope that if I'm lucky enough to get pregnant I am brave enough to fight for a VBA2C. I figure, if I show up at the hospital in late labour they can't turn me away, right???

Anyway, thanks for the responses. It's nice to see it CAN happen. I'll have to get the Guide to Childbirth book! Thanks for the suggestion.

And, yes, Ontario Canada is a lovely place to live :)
Angie

I am not sure how things work in Canada. I haven't seen anyone except for an OB so I really don't know how exactly how the two differ. I am thinking midwives wouldn't be properly equipped to handle the type of emergency situations that a VBA2C could bring. Not sure how it is in Canada but here in the US doctors don't want to have that kind of liability. I think you are very brave to consider it and hope it is everything you are hoping it will be!!

I had a VBAC with DD3. (DD1 was vaginal; DD2 was breech) While 2 c-sections is more wear and tear on the body than 1, I would think it was pretty much the same risks...less reason for the midwives to freak out.

I had DD3 overseas in a US military hospital. They were hysterical that I wanted to do a VBAC and I had many friends think I was nuts for even trying. Come on people...I had DD1 naturally, I knew I could do it!

My point being that you have to decide what works for you and stand your ground. Its your body carrying your baby (soon!) and no one knows what is best for you better than you!

The risks as far as what can happen are about the same... the chances of them happening go up. With each C-section more scar tissue develops which is a real risk if you need an emergency C-section. If I were going to attempt a VBA2C I would only do it with an OB that had experience with uterine rupture and in a hospital that was fully equipped to handle a uterine rupture and a NICU that is equipped to handle a baby delivered in such conditions. I too think that everyone needs to do what is best for them and their baby. I can't imagine midwives being able to handle this type of situation with swiftness and confidence. The risks are real and that is why VBAC is not something that every OB wants to or should take on. Choose an OB who is confident in what you are doing and what they can do.

In my community, midwives have hospital privileges (I wouldn't be comfortable with a home birth). It's set up that way so an ob can step in if need be. There's always at least one ob on call (or there) so I know that either way the risks could be managed. And from what I've found so far, the risk of rupture is about 2%, higher if the scar tissue is "fresh ".
I will definately continue to research and connect with an ob that is at least open to the possibility, if I can find one :) I'm hoping my ob from my first pregnancy (who delivered my second child, but not my first) will be willing. His office is in the same building as my work. Would be very convenient!
Angie

There should be a local ICAN (International Cesarean Awareness Network) chapter near you. Or check out their web-page
www.ican-online.org. There's a FB page too, but I can't remember the exact name. Searching for ICAN should bring it up.

Thanks :) The closest one to me is about an hour and a half away. If I do manage a pregnancy, I may contact them just to see what my options are.

Angie

I had a VBAC2 in the UK!

I saw and got rid off of 3 male consultants before finding a female consultant who would support me. The male consultants all told me I was going to die and kill my baby but I had done my research and knew my facts!

I had guidelines though so as I had to go into hospital when anything started happening. I never had a problem with this and it worked out fine as they made sure I had mobile monitors available so that I could move around etc.

They also assigned me to a specialist MALE midwife at the hospital (he looked liked Hagrid from Harry Potter!) who was experienced with difficult deliveries in 3rd world countries where they didnt have equipment and he seemed to know lots of 'tricks'.

The birth was fine and I am glad I did it. I would do it again even though I tore badly and had to have 2 blood tranfusions.