Thursday, July 26, 2012

Getting Ready for a VBA2C


Guess who is pregnant? Me!!!  I am a newlywed, but since I already have two children, a veteran when it comes to babies. Been there, done that, right? Actually no. My doctor just told me that, for my body, it is as if I am giving birth for the first time. I smiled at my husband, "See honey, it's my first time, too!" Why? Well, come November I am attempting a VBA2C.

A VBAC is a vaginal birth after cesarean. A VBA2C is a vaginal birth after two. How could I honestly tell you I am trying to live my life as naturally as possible if I didn't at least try. 

With my first daughter I labored for four hours and then had an emergency c-section. I had no choice. I was induced with Pitocin due to unexplained bleeding and during labor I began hemorrhaging. There was no explanation, but thankfully everything turned out fine. With my second daughter, due to youth, fear, ignorance, and doctor sway, I scheduled a repeat cesarean. But no big deal I had only planned on two children. Lesson here is that you never never know! I divorced three years later and, after thinking I would completely swear off men, the universe delivered me my perfect match.

Now I am ready to give birth for "the first time". 90% of women who have undergone cesarean deliveries are candidates for VBAC. I plan to try because there is no reason to believe what happened the first time will happen again. Someone that had placenta previa previously or is carrying multiples may not be the best candidate. 60%-80% or roughly 3-4 out of 5 that try will be successful. 

It was actually hard for me to find a doctor who would allow me to attempt a VBA2B, though. Many doctors will only support a vaginal birth after one c-section and the ones that are willing to help after two want you to have had a previous vaginal delivery. It has long been believed that unless you have had a vaginal birth at some point you don't have the best chance. Thankfully there has been a change in this belief recently. 

The biggest risk in any vaginal birth after cesarean is that the previous scar will come open during labor. Although the risk of uterine rupture is less than 1%, and only slightly higher after two c-sections, many doctors and patients are still not willing to take the risk. I can see both sides. I had a friend choose to have a third cesarean. It is all personal choice. Since we may plan to have another baby after this, I have to consider that the more surgeries I have, the greater risk of surgical complications. Besides that, I want the experience.

Let you know how it goes in November! Signed up today for a Hypobirthing class and plan to go au natural all the way with this one. No c-section and no epidural. And by the way, I am so excited...it's a girl!

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