if first one is c_section, can't i give birth?

[rizoo]

 I'm 37 weeks 5 days now. my first son is 2 years 6 months today. Dr told me that she will do my c-section on 38 week and she can't keep me just because i did c- section before and three years still not completed. i just want give normal birth but the Dr said it is not safe for me and baby too. is that true

[Humbler9]

Rizoo,

From what knowledge I have on this subject, it is always safer to follow up one c-section with another c-section.  Of course there are always circumstances that work for or against that idea.  When the previous birth was a c-section, the muscles that were cut are weaker at that spot.  The skin is also weaker where the incision was.  It is my understanding that the risk of tearing the weakened tissues is much greater because of all the force exerted when the mother is trying to push the baby out.  This would put the mother at serious risk of health issues.  Also, some pregnant women cannot have a natural birth because of anatomical situations.  I'm sure your doctor would have talked that over with you when you had your first baby.  You can always have a second opinion though.  I hope this advice is helpful.

[verita]

I'd ask another doctor if you care about natural birth. In my country 2 years of pause between births is enough to try natural forces. Still, there is SOME risk because of what is written above.

[Tanikit]

That depends on what the reason for the last C-section was. In many countries they will allow you to have a VBAC (vaginal birth after C-section) if the problem that was present at the first birth is unlikely to repeat itself. These births are more closely monitored and you cannot have an induction - you have to go into labour by yourself without medication. I have a feeling though I am not entirely sure that you may also not be allowed an epidural in case your uterus ruptures - I'd ask about this depending where you have the baby.

When is your C-section scheduled? This should have been discussed with you earlier in your pregnancy so that you had the option of finding another gynae who would agree to try for a VBAC. Personally I think you should go with the C-section but NOT because you definitely need it - only because you are so far and to switch and find someone to help you with one is very stressful so late in the pregnancy. It does not sound like your gynae would be keen to let you try one and since I do not know why you had one in the first place it is almost impossible to recommend anything else.

[Korrale4kq]

Depending where you are your hospital might not allow natural births after a c-section. I know mine does not because of the risk of complications and the liability. Your OB might not have ever done a VBAC before and isn't comfortable with the procedure.
If you have a vertical incision you can't have a VBAC. It has to have been a horizontal incision. And there could be many other reasons why a VBAC is not an option.
Your Dr is the best person to discuss this with. They know your situation best.

[Ilala]

All good information.

The first place to start is -debrief about what really happened last time.
Your next birth can be wonderful which ever way you do it.
I have sent a personal message.

[rizoo]

 i don't know the actual reason for the C section because dilate 9.5 cm. and baby was ok. only thing they told me  baby did not move down. but i can't trust them because they said  my parents baby defecate so they can't wait. it's emergency     c section.   

they schedule my C section at (1st of june) i did my last scan yesterday it shows everything normal bay is 37 -38 weeks. weight is 3181g and hart rate is 142 bpm.

all the test i did this week shows  normal. only problem it shows was little bit of hemoglobin low 10.5.

[Ilala]

Did you get my personal message?

[Skylark]

Section should be only the last resort. Unfortunately it is used as a routine procedure. It is definitely not a norm to expect an automatic C section, just because you already have one. If I would be you, I would change the provider, find VBAC supportive midwife and let baby chose his birthday 

[Ilala]

http://www.ncbi.nlm.nih.gov/pubmed/15495090

VBAC- Vaginal Birth After Caesarian / CS - Repeat Caesarian Section

Some women have a great sense of loss after a CS.

Misunderstandings and mis-communication
at the time of the CS can lead to lack of trust and a sense of betrayal,-powerlessness.

The way the woman experienced the birth is not the same as the way the hospital experienced the birth. The partner's experience will be different again.

It is wise to talk to a trusted health professional about the smallest details to get the birth in perspective.
And early in the next pregnancy of course.

The above link shows that we still do not know which option is best.
Both options carry risks.
Planned repeat CS or planned VBAC
It is very interesting to me that the research still needs to be done.

This uncertainty means that VBAC is strongly supported in the UK Australia and NZ where I have worked.
I cannot speak for USA.

(Sadly CS is not even available to many women and babies in the world today ...but that is another thread.)

How can the research compare apples with apples?
Not apples with oranges.

Many CS are done now for social reasons.
If these women choose vaginal birth next time the research has to show
this outcome separately to CS for other reasons.

The research has to take into account CS for breech.
So many women have given birth easily already but they had a CS for breech in a later pregnancy.
These women of course will be very successful with Vaginal Birth After Caesarian.

I have spent my working lifetime advocating for women around childbirth.

A woman may have given birth beautifully several times in the past and the next baby is in a position that will make the labour difficult.
We do not know why.
A woman may have a CS for a difficult labour which is attributed to the size of her baby. The next baby births normally and is the same size or bigger.
 
It is an emotional minefield.
The way we feel about our births impacts on us deeply.
Women need the support of trusted heath professionals.

Hospitals need to change.

Importantly the care of a woman in labour with a history of previous CS does require very careful monitoring with the access to emergency CS if required or even if deemed required.

[c4andy20]

My first baby was a c-section because they waited until I was 43 weeks pregnant to induce and she was 10 lbs 8oz! It was very traumatic for me and so I chose a V-bac (vaginal delivery after c-section) for my second baby. My Dr. said it was possible for me to have a v-bac because the incision on my uterus was horizontal instead of vertical. However, he strongly recommended that I have a c-section because there was a risk of uterine rupture. He kept insisting that I have a c-section. He said it was so much better for everyone involved. I told him it was not better for me because it was major abdominal surgery. He said the risk was too great and I shouldn't take it. When I asked him what the actual percentage of a uterine rupture was after c-section he said 1-2%.

I couldn't believe it. I told him there was no way I was going to choose to have a major surgery over a natural delivery if the risk was that low. He told me that was a high risk and said it wasn't worth it. Then I told him, "So you mean to tell me that if there was a 98%-99% chance you would win the lottery you wouldn't play?" He finally agreed to it but he wasn't very happy about it. He was still convinced a c-section would be better.

They checked my baby's weight before I got induced to make sure she wasn't too big. She was only 8lbs 8 oz. so they went ahead and induced me at 39 weeks. In the end I had  a great delivery and a healthy baby so I was very happy. My third child was also v-bac she 9 lbs 9oz and was out in 20 min. That was my fastest delivery.

It was so much easier healing from a natural delivery than c-section. I felt almost as good as new within a few days versus 8 weeks of agony after the c-section. A lot of the women that I have talked to who have had a c-section are afraid to deliver naturally. Not just because of the pain they think they will feel but because the Drs. make it seem like it's impossible or far too risky when in reality most cases are not much more risky than have a natural delivery. Although a v-bac is not for everyone, I hope that in the future Drs will start to see a c-section as a last resort not as the first or only choice because of a previous c-section.

[mybabyian]

A friend of mine is having a vbac and she said a vbac is now considered safer in most circumstances and is standard procedure with her insurance company (kaiser).  We are in US.  If you are going to have a vbac it sounds like you need a new doctor.  Good luck!

[andreasro]

I had VBAC after 3 years and a half. And the minimun time between births is 2 years...

It depends on:
- how C-section was made, where is the cut, hopefully horizontal, and should be not too low, otherwise it is really risky if baby's head stucks there...
- your and your baby's health - if everything is fine and none of you has issues, it's doable!
- and your determination - if YOU BELIEVE,  you CAN make it. If not and you may feel scared, your body will not relax and the natural birth will not work and problems may arise.

I chose a private clinic in my country because it was most open and really helped me and even asked me many times, almost like begging one time, to give birth naturally. But I've been determined to have a VBAC shortly after my first one was born. So I believed and did everything possible to make it happen. And life changed to help me.
We went on with natural labour, not induced, no pain medication, nothing. I moved as I pleased, nobody bothered me, it was night and I was left in semi-darkness, and they would just come one at a time, checking how I am, giving me what I needed. A blessing!

Change the doctor! It's your right!
And try finding a great doula/midwife. I was lucky to have two of them: one for the first 6 hours of labour, then the second one who was of TREMENDOUS help in the most difficult times. She must have experience and be very supportive.

Added: The doctor I chose has had an increasing experience with VBAC's.
Andrea

[Skylark]

I am not able to write a long reply now, but even if you do not have time to read anything else here is the website that would give you very solid independent facts on VBac (Vaginal Birth After Cesarian), HIGHLY RECOMMEND IT!

http://vbacfacts.com/quick-facts/

Keep us posted and good lack on the arrival of your LO!

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