Should I try for a VBAC - 12 months after ECS

Replies

• WoWbabies

  Jul 8, 2010 7:42PM

  it really varies from woman to woman and how u personally have healed and hwo well ur scar copes thruout the pregnancy, if u would like a vbac then make it known now and u should see a c section consultant and a vbac specialist at some point ur consultant will keep an eye on how ur scar is baring up and if he doesn't think its up t the job he will say so, if however he thinks it'll be prefectly fine and is still looking strong he'll recommend u stick with ur vbac plans, the midwives etc keep a close eye on all vbac ladies throughout labour so that the first signs of scar rupture are spotted in time and appropriate course of action can be taken. i would say stick to whatever u want, if thats a vbac then stick to it and seek the consultants advice which will be based on ur scar and health rather than anyone elses and if the deem it unsafe for u or baby they'll recommend u go for an elective...personally i'll have a 20month gap when this lo arrives in december and i'm going for the vbac, but our gap is bigger than urs, but like i say, find out how ur scar is doing and then make a further decision from there xx

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• TheHogMama

  Jul 9, 2010 7:57AM

  I would arm yourself with all the facts - the chances of a uterine tear whether you have a VBAC or second section are both under 1%
  
  I will be trying for a VBAC in September after an emergency c sec last may
  
  from the NICE guidelines:
  
  Pregnant women who have a previous CS and who want to have a vaginal birth should be supported in this decision. They should be informed that:
  ??????? uterine rupture is a very rare complication, but is increased in women having a planned vaginal birth (35 per 10,000 women compared with 12 per 10,000 women having planned repeat CS)
  ??????? the risk of an intrapartum infant death is small for women who have planned vaginal birth (about 10 per 10,000); however, this is higher than for planned repeat CS (about 1 per 10,000)
  ??????? the effect of planned vaginal birth or planned repeat CS on cerebral palsy is uncertain.
  
  Women who have had a previous CS should be offered:
  ??????? electronic fetal monitoring during labour
  ??????? care during labour in a unit where there is immediate access to CS and on-site blood transfusion services.
  
  Women who have had a previous CS can be offered induction of labour, but both women and healthcare professionals should be aware that the likelihood of uterine rupture in these circumstances is increased to:
  ??????? 80 per 10,000 when labour is induced with non-prostaglandin agents
  ??????? 240 per 10,000 when labour is induced using prostaglandins.
  
  During induction of labour, women who have had a previous CS should be monitored closely, with access to electronic fetal monitoring and with immediate access to CS, because they are at increased risk of uterine rupture.
  
  
  Hope that helps x

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• twins1

  Jul 12, 2010 11:36AM

  Hi!
  
  I had a VBAC 13 months after an emergency section for twins and came out of it fine. You will not have as much freedom through labour as they will be monitoring you and your baby but there is no reason you shouldn't give it a try if that's what you want.

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• Islas mummy

  Mar 10, 2013 11:19AM

  Hi Mini Moo, i realize this post is from two years ago so would like to know what you ended up choosing and how it went as I am in the same boat now. Thanks.

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