Comments on: Uterine rupture is SO not worth it for a VBAC http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/ Vaginal birth after cesarean? Don't freak, know the facts. Tue, 07 Feb 2012 04:51:05 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Shannon http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-14681 Shannon Tue, 07 Dec 2010 04:22:52 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-14681 I know this is an old post and I am not likely to get a reply; however, I am in this same situation and near the Houston area. I am at 26 weeks and started with a midwife, but the midwife is now reconsidering my case (and favoring not doing it at all). I am so far along now that doctors do not want to take my case even if I consent to a fifth c-section. I am just wondering what your outcome was and if you have any information for me. At this point I have been advised to seek prenatal care at a local clinic and schedule a c-section with UTMB in Galveston.... 2 hours from where I live. I am not doing that... maybe the prenatal care part locally, but we are thinking that we will just wait until labor begins and see what happens and then, possibly head to the nearby hospital. They can not turn us away, but can make it difficult for me and pressure us into c-section at a time when my resistance might be low. I know this is an old post and I am not likely to get a reply; however, I am in this same situation and near the Houston area. I am at 26 weeks and started with a midwife, but the midwife is now reconsidering my case (and favoring not doing it at all). I am so far along now that doctors do not want to take my case even if I consent to a fifth c-section. I am just wondering what your outcome was and if you have any information for me. At this point I have been advised to seek prenatal care at a local clinic and schedule a c-section with UTMB in Galveston…. 2 hours from where I live. I am not doing that… maybe the prenatal care part locally, but we are thinking that we will just wait until labor begins and see what happens and then, possibly head to the nearby hospital. They can not turn us away, but can make it difficult for me and pressure us into c-section at a time when my resistance might be low.

]]> By: Jill http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-7131 Jill Sat, 01 May 2010 01:03:46 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-7131 Personally I had a smooth 2nd pregnancy, until I went into labor 4 days before my scheduled c-section (first baby was emergency c) and my uterus did begin to rupture. I do have to say that I got pregnant after only 8 months healing from the first c-section and that that probably contributed to the complication. Both mommy and baby are safe :) Personally I had a smooth 2nd pregnancy, until I went into labor 4 days before my scheduled c-section (first baby was emergency c) and my uterus did begin to rupture. I do have to say that I got pregnant after only 8 months healing from the first c-section and that that probably contributed to the complication. Both mommy and baby are safe :)

]]> By: Carrie http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-6481 Carrie Tue, 26 Jan 2010 18:38:41 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-6481 #2 is very important for people to understand. Uterine rupture can happen BEFORE you even go into labor, and many doctors will not even tell you this. I can't stress enough the importance of having done your homework before going into a VBAC. #2 is very important for people to understand. Uterine rupture can happen BEFORE you even go into labor, and many doctors will not even tell you this. I can’t stress enough the importance of having done your homework before going into a VBAC.

]]> By: Cassandra Fisher http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-1328 Cassandra Fisher Tue, 07 Apr 2009 14:17:41 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-1328 your uterus will rupture in a hospital birth becuase pitocin, cytotec, cervidal is known to rupture uterus, and since women were never meant to birth in a hospital why risk the chance of rupturing their uterus when you can simply give them a c-section. So VBAC are way safer at home. your uterus will rupture in a hospital birth becuase pitocin, cytotec, cervidal is known to rupture uterus, and since women were never meant to birth in a hospital why risk the chance of rupturing their uterus when you can simply give them a c-section. So VBAC are way safer at home.

]]> By: Ineasha http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-1326 Ineasha Mon, 06 Apr 2009 18:19:08 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-1326 Hi guys i was wondering if anyone know r knew of a doctor/midwife willing to consider a VBA2c. If anyone could help please do. ineasha2005@yahoo.com Hi guys i was wondering if anyone know r knew of a doctor/midwife willing to consider a VBA2c. If anyone could help please do. ineasha2005@yahoo.com

]]> By: Kelli http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-755 Kelli Sat, 17 Jan 2009 03:34:10 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-755 Sarah, I am very interested to hear how your story turned out. Please let us know! Kelli kellihewitt13@yahoo.com Sarah, I am very interested to hear how your story turned out. Please let us know!

Kelli
kellihewitt13@yahoo.com

]]> By: sarah http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-641 sarah Thu, 30 Oct 2008 18:26:44 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-641 I am 22 weeks pregnant and haven't been able to find a care provider willing to take me for a VBA4C. My OBGYN even told me that the risk of rupture after the first section is 10% and that 25% of those end up with neurological or learning disorders (I thought that was true of the general populace.) She said there are NO studies on VBAMC. I feel lied to and cheated out of a normal birth (I now believe that my for c-sections were unnecessary) and desire to have the chance that so many other have, to deliver a baby naturally and without all the risks of a cesarean. It does seem to be true, the risks for VBAMC does not significantly increase, yet here in Houston the hospitals and midwives are not willing to 'risk' it. So I am considering an unattended birth, not out of a desire to have my first vaginal delivery alone, but because I feel I have no other options. I have an apt with yet another midwife this weekend and a doctor in a week but I really don't have high hopes for either one as I have done this about 20 times already, all with providers that are KNOWN for doing VBACs. Any suggestions on alternatives to an unattended birth or how to otherwise get the opportunity to have the kind of birth I want? <em>Sarah, I have to say upfront, I am not a doctor or a midwife, so I can not give you medical advice. What I can do is point you to information. To my knowledge there are not any large studies looking at VBA4C. It is the realm of the unknown. There are a bunch of very small studies where some of the participants were a VBA3C or VBA4C, please <a href="http://www.plus-size-pregnancy.org/CSANDVBAC/vbac_after_2_cs.htm#VBAC%20After%203%20or%20More%20Cesareans" rel="nofollow">click </a>here for an excellent summary. I personally would not have an unattended birth. I had a post-partum hemorrhage (PPH) at my HBAC and don't know what would have happened if my midwife did not have the ability to quickly diagnose the PPH, access to Methargine and Pitocin (drugs used to make the uterus contract and stop bleeding), and the ability to quickly administer it. Sometimes crap just happens. Have you read <a href="http://vbacfacts.com/2008/03/08/finding-a-vbac-supportive-ob-or-midwife/" rel="nofollow">Finding a VBAC Supportive OB or Midwife</a>? An OB might be willing to give you a chance if you agree to external continuous fetal monitoring and to go to the hospital shortly after labor begins. But, you need to find an OB who is <a href="http://vbacfacts.com/2008/04/13/the-three-types-of-care-providers-amongst-obs-and-midwives/" rel="nofollow">truly supportive</a> of VBA<strong>2</strong>C and negotiate. Realize that s/he is really, really going out on a limb for you. Build a rapport and trust with this OB. They are putting their professional career at risk if anything goes wrong. It's also important for you to know that if you do need an emergency cesarean after a trial of labor, the (many?) <a href="http://vbacfacts.com/2008/06/06/cesarean-risks-adhesions/" rel="nofollow">adhensions</a> in your abdominal cavity could make the surgery longer and more complicated which could put your baby at risk. I wish I had more encouraging news for you. I'm sorry. Best, Jen</em> I am 22 weeks pregnant and haven’t been able to find a care provider willing to take me for a VBA4C. My OBGYN even told me that the risk of rupture after the first section is 10% and that 25% of those end up with neurological or learning disorders (I thought that was true of the general populace.) She said there are NO studies on VBAMC. I feel lied to and cheated out of a normal birth (I now believe that my for c-sections were unnecessary) and desire to have the chance that so many other have, to deliver a baby naturally and without all the risks of a cesarean. It does seem to be true, the risks for VBAMC does not significantly increase, yet here in Houston the hospitals and midwives are not willing to ‘risk’ it. So I am considering an unattended birth, not out of a desire to have my first vaginal delivery alone, but because I feel I have no other options. I have an apt with yet another midwife this weekend and a doctor in a week but I really don’t have high hopes for either one as I have done this about 20 times already, all with providers that are KNOWN for doing VBACs. Any suggestions on alternatives to an unattended birth or how to otherwise get the opportunity to have the kind of birth I want?

Sarah, I have to say upfront, I am not a doctor or a midwife, so I can not give you medical advice. What I can do is point you to information. To my knowledge there are not any large studies looking at VBA4C. It is the realm of the unknown. There are a bunch of very small studies where some of the participants were a VBA3C or VBA4C, please click here for an excellent summary. I personally would not have an unattended birth. I had a post-partum hemorrhage (PPH) at my HBAC and don’t know what would have happened if my midwife did not have the ability to quickly diagnose the PPH, access to Methargine and Pitocin (drugs used to make the uterus contract and stop bleeding), and the ability to quickly administer it. Sometimes crap just happens. Have you read Finding a VBAC Supportive OB or Midwife? An OB might be willing to give you a chance if you agree to external continuous fetal monitoring and to go to the hospital shortly after labor begins. But, you need to find an OB who is truly supportive of VBA2C and negotiate. Realize that s/he is really, really going out on a limb for you. Build a rapport and trust with this OB. They are putting their professional career at risk if anything goes wrong. It’s also important for you to know that if you do need an emergency cesarean after a trial of labor, the (many?) adhensions in your abdominal cavity could make the surgery longer and more complicated which could put your baby at risk. I wish I had more encouraging news for you. I’m sorry. Best, Jen

]]> By: Tonya http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-499 Tonya Sat, 06 Sep 2008 08:45:47 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-499 My HBAC went fine! Remember how the Navy Hospital fought me every step of the way? Well, it isn't over yet! This week at my son's 2 week appt the pediatrician lectured me for 10 minutes about how irreponsible and dangerous my course of action was. He even said the REAL risk of uterine rupture was 10% or even 20% and that ACOG was trying to change the stats to reflect this. (Really? Once again when I asked which studies showed this I got now answer.) I just think it is funny that even though I had a great birth with NO problems they are still after me! (I wouldn't trade it for the world, though!) <em>Tonya, Congratulations! Isn't it amazing!? I'm so sorry your pediatrician is giving you a hard time. Lies, lies, and lies. What a shame. Best, Jen</em> My HBAC went fine! Remember how the Navy Hospital fought me every step of the way? Well, it isn’t over yet! This week at my son’s 2 week appt the pediatrician lectured me for 10 minutes about how irreponsible and dangerous my course of action was. He even said the REAL risk of uterine rupture was 10% or even 20% and that ACOG was trying to change the stats to reflect this. (Really? Once again when I asked which studies showed this I got now answer.) I just think it is funny that even though I had a great birth with NO problems they are still after me! (I wouldn’t trade it for the world, though!)

Tonya, Congratulations! Isn’t it amazing!? I’m so sorry your pediatrician is giving you a hard time. Lies, lies, and lies. What a shame. Best, Jen

]]> By: Heidi http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/comment-page-1/#comment-472 Heidi Thu, 28 Aug 2008 13:42:07 +0000 http://vbacfacts.com/2008/08/27/uterine-rupture-is-so-not-worth-it-for-a-vbac/#comment-472 Great website! Thanks for fighting the good fight for moms and their uterine integrity! It really is amazing to me doctors act as though a 'controlled uterine rupture' (aka a c-section) doesn't have serious risks itself! Great website! Thanks for fighting the good fight for moms and their uterine integrity! It really is amazing to me doctors act as though a ‘controlled uterine rupture’ (aka a c-section) doesn’t have serious risks itself!

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