It might be worth it to shop around in your area and talk to other health care providers and get their opinion. Home birth and hospital birth come with their own risks and benefits.

I posted your question on Facebook to get you more feedback.

Best,

Jen

Great question! I am not a medical professional, so I posted your question to my Facebook page to get more feedback.

Come join our conversation!

Best,

Jen

I’m sorry it has taken me so long to reply to your comment. It is frankly really hard to keep on top of all the comments I receive!

The studies on uterine rupture by birth interval are small and don’t control for important factors like induction and augmentation which we know increases the rate of rupture. So in studies like this that have reported high rates of rupture, we don’t know if that rate is due to short birth intervals or induction/augmentation or simply due to the wonky numbers that small population samples occasionally yield. Read more here.

As a result of this inconclusive evidence, some OBs require 18 -24 months from cesarean to subsequent delivery whereas others don’t. So, if you have a small birth interval, it might be worth your while to interview other care providers in your area.

As your OB said, uterine rupture impacts baby by interrupting the blood flow to and through the placenta, and thus oxygen supply. The evidence strength on rupture-related perinatal mortality (infant death within 28 days of birth) is low and you can read more about this here. The evidence on the rate of rupture-related oxygen deprivation and brain damage is even more inconclusive as reported by the 2010 National Institutes of Health VBAC Conference. You can review all the documents and presentations related to that conference here.

I do cover this topic and so much more in the 6 hour class I teach which is offer via an on-line webinar and in a city near you.

Hope this helps!

Best,

Jen

You can plan a VBAC, but finding a care provider is the tricky part. I posted your question here so you can get more feedback.

Best,

Jen

I don’t maintain a list of providers, but I list many resources here that may be able to help you.

I also shared your question here so you can get more referrals.

Best,

Jen

I shared your question here hoping to get you some good answers.

Best,

Jen

Women who have their cesareans for breech have some of the highest VBAC success rates, over 83%. So, the odds are overwhelmingly in your favor if you choose to plan a VBAC. Unless you have a uterine anomaly that increases the odds that you will have another breech baby, the fact that your prior baby was breech is not a “bad mark” in your medical history.

What area of the country are you in? I list some resources here on how to find a provider, but you can also come find me on Facebook here, here, or here and post that you are looking for a VBAC supportive provider in your area.

The thing with breech is that most providers don’t attend them because they don’t have the skills. I am not a medical professional, but it is my understanding that most vaginal breech deliveries don’t have any problems. The issue is, if you do have a complication, it’s good for your health care provider to know how to address it. Since most OBs/MWs in the US don’t have the skills, most breech presentations result in a cesarean.

If you are willing to travel to deliver your baby, that opens up your options immensely.

Best,

Jen

The risks of cesareans increase at a statistically significant rate as the number of prior cesareans increase.

There are women who have VBACs after three cesareans (VBA3C), but it can be hard to find a care provider depending where in the world you are.

The evidence on the risks of VBA3C is limited, but you can review what we know here.

I’ve also posted your comment on Facebook so you can get more feedback.

Best,

Jen

Check out this article. There are women who plan VBA4C, some at home, some at the hospital. Each has it’s own risks and benefits.

I have posted your comment on Facebook so you can get more feedback.

Best,

Jen

A good place to start on info is here.

I’ve also posted your question on Facebook to get additional feedback.

Best,

Jen

I live in Columbia,mo and i was wondering if you know of any Vbac friendly providers in that area?

I had my daughter eight months ago via c-section because she was breech. I tried the ECV, which was painful and unsuccessful. I tried to talk the practice into letting me deliver her vaginally even though she was breech. She was butt first, not foot first, and in my research back then I had read that it was not impossible because the butt would dilate the cervix in much the same way that the head would. In any case, no one went for that, so I had the surgery. It wasn’t as terrible as I imagined it would be. I healed up fine and had no issues with infection, which was my greatest fear. I am very passionate about having a vaginal delivery for any future children though. In some reading I was doing today I discovered that my hospital has a de facto ban on VBAC, so my first task is to find a new OB who works at a hospital that does permit them. I feel like I may encounter additional push back because I now have a history of having a breech baby. Do you have any information about what I might encounter if my next baby is also breech?