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Uterine ruptures?

Last post 01-03-2006 6:46 AM by Isabel806. 9 replies.
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  • 12-26-2005 2:54 PM

    Uterine ruptures?

    Hey ladies, my name is Kendra and I'm due April 25. I was going to have a planned c-section with my first child because he was breech. Then he flipped the right way, but I was still induced by my doctor and ended up have a c-section after all. My question to you ladies is... has any one here had complications trying to have VBAC? I have talked to my doctor about VBAC and he has warned me about uterine ruptures. I don't want to post this on the VBAC board because those women seem to only advocate VBAC (Not trying to cause trouble, but that's what I have been reading lately) What are your opinions with electing to have a c-section to avoid complications?
  • 12-26-2005 4:45 PM In reply to

    Re: Uterine ruptures?

    hi kendra - i am going to attempt a vbac too in july - i've had one vaginal and 2 sections - the first one for fetal distress at 28wks - our son passed during the surgery and the second was because we conceived so quickly after his passing (10wks).  my doctors are very supportive of the vbac - they just want me to have it in a hospital that has it's o.r. staffed 24/7.  my chance of a rupture is between 1-1.5% - but they said probably less then that given that i've already had a vaginal delivery. they told me that any woman going into labor - with no previous c-sections has a .5% chance of a ruputure - so the odds really don't go up all that much. my chance of a successful vbac is about 85-90%.  if you are planning on more children i would give serious thought to a vbac.  each c-section creates bigger problems for you and another baby you might carry.  while c-sections are very routine they are still major surgery and come w/ all the complications that any abdominal surgery comes w/.   i would really, really research it and get several opinions before making a decision.  i really gained a lot of info from labor and delivery nurses, midwives and the doula we've hired.  in the end i will go w/ what is best for this baby and if i need another section so be it - but i would really prefer another vaginal.  best wishes to you.

    kristen
  • 12-27-2005 11:28 AM In reply to

    Re: Uterine ruptures?

    My twins were born by c-section at 37 weeks and I am due in March.  I am having a planned c-section again.  I have done my research and I feel that it is best for me and my baby.  I am scheduled for Feb and will be 38 weeks.  I talked with my dr about this and he did not pressure me into a decision, this is what I wanted.  You do need to check because some hospitals will not allow VBACs.

    Kimberly
  • 12-27-2005 12:12 PM In reply to

    Re: Uterine ruptures?

    Everyone's experience is different...sounds cliche, but it's true.  I know women who have had successful VBAC's.  Unfortunately, I was not one of them.  I attempted a VBAC with my second baby and the entire 23 hours of labour (including 5 full hours of pushing) was a nightmare.  Thank God, my son was fine, born finally by cesarian (the stupid doctor I had would NOT give up on the idea of me going VBAC, even though I knew I desperately needed a cesarian about, oh, 2 hours into hard pushing that was going nowhere; my sister finally called in a friend of hers, a surgeon, to do the cesarian - the whole experience was awful).  I think that long, unproductrive labour did damge to my body though...for example, I had years of miserable uti's after my son was born...stuff like that that I believe was caused by the trauma done to my body during labour.

    My advice is to remember your priority: the birth of your healthy baby.  How baby gets here is not what's important, and a few years from now, all that matters is your child, not how it was birthed.

  • 12-27-2005 8:08 PM In reply to

    Re: Uterine ruptures?

    I have posted on here a few times. I had a csection with my son who is 2. In june I had a VBAC with our second son. They induced me because he wanted me be in the hospital my whole time "incase" something would happen.  I was in labor for less than 5 hours. Everything went good!  We plan on having another baby and I will again try for a vaginal birth. I couldn't believe how much difference there was between being sore after a csection and no pain after having a vbac. I think It was good. But either way your baby comes, Its all worth it in the end..

    Sarah
  • 12-30-2005 6:06 PM In reply to

    • sabby02
    • Not Ranked
    • Joined on 06-25-2005
    • USA
    • Posts 4

    Re: Uterine ruptures?

    I would definitely say this is a person by person case and up to the doctor. My doctor does not do VBAC's. I am in the health field and after research I feel it is best for me not to have VBAC for personal reasons.
  • 01-01-2006 12:34 PM In reply to

    Re: Uterine ruptures?

    I chose to have a repeat c/s with my twins.  I am choosing to have another elective repeat c/s with this baby.. its less than 1year since my last c/s.

    My sister had a uterine rupture while attempting a vbac.  I would not consider attempting a vbac for this pregnancy, I have a lot of risk factors.  It is a very personal decision.  Both having a vbac or repeat c/s have their own risks.

    With my second pregnancy my plan was to wait and see.  If I went in labor on my own and the baby was fine, maybe a vbac.  Then I found out I was having twins.  That cemented my decision to have a repeat c/s.  I never had any complications with either c/s.  www.vbac.com has some good information about the safety of vbac.  

    Good luck to you

    Jana 

  • 01-02-2006 1:29 PM In reply to

    • aprilfool
    • Not Ranked
    • Joined on 02-27-2005
    • Florida
    • Posts 67

    Re: Uterine ruptures?

    My first two babies were c-sections (they are now 16 and almost 13) My second two were VBACs (They are now 8 and 9). I didn't have any complications with their VBACs and they were bigger then the first two. My 9 year old was 10 pounds and my soon to be 8yo was 11 pounds 1 ounce! My 16yo (and only boy LOL) was 9 lbs 4 oz and my 13yo was 8lbs 12 oz. My first c-section was because after 16 hours of labor his face started to come out first and they didn't want him to get injured, or worse, so we were rushed to the OR. My second c-section was planned because he thought I couldn' have one naturally. (Proved him wrong LOL)  My first VBAC was in a great hospital in Orlando with the latest technology and the best staff. They were very helpful and really supported me. My second VBAC happend so fast. I was only in the hospital for 3 hours when it came time to push and she was out after 2-3 pushes. We had no meds and was doing great.
     I just had a baby on October 27th. She was a planned c-section because they wouldn't even consider a VBAC again. Most hospitals, in Florida anyway, just aren't doing them. Plus I had gestational diabetes this time and they didn't want the baby to get big like my last two. So we planned the c-section 2 weeks before my due date and she was 7 pounds 13 ounces.
    I would suggest you really talk to your doctor and your DH (or sugnificant other). There are chances of uterine ruptures but they are slim and do happen.
    If they would have let me I would have done the VBAC. No doubt about it. No matter, I am always happy with the outcome of my deliveries, c-setions or VBACs as long as the baby is healthy. Good luck!

    Denise
  • 01-03-2006 6:12 AM In reply to

    Re: Uterine ruptures?

    I have had 2 sections and will be having a third at the end of March/beginning of April.  This is such a grey area!  My doctor is supportive of VBAC's and I did try for a VBAC with our second baby.  However, he will not induce because of the increased risk of rupture. I guess it is something you need to talk to your doctor about and then decide how you feel.  Since this is #3 for me I have decided just to do a planned c-section for many reasons.  Good luck with your decision!  Do what feels right to you.
  • 01-03-2006 6:46 AM In reply to

    Re: Uterine ruptures?

    This will also be a scheduled c-section for me.  My doctor refuses to VBAC (which I want), he keeps telling me about the uterine rupture.  I guess I have no choice. He told me unless I go into the hospital dialated to 8cm, then a c-section would be done.  Any suggestions on how I could possible dialate when the time comes????Stick out tongue
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