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Old Nov 2nd, 2011, 17:12 PM   1
Drazic<3
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If you were me... (C-section/VBAC question)


Hey girls,

I know no-one could answer this but me, but just wanted some feedback.

With Moo, I was in early labour for two days, and full labour for nearly 4. I laboured well at home with a horrible back to back labour, and cut a LONG story short, got most of the way myself and finally 10 CM with syntocinon (sp?) and pushed for an hour and a half when Moo went into severe distress and I had a cat 2 EMCS.

The official reasons for my EMCS were 'failure to progress' and 'feotal distress'. Moo wasn't great when she was finally born, but bounced back quickly. At my de-brief, the midwife said I was a good candidate for VBAC, and that almost all of my labour problems were caused by a very bad position for Moo and her head getting wedged.

After moo, I ended up with PND due to birth trauma and it has taken me a LONG time to begin to come to terms with it. I am scared and don't know what to do.

Would you VBAC or ask for a section?

Thank you SO much for any replies.



 
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Old Nov 2nd, 2011, 17:24 PM   2
Eala
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Do you think that your midwife would refer you for counselling? It was something that was mentioned to me today, that our hospital have a counsellor who is trained in issues like these. I'm already seeing a counsellor (for a kind of separate-but-related-issue) and seeing two people at once isn't a great idea so I didn't take up the offer. But I'm wondering if it'd help you, not necessarily to sway you one way or the other, but to help get things clear in your head?



 
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Old Nov 2nd, 2011, 21:11 PM   3
Emleexx
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No one will be able to tell you what to do but if it were me I would opt for the c-section. As far as I am aware the recovery of a c-section is far better when it is planned & you also wouldn't be risking having to be in labour for such a long period of time before it ending with a c-section anyway.

Of course, if you choose a VBAC everything may go smoothly & you could end up really happy with your choice.

I guess you need to weigh up how disappointed you would be if you opted for the VBAC & it ended in an EMCS.

Good luck xx



 
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Old Nov 3rd, 2011, 05:03 AM   4
Eshka
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Hi there, sorry to hear you had a bad time with your first birth.

Obviously, this decision is completely yours, but I thought I'd tell you my story. I also had an EMCS with my first daughter due to failure to progress and me having a bad reaction to the syntocinon drip. It was very traumatic, as all EMCSs are, and as soon as I discovered I was pregnant with DD2 I hurled myself headfirst into VBAC research.

I'm so, so glad I did, because in the end I delivered my second baby vaginally and it was the best experience of my entire life. I'm now pregnant again and will most definitely be opting for a natural birth.

Obviously, nothing is ever guaranteed and some VBAC ladies do end up with another section, but I really believe its all in the approach and preparation. Feel free to PM me if you want to talk any further about it - I'd never pressure anyone into trying for a VBAC, but I love to see women enquiring about it as if you've been told you're a candidate, it really does have enormous benefits.



 
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Old Nov 3rd, 2011, 05:21 AM   5
Drazic<3
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Thank you all so, so much for your replies.

Eala, thank you - I will ask. I really hope the Councillor is helping you

Emleexx, thank you - at the Mum's group I go to many of them said the same. One woman with a negative VBAC experience said she found it much more traumatic getting her hopes up then ending up with a worse experience, than if she had of pushed for the Elective section.

Eshka, thank you - so so pleased you had a wonderful experience, it's lovely to hear from ladies who have. I will PM you if that's okay, I have no idea where to start with research and I don't want to frighten myself even more by stumbing on the wrong advice!



 
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Old Nov 3rd, 2011, 05:47 AM   6
chuck
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I would VBAC without out a doubt.

You have laboured and dilated and even pushed before that puts you in a great position for labour number 2.

Kinda similar to me although my situation wasn't quite as long winded, Dewi was OP and had his chin stuck out so 2 days early labour and 24 full labour...I never got to push as I still had a lip of cervix left but he was never in distress.

As much as a planned CS is an entirely different beast to a EMCS I wouldnt put myself through major surgery unless I needed it.

NO 2 pregnancies and labours are the same, you know better this time and if you choose to labour and things go down a path you didnt intend then you can opt for a CS earlier in proceedings than you were given the option last time.



 
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Old Nov 3rd, 2011, 06:13 AM   7
5-a-side
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I had an EMCA with dd1 and a VBAC with dd2, the reason for the EMCS was at 9cm labour had stopped progression due to dd1 being breech and stuck.
I also suffered PND and anxiety issues for a long time.
I did a lot of research into VBAC, used natal hypnotherapy and positive thinking to help and the VBAC was the best thing I have ever done.
I hope to have a VBAC this time too, and its quite weird but I have been asked to see a CS MW due to previous section where as I hadnt seen one with dd2.

If it turned out I needed another section during labour than I would be more prepared in my mind but its VBAC every time if I get a choice.



 
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Old Nov 3rd, 2011, 06:24 AM   8
Carly2310
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I think you know it's a decision only you can make, I was induced with DS1 and that lead to a horrifically painful 36 hr labour, got to 7cm with the pitocin turned up so high that my contractions ran into each other, anyway it ended with a placental abruption and a cat1 emcs.
I chose a repeat c-sec as I couldn't face the same thing again, I was terrified. However if you feel you could VBAC then that's great! My sister did it and she was fine. Talk it through with your midwife and make an informed decision based on what's best for you, not what anyone else thinks you should do, you need to be comfortable with your decision or you'll be worrying for the whole rest of your pregnancy!
Good luck!



 
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Old Nov 3rd, 2011, 06:55 AM   9
Eshka
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Some excellent responses for you here - and you're absolutely welcome to PM me, I used a number of methods leading up to term to help prepare me for labour and birth.

My section experience was actually very similar to Carly's, and I can completely empathise with why she was so afraid to try for VBAC. In my case, I was misinformed that my cervix didn't work properly, which was utterly inaccurate (as I went on to prove 2 years later). I went down to the hospital because my waters began to leak slowly at 38 weeks, and within 24 hours they put me on the syntocinon drip and when they weren't satisfied with my relatively small contractions after 1.5 hours, they whacked it up to maximum and as a result my cervix froze at 3cm (I had dilated to 3cm myself, without the drip) and I basically had one long contraction that was way off the scale. I was left like that for almost 12 hours before they decided that I couldn't cope any longer and rushed me in for the section. I had to be held in place by several people in order to have my spinal administered as I was in so much pain due to the drip. My daughter was born perfectly healthy with no signs of distress, but the whole thing left me with much more than just physical scarring. What prompted me to go naturally was the fact that they'd made me feel like a failure, and I knew I wasn't. For a start, they shouldn't have put me on the drip so soon without trying anything else - not even a pessary - and they didn't give my body enough time to work with the hormone in order to establish labour gradually. That maternity unit shut down very soon after my daughter was born, and to be frank they're lucky I didn't take it to court.

My second daughter's birth was a whole different ball game and I felt in control right from the start, because I spent so much time reading and absorbing all the information I could. My midwives and consultant sympathised with my first experience and understood my reasons for wanting to try a natural birth, and they fully supported me especially when they saw how much effort I was putting into gaining knowledge. Again, my waters began to leak slowly at 38 weeks, and I went to hospital, but this time they left me to my own devices for a while and fully respected the fact that I refused to have a drip anywhere near me. It was in my birth plan that if labour didn't start spontaneously (or with minimal help) and progress smoothly, I would simply go for a section in the earlier stages. This helped me prepare mentally for the possibility of another section, but at the same time bolstered my confidence in myself that I could and would do it alone. It wasn't perfect; the night I was admitted, I did go into spontaneous labour alone at around 4am, but they still insisted on giving me a pessary to help things along 2 hours later. Still, it didn't do me any harm and my labour progressed perfectly and with no pressure. Even during my worst contractions, I felt so proud of myself that I was in real labour and dilating on my own and it made it so much easier to bear - I even have to admit that I enjoyed it. I did opt for an epidural (well, I was coerced into having one because the contractions were painful and they wanted me on the bed anyway for monitoring) and I absolutely don't regret that - I spent from 5cm to 10cm propped up on pillows, listening to music, chatting with my midwives and reading. It was incredibly chilled out. I still felt my contractions, but the pain was more than bearable and they checked me regularly to ensure everything was alright. 14 hours after my first contraction, I'd reached 10cm and was ready to push. Due to the epidural/being on my back, I did end up needing the help of ventouse but my daughter was born after 40 mins of pushing and it was, without a doubt, the proudest moment of my entire life. I felt like I could do anything and I wouldn't change anything about her birth.

This time, I'm aiming for zero intervention and no epidural either - I'd like an active water birth and into the bargain, I'm going to try to breastfeed too. My VBAC really empowered me and made me believe in my own body's abilities - and even if it had failed in the end, I would still have felt proud of myself that I tried and gave it my best shot.



 
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Old Nov 3rd, 2011, 07:19 AM   10
Rukky
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if i were you i will go for a c section,but am not you so cant decide for you,just think it through and ask for Gods guidiance. Wish you luck,whatever you decide,take care



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