Choice

robyn1990

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If you had a previous emergency caesarean is it your choice whether you have vbac or elective? X
 
I had an EMCS with my son and have the choice this pregnancy. They do strongly encourage VBAC though but it is ultimately your decision.

I had an consultant appointment at 16 weeks and have another scheduled at 36 weeks to tell them my decision. I have decided to go elective, which according to my midwife will be scheduled for around 39 weeks.
 
Yes it is your choice, but it's likely you will be strongly encouraged to VBAC unless there's a reason you would be at increased risk. You should be offered a consultant appointment to talk through your options and the relative risks at some point, and I was told I was free to change my mind right up to the birth.
 
Do you know why it is booked for around 39 weeks?
I thought it would be nearer due date x
 
They book it by 39 weeks so that hopefully you don't go into labor before it starts. Any cesarean done during labor is considered an emergency and they want to avoid an emergency.

A repeat cesarean mostly depends on why and how you had the first one. If it was for a complication that is likely to happen again, then you'll probably be encouraged to have another one. Also, some emergency cesareans are done with a scar that goes up and down instead of side to side. An up and down scar is not generally considered safe to attempt a vbac with.

I see that you're in the UK. I'm in the US so procedures will be different, but here it also depends on your location in the country as to whether or not they allow vbacs. Many hospitals liability insurance won't allow them to allow vbacs, no matter what. So sometimes, if our local hospital says no vbac, it must be another cesarean, we can drive to the one in the next town and have the vbac.

From what I understand, in the UK most places encourage the vbac but here is it very different. There is this huge fear built up around it even though statistically, it's safer to vbac (unless there is an underlying complication) than to go under the knife again.
 
yes it is your decision. The consultant at my hospital was great and so were the midwives, noone pushed me into any direction and they accepted my decision
 

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