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Decided on a repeat csection and now I'm not so sure

BrandiCanucks

Mommy of 4, WTT
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Back Story:

I had an emergency csection (after 3 vaginal births) 13 months ago due to cord prolapse. I still dilated straight to 10, very quickly, actually. However, in order to save my son's life, a csection under general was necessary.

I suffered a lot of PTSD for a time after but have mostly recovered. I still have the occasional trigger, but nothing major.

My son has gross motor delays, which may or may not be related to his traumatic birth. He was crushing his cord with every contraction for 4 hours before the prolapse and his heartrate kept dipping to the 50's. At 13 months old, he only JUST started bearing weight on his legs with the help of physiotherapy, doesn't crawl properly (drags his left leg), was delayed starting solids due to left sided weakness of his tongue, doesn't walk, and only began pulling himself to standing in his crib yesterday. He cannot pull to standing against anything else. He'll be 14 months old on the 22nd.

Because of this, I had decided to just schedule a c-section for this baby, due in February. I don't want to risk another prolapse and another baby have to endure what he is. I also know there's no way in hell I would ever want to experience the physical trauma I experienced with my son's birth if there was another prolapse. If you think a baby hurts coming out, or recovery is painful, have hands shoved into your uterus trying to stop a baby from coming out while he desperately is fighting to get out (which would have killed him if he was born vaginally).

However, the further along I get, the more and more I'm thinking about trialling a VBAC. I'm not ready to give up on vaginal births, and I know that the chances of a cord prolapse happening once is rare. Happening a second time, even more rare.

On one hand, scheduling a csection would ensure the chances of another prolapse would be none. I could make arrangements for care for my other children, schedule so that I'm in hospital through the weekend and home for the next week. However, another csection also puts me in a position where I can't properly care for my other 4 children and a newborn for a few weeks. I'm a single parent, so I'm all they have. A vaginal birth would make recovery so much easier and I could just go back into normal life ASAP.

Did anyone else debate back and forth like I am? What did you choose in the end?

I know there's a group out there who help with decisions like this and promote VBACs but can't remember their name. My OB is very pro-VBAC and was encouraging at my 6 week checkup that I'm a very good candidate for one. The births are going to be 19 months apart either way.
 
I can understand why you initially decided on a repeat section. I think in your shoes, the only thing that would bother me is the recovery and having to care for your other children . Do you have any family who could come and stay for a while to help?
 
No, I don't. They can stay with my best friend for a week, who just lives up the road. Her kids go to the same school as mine. Just can't be longer than a week. I won't be able to drive them to school either for a few days to two weeks, and there's no bus option for them as we're out of the district.
 
That's tough and I guess, not something to take lightly. Is there the possibility to get a couple of different friends (whose kids are in the same school) to drive them for you? In the UK most insurers won't cover you to drive until 6 weeks after a section!

Yes I can see why you would be seriously considering a vbac. I guess in your case you have had successful vaginal deliveries in the past which gives you a higher chance of successful vbac. And as you say, the chance of cord prolapse happening again are slim.
 

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