is there anyway to strengthen the insicion site?

[LoolaBear]

basically question is in the title.

I have 9 months before we TTC and I know i will be pushing so hard for a VBA2C when it finally comes down to it.

My next and my last baby will be born at a different hospital to the others and i will also be under a different midwife community care team and when i moved GP practice recently for a split second i had the stupid idea of not telling them about my 2nd section when i next fall pregnant crazy and stupid i know but as i said it was only a split second moment of madness.

I want to get my body prepared to be able to make a VBA2C a greater possibilty. I'm loosing weight, changing diet, getting mentally prepared.
the only thing that is panicking me now is my stupid mind telling me my uterus and stomach muscles wont cope so i was just wondering if there was any way to strengthen these areas?

also is it possible to request the sonographer check the insicion site to see if its holding up well when having a scan, like at the 20 week scan when they do all their baby checks. because if you can and they say its looking good then that would help me fight my corner.

the next baby will be my last and i so want to do everything naturally so i can say yeah i have experienced both sides of the spectrum and my body has been able to do what it is naturally meant to do.
also i am down right petrified of the thought of another section after my last one. (almost loosing conciousness, fighting to stay awake, being aware of the BP monitor going crazy as my BP had dropped to 57/29, the ammount of drugs to get me back to being stable which took 8 hours, spending most of the first day with my little girl being spaced out from the drugs)

eek that turned out to be longer than expected! if anyone can help it would be major thank you x

 

[mom2mom]

Unfortunately the risk goes up the more C-Sections you have so VBA2C is riskier.

According to the pubmed.gov site, the vba2c success rate is about 71% and uterine rupture is at a risk of 1.36%. There are some other stats there as well, you can read them here:

https://www.ncbi.nlm.nih.gov/pubmed/19781046

But here are some things to consider as well:

- Be sure to wait the recommended 18-23 months before getting pregnant.

- Women younger than 35 years of age have the best chance.

- VBAC is not recommended for women who have had placenta previa, uterine rupture, or extensive surgery for uterine fibroids. It is also not recommended if you’ve had a previous vertical uterine incision or if your baby is in the breech position.

- Being at a healthy weight significantly increases your chances of success.

- If your previous birth had complications, there’s a high probability that you’ll have them again so choosing a repeat C-Section may be the wise thing. Of course the type of complication can also make a difference. For example, if your last C-Section was due to failure to progress resulting in fetal distress, it’s possible that could happen again.

- A baby that weighs more than eight and a half pounds reduces the chance of delivering vaginally.

I couldn't tell you about whether or not your doctor can successfully check your internal incision site, but I think that's worth asking your doctor about.

Hope that helps.

 

[LoolaBear]

Unfortunately the risk goes up the more C-Sections you have so VBA2C is riskier.

According to the pubmed.gov site, the vba2c success rate is about 71% and uterine rupture is at a risk of 1.36%. There are some other stats there as well, you can read them here:

https://www.ncbi.nlm.nih.gov/pubmed/19781046

But here are some things to consider as well:

- Be sure to wait the recommended 18-23 months before getting pregnant.

- Women younger than 35 years of age have the best chance.

- VBAC is not recommended for women who have had placenta previa, uterine rupture, or extensive surgery for uterine fibroids. It is also not recommended if you’ve had a previous vertical uterine incision or if your baby is in the breech position.

- Being at a healthy weight significantly increases your chances of success.

- If your previous birth had complications, there’s a high probability that you’ll have them again so choosing a repeat C-Section may be the wise thing. Of course the type of complication can also make a difference. For example, if your last C-Section was due to failure to progress resulting in fetal distress, it’s possible that could happen again.

- A baby that weighs more than eight and a half pounds reduces the chance of delivering vaginally.

I couldn't tell you about whether or not your doctor can successfully check your internal incision site, but I think that's worth asking your doctor about.

Hope that helps.

thanks for the information. i know the risk increases with each section but the increase is still only a small increase.

luckily i can check off alot of the things you mentioned.

I'm under 35
it has been 21 months since my last section (and we are WTT until next year so even longer between section and pregnancy)
I am loosing weight to get down into the healthy range
Both sections weren't due to complications, they were planned


tahnk you for your help, its given me some good information to take with me when i do have another baby to fight my corner for having a VBA2C.