This months doctors appointment was not too eventful. Hearing the baby’s heartbeat, is and always will be the highlight of every time I am there. The most eventful thing that happened however, was a discussion of VBAC. For anyone who does not know, a VBAC is a vaginal birth after cesarean. Myles came into this world by c-section and the plan is for our second child to not be born the same way.
Let me start off this conversation by saying that I am in no way shape or form against either form of birth. During my first pregnancy, we had planned to do everything completely natural. Unfortunately, that did not happen. Both cesarean section and vaginal birth are difficult and REAL forms of birth. I absolutely cannot stand when people state that moms who gave birth by c-section just gave up or are not real moms.
With that being said, the talk of a VBAC was one of the scariest talks I have EVER had. Not even just the talk, but the reading afterwards. I was given a pamphlet and a form that needed to be initialed multiple times and signed at the bottom, basically to cover them from a lawsuit. It was an informational form so that a patient couldn’t say, “you didn’t tell me this could happen.” I am going to break down this info for you so you understand how scared and blown away I was by reading this…
1. I understand I have had a prior cesarean (C-section) birth(s) – well duh
2. I understand that I have the option of undergoing an elective repeat cesarean or attempt a vaginal birth after cesarean (VBAC) – yup fully aware I have the option
3. I understand that a VBAC may carry a lower risk to me than a cesarean delivery and is successful about 70% of the time – 70% is still a C- , still passing…
4. I understand that if I deliver vaginally, I may have fewer problems after delivery and a shorter hospital stay than if I have a cesarean delivery – pro-VBAC, I like it
5. I understand that if I choose a VBAC and end up having a cesarean during labor, I have a greater risk of problems than if I had an elective repeat cesarean section – so what you are telling me is that if all goes well, a VBAC is better BUTTTTT if it doesn’t go well, you will feel guilty for not scheduling the back to back c-section…
PREPARE YOURSELF….it gets ugly from here
6. I understand that the risk of a uterine rupture during a VBAC, in someone like myself who has one prior incision in the non-contracting part of my uterus is around 1%. If you have two prior incisions the risk of rupture is approximately 3%-5% – I tried being positive about the 70% above. I understand 1% is only one in one hundred but I don’t have the best of luck. Can you imagine the pain? And not to mention the effects that would have?!
7. I understand that VBAC is associated with higher risk of harm to my baby than to me – This sounds like the most anti-VBAC statement ever. Who in the world is going to say, “oh that’s a relief! My kid might die, but I won’t!”
8. I understand that if my uterus ruptures during my VBAC there may not be sufficient time to operate and to prevent the death of or permanent brain damage to my baby. Emergency surgery may be needed and may require a hysterectomy to save my life – HOLY. SHIT. These are those effects I was talking about above, just didn’t realize they would sound so scary when read out loud! At this point I am trying to decide if the risk factors out weigh the perks of a VBAC or vice versa.
9. I understand that the decision to have a VBAC is entirely my own and the option of a repeat cesarean has been offered to me – Here’s that liability release.
10. I have read the above information and received and read a copy of the ACOG brochure “Vaginal Birth After Cesarean” – This one is at the end as sort of a cool down bullet point. ‘Now that I have absolutely scared the crap out of you to the point you wish you would have never got pregnant a second time, you can sign this one that says you got more information to scare you.’ It might as well have had a little winky face at the end.
At this point, all I know is to not go into the hospital with a plan. The plan never works. I am going to go in doing my best and if it doesn’t work, at least I tried. My goal is to have the healthiest little princess or prince possible (as is every mamma!). I still have not decided if I will do a VBAC for sure or schedule a c-section. If the doctors attempt to induce me for any reason, I will be going back to back c-section. I cannot take the stress of the induction process or what it does to my body.
Have you had more than one child? If so, I would love to hear what type of deliveries you had!! Please comment below and let me know so I can stop freaking out LOL!