[eaeason]

I am expecting my second bundle of joy, and I am interested in learning more about vbac. I would like to know which option is safer for baby, I have read many contradicting articles and I'd like to learn more. I had a C-section with my first at 38 weeks because tried to induce me, and I never progressed. I never dilated, effaced, nothing! Not even half a centimeter. With a diagnosis of preeclampsia and sky rocketing blood pressure the decision was made to have a C-section. It went great with no complications, I had a healthy 7 lb baby boy :) I would not object to having a repeat C-section, I just want to know what the safest option is.

[J_9]

How long ago was your C/S? The safest option is a repeat C/S so as to avoid the risk of a uterine rupture. A uterine rupture poses a risk to the life of both mother and child.

With that said, you may not have a choice. You will have to go with what your delivering hospital allows. Many do not allow VBACs.

[DoulaLC]

Hi eaeason,

Where I practice, statistically the safest option has been VBAC... especially if you might consider more children in the future. If all is going well with this pregnancy, then you would be considered a good candidate to try for one. As J_9 said, much would depend on your doctor or midwife and whether they are supportive of the idea; some are, some aren't, and where you plan to give birth. The most likely risk would be a possible uterine rupture, but it is not common, even with a previous surgery.

Best to present your thoughts to your care provider and see what he or she has to say on it.

[J_9]

As you see, there are different schools of thought on this. I've done VBACs and I've seen a uterine rupture. I would never ever again want to be the nurse during a uterine rupture.

The hospital I work at no longer allows VBACs due to the extra personnel that must stay on campus until the baby is born, either way.

[CravenMorhead]

It doesn't surprise me that you've read contradicting advice about VBAC. There is a lot that is case by case and where it would be safe for one person it could be deadly for the other. The best option is to talk with your OB/GYN or Midwife and see what the options are. Depending on the timing and the hospital it could go one way or another. Especially with high blood pressure and preclampsia. Whatever you do, know that your doctors have your and your child's best health in mind. Do not be disappointed if Vaginal is off the table as an option. I can assure you my wife I think would have rather the C-Section with the way our little one came along.

I have a friend who had a VBAC with no complications. Her son was Vaginal after two or three years. That could be case or the exception.

Good luck and congratulations.

[eaeason]

My c-section was three years ago it will be four years by the time baby number 2 makes it's grand appearance

[J_9]

Each hospital has their own policies and procedures in regards to VBACs. Some will allow it, whie others will not. Your doctor will know the policies of the hospital(s) where he/she delivers. You would be best served asking your OB/midwife if you are a candidate for a VBAC at your delivering hospital.

[eaeason]

Ok I will consult with my doctor :) thank you all for the info!