Help me convince the Ob for a VBA2C

[ladybird11]

As the title suggests, I am a 'high risk' pg due to having severe PE at 31 weeks with DD which resulted in an emerg c/s.

DS' pg went like a dream - no issues - elective c/s @ 39.5 wks.

I've never been in labour, and have healed perfectly fine from both c/s's.

#3 I want my VBA2C .

My appt with the head of obstetrics is in one week. I am desparately trying to school myself up on things I'll need to know to show the Ob I understand the risks (and who knows, even demonstrate why another c/s is not the best option ). I'm trying to get my hands on a copy of Silent Knife - but realistically I'd be lucky to have it by the end of the week.

So please throw me any stat's, websites, articles, ebooks and where I can download (PM maybe?) and I'll look into every avenue in my plight to get this VBA2C.

[MistersWandO]

I would be interested in this too. DS1 was emergency c/s after 36 hours labour and 4cm dilated (cascade of intervention) DS2 was emergency c/s after 18 hours labour, being lied to by the midwife at 8cm but in theatre when he was delivered I was actually fully dilated and bub was at +1 station (according to my medical records).

So I know that I can get there with D?

[Yeddi]

They did a recent study that should be circulating most establishments that shows a VBA1C has a 75% rate of successful vaginal birth (so similar success rate as first time mums) and VBA2C's had a 72% chance - so therefore the difference in whether you will have a successful vaginal birth is statistically not much different by having had more c-sections. However, the chances of having complications during a c-section and for future pregnancies increases dramatically with each additional c-section. I think you need to make the onus on your OB to prove that the benefits of another c-section outweigh the risks of a vbac, rather than having to prove or "ask his permission" to do a VBAC2 by explaining the benefits - He should know these already!! Anyway, it would be interesting to hear how he would justify things like the 4x (if not more) mother mortality rate, the increased chances of respiratory issues with bub etc. in relation to the individual risks of your pregnancy.

For more stats check out the ICAN website.

[Arimeh]

Hey babe

I think if you have to convince your OB of "letting" you do this - then you need to find another OB.. LOL

Seriously though, you have more chance of being successful with a VBA2C if you have supportive people behind that believe in you - its not something we should have to fight for, but people to push us to believe we can succeed.

Fancy a trip to tassie and birth down here?