VBAC after classical cut c-section.. It's too risky, right?

[blessedatlast]

All the info I have read and what my OB with the twins told me all points to a high risk of uterine rupture with a classical cut and a VBAC isn't even considered. I have a while to research, I know my OB will advise a c section without a doubt, but when I was pregnant with the twins she was very pro vaginal birth, so I am thinking if I can find some research that backs up the fact that uterine rupture after a classical c section is no more risky than a VBAC after a normal incision c section, maybe she would go with it. However I can't find anything, and I don't have enough faith in my body to just risk it on my own. In all honesty I would be ok with a c section, but it would nice to know I have the option..

My question is: Does ANYONE know of anyone who has had a classical cut incision and successfully had a VBAC? I would hate to have an emergency c section. If I am going to have 1, I want it to be planned..

[feeb]

It is too risky to have a VBAC with a classical cs scar, I do not know of any OBs who would support you in an attempt.

[Yeddi]

My mum had a classical scar and went on to have 3 vaginal births without issue, but this was before the age of litigation and fear-mongering.

[Heaven]

Everything I've read says it's more risky too sorry

[blessedatlast]

Interesting Yeddi. Thats the thing. There is a lot of bullying and fear mongering. I am particularly vulnerable because I lost my 1st 2 babies. If there is even the slightest increased risk, I wouldn't do it because as I said I don't have enough faith in my body and if anything happened I would never forgive myself. For some reason though if something happened but I had medical intervention I would feel I did all I could. Strange huh?

[Yeddi]

No, I don't think it's strange, particularly seeing your past. There is an increased risk. I think it goes from 0.7% up to 10% by having a classical scar if I remember correctly. Even though I am a big believer in VBAC, if I was in the same position as you, I would book in for the c-section too.

[Traveller]

As Yeddi says, there is an increased risk and most doctors would not support you in a VBAC attempt. However it is of course up to you and if you refuse a CS then your doctor will not be able to force you.

[blessedatlast]

Yeah. I think thats the plan.. It's a shame though.. For a while I thought I would have a chance to deliver the twins naturally, but their membranes were bulging and they were breech so the Registrar said if my waters broke, they would quite possibly not survive delivery, so I went in for a C section.. I was just so traumatised from the experience, I so want things to be different this time.. The main thing I want though is for bub to be full term, and not separated from me after birth.. I'm so scared of that

ETA: Traveller, I know they can't force me, but I wouldn't go against all the research. It would be different if just 1 or 2 research articles said it, but I can't really find anything that is saying a VBAC would be safe after a classical incision.

[Yeddi]

I was able to breastfeed DD while being wheeled back to our room and roomed in full time despite having a c-section at 37 weeks and her having some issues, so a c-section on its own shouldn't change that, it would be more the health of bub. Many OB's aren't that keen on VBAC's with lower transverse scars, but with a classical I think you will find it practically impossible to find anyone to support you, and I think the less stress you put yourself under, the better. Studies show a planned c-section has less health issues than an emergency one, so depending on bub's health, a c-section shouldn't effect your ability to room in or have skin-to-skin contact, breastfeeding and all that. One of the biggest things you'll have to be conscious of having a c-section would be providing bub with your flora to help colonise their gut and kickstart their immune systems that he/she will miss out on by not going through the vagina - so lots of skin-to-skin cuddles (which I'm sure will be very taxing - not).

[blessedatlast]

Yeah, I might have to go to the coronary care unit after the birth.. I did last time, for 2 days i had to wait until the nurse had time to take me to NICU to see the twins.. I know it will be a fight to have bub with me, but I will be!

[RainbowBrite]

I had a classical for #6 because she was born at 28 weeks and footling breech and was told any future pregnancies would have to be c-sections.
My first 5 babies where all drug free vaginal births.
When I feel with #7 I asked every one I could about a VBAC after classical and absolutely no one would even entertain the idea.
When I was in labour at 25w one OB said I could attempt a vaginal birth because he would be that small but was soon over riden and I had a c-section later that day.
It probably is the safer option for you and bub as the risk of uterine rupture is to great.
Wishing you a wonderful long pregnancy.

[blessedatlast]

Thanks .. I just thought I would get some opinions. I also posted in a Premmie forum and got the same response.. I am totally happy for a planned C section..