HUn they don't cut all VBAC women open to see what their scar does. For all that ob knows it could be perfectly normal and not even uncommon for that to happen. Just because some women seem to have "windows" over the scar doesn't mean they will rupture. Every single successful VBAC baby could come past a window on their way out, how would anyone know?
How many perineums go blue and look like they might tear when baby is crowning? XP said mine certainly did, right to my bum, yet i had only a tiny tear (not enough for a stitch) from where her unturned shoulders shot through. They used to cut them ALL just in case and the episiotomy rate was massive, now they know that most women stretch, despite the initial look of their perineum during crowning.
Did you have similar pains at the end of your previous pregnancies? is it worse when you have a braxton hicks contraction? Is is a hot radiating pain or a crampy aching pain? Have you had any bleeding? Is bubs happy enough when they listen to him? Do you feel "shocky" when you have it - sick, dizzy, clammy? Is it better after you've rested?
If it doesn't hurt more with BH, doesn't make you feel shocky, is worse with walking about and improves with rest and is a crampy ache it's probably just your pelvis relaxing as bubs head settles into it. If it makes you feel shocky, doesn't improve with rest and it a hot radiating pain that doesn't stop then you should get it checked out JIC.
Ultimately the choice to VBA2C is yours. Do you have a midwife or doula who will support you through your labour? Midwives who are experienced in VBAC deliveries will be able to talk you through what is normal and what is a warning sign.
Bx


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