VBAC after very early C-section?

[Rozzie27]

Hi ladies,

Has anyone had a VBAC after an extremely premature C-section delivery?

In April our first child died suddenly in utero. I was induced but after an internal it became clear that I had grade 4 placenta previa so our son was delivered surgically. At the time I was relieved not to have to go through a full labour, but found out later that the non-muscular lower part of the uterus doesn't form until 28 weeks or so. The doctor was able to perform a low-transverse incision, but my new doctor (who is a high risk specialist) said that the scar may still end up in the upper, muscular part which contracts during labour, therefore leading to a higher risk of UR.

I really want to have a VBAC, as we want 4 children and would like to avoid the risks that further scarring on the uterus brings. But as you can imagine I'm terrified of losing my second child as well, especially if it's preventable, I'd never forgive myself.

Has anyone had or know of someone who's had a VBAC after a C-section prior to 28 weeks? Any advice would be appreciated.

Rozzie

[Michelle71]

Unfortunately I am of no help to you personally. Is there a way of getting an additional opinion from a high risk specialist?? FWIW a friend of mine had 4 c-sections in total after a classic scar from her twins early delivery before 28 weeks. She has three other children as well.

[Rozzie27]

Thanks for your reply Michelle, I know you must be busy with your two littlies. Lily is so cute!!

I'm going through the high risk clinic so the doctor is the high risk specialist. He's also a lecturer at the uni and I often see him quoted in newspapers on pregnancy complications, so he's as good an authority as I can get!! I know I should just trust him and that I have plenty of time to decide, I'm just starting to feak out a bit because I don't know of anyone who's been in the same situation.

Cheers

[joey123]

Hi Rozzie,

My first pregnancy was with twins and they were born premie at 28 weeks, by C-Section. I only have one baby this time and I am really really wanting a VBAC. I am just assuming that all will go well and I will be able to have one, but I am interested too to hear from others on this topic.

GL with your VBAC in April.