Caesarean General Chatter & Discussion #8

**~mamaspice~** · June 25th, 2008, 07:52 PM

Mummatotwo, that astounds me that the Gold Coast Hospital have told you that about VBAC. I was always under the impression that they were very pro VBAC. I called them a few months back to see what they said if I happened to fall pregnant again before Charli was 1 and they said that they would have to make an appointment to council me on the risk involved before any decisions were made. So I always thought they'd be supportive of VBAC as long as they told you of the risks.

The student Mid who I was a follow through for when I had Charli at Pindara is now a qualified midwife and is working at the Gold Coast Hospital so I might try and get a hold of her and see what she says and I will let you know.

**~mamaspice~** · June 27th, 2008, 01:11 PM

Hey Mummatotwo,

I spoke to a midwife at GC Hosp. She said that they dont have a strict "policy" in place as such but they often do say a minimum of 2 years between cs and vbac. She said that some of the OB's there now realise that the risks of rupture aren't much higher for vbac if there is less than 2 years between births but there are still a few OB's that are insisting on the 2 year gap. So basically it looks like it depends on which OB you get to review your case. Do you know which OB was looking after you? Perhaps you could ask to speak to another one.
Either way, I think it's great that you are wanting to embrace the birth, which ever way it goes. I think it is fantastic that they will let you have a MACS if elective.

**~StarBright~** · June 27th, 2008, 04:01 PM

Hi ladies...

I have a question....

Is there a risk of a scar rupture PRIOR to labour????? Like if bubs engages near the scar- or goes too far down even before labour starts- is there a risk there- or does the baby not get that far down until well into labour????

My paranoid mind is starting to have fears that if the risk is so high- should i be opting for a c section earlier than the 38-39 weeks????? My belly is quite low- and i do feel his head pretty far down- so i am just wondering if anyone has any clues...

Thanks

**Beach Mama** · June 27th, 2008, 04:45 PM

Starbright - I have done a fair bit of reading and research hun, and all indications for rupture are during contractions, nothing early etc... there is no research shown that the later you go that the higher the risk of rupture. The risk increases if you are induced with synoticin, or if you have a vertical scar rather than a low "bikini" line scar (that is internally as well - as sometimes you might have a scar that looks like it is a low bikini one on the outside but on the inside is a classical vertical scar.Try not to worry too much hun, and read up and research as much as you can. The birthrites website is great - and the articles on here are great too!

Charlismumma and mummytotwo - it really depends on the hospital regarding what their policy regarding VBAC is. I have just recently found out (and you would think I would hav eworked it out earlier with all the research Ive done) but that my hospital has lots of strict policies in place for vbac's and another local hospital is super supportive and doesn't put any of the same restrictions on birthing mums so I am possibly changing over! HtH!

**~mamaspice~** · June 27th, 2008, 07:32 PM

Hi Starbright, I just thought I'd tell you that I know someone who fell pregnant only 3 months after her caesarean, and her scar handled the second pregnancy just fine. Hope this helps ease your mind a little. Do you think you will book in for 38 weeks? Not long to go now, how exciting

Tanstar, isn't it amazing the different rules and regulations each hospital has. You'd think that all public hospital would have the same rules wouldn't you, but I guess it depends on what the head OB of that particular hospital prefers. Are you going for a VBAC? Where abouts might you be having your bub?

PS: starbright, all in all how are you finding Tweed Hospital so far? Now that the Tugun bypass is up and running perhaps the Twwed Hosp is now an option for me! Except that bub would be born a new South Welshman,

**~StarBright~** · June 28th, 2008, 07:53 AM

Thanks ladies... hearing that there is minimal risk of scar rupture during pregnancy has eased my mind alot!!

Charliesmumma.. Tweed has been ok. To be honest- it hast been the BEST... especially for me. i am high risk and it took me until like 28 weeks to get into the high risk clinic due to lack of organisation by the clinic- i kept asking for appt with a high risk dr and got fobbed off to my GP or mid wife visits-for some reason i was on shared care?! When i finaly saw a high risk DR they asked why it took so long for me to see them- i explained i tried- i had a referall letter in my chart- and i kept asking- but i got overlooked. I ended up cancelling my appt they had scheduled and making my own appt on the high risk day to get there. Even when i went to make my next appt the reception lady said to me- oh you dont need to come on tuesdays(high risk day) and i had to be adament with her and say yes i do- pull out my chart for a read one day if you want- (mulitple mis/c- loss at 18 weeks- placental abruption and loss at 35 weeks- and no live children... ummmmmm.... anyone else think i qualify for high risk??? The dr's certainly do!!)

As far as VBAC friendly- they are indeed VBAC friendly- just not for me due to past abruption- the midwives are lovely- but its just a VERY busy place... i wait at least an hour for appts and most of the time blood results and scan results dont make it into my chart- they sit in a pile somewhere and even if i specifically ask them to check for any results and put them in my chart so the dr can see them- we still end up spending most of the appt chasing the results that are sitting in a pile in the reception office. I havent been to a hospital clinic before- so this could be normal and happen anywhere i spose- but i find it VERY annoying- and i feel like a number- not a pregnant woman getting good care. Mind you when i did get to see a good dr- he was very thouroughand spent a fair bit of time with me, but getting there is the drama!!

Sorry if thats put you off- but thats how i feel it is there... drs are good- but the reception lacks organisation big time!!!

We are looking like having the c section at 38 weeks... so 5 and a bit weeks to go- i am getting nervous and excited big time!!! I cant beleive i am really gonna bring a baby home!!!!!

Take care everyone
SB