After more homework and advice from my US/OB and seeing my gorgeous baby girl again on Monday, I think I will be booking in for the C-section after talking with the guy that does the US (he is also an OB) he trained with my lovely doc, he has recommended to go with it!!! Reasons why...... After 2 c-sections the scar is weakened further, making the risk of rupture higher, being in a hospital that only does 1000 deliveries per year means that in general they are less experiened with this kind of thing (part time staff, causal midwifes and even inexperienced docs) and studies have shown that they are 30-45mins behind in picking up the problem. If I was going to go to a big Melb hospital eg:3000-6000 births a years and resident anthesatist and surgery staff yes cause they are equiped to deal with it and surgery can be performed quickly, in the smaller hospitals you have to wait for them to come in and if the babies head breaks through into the stomach cavity, it's all over.
Next problem 1in 20 women will have an unexplained stillbirth VBAC, they don't know why but.....it happens.
Same figures apply to maternal problems eg: huge blood loss that keeps you in hospital for heaps longer, endo why I have no idea??? and other women related problems.
Labour shopuld be no longer than 6-8 hours, you should'nt be induced all due to pressure on the scar, no epidural, labour needs to progress smoothly etc, then at the end of all that being an older woman it is harder for me to give birth naturally anyway, so my chances are slim and the risks are sounding great.
I am thinking my doc is very brave to even consider allowing me to try, although he has tried to sway me the whole way.
As this doc said this would be how a conversation between OB's would go doc x has a patient who is 41 years old has 2 previous C-sections and a high risk pregnancy with bleeding through to the fourth month and he is willing to give her a trial of scar, we would just look in disbelief and say well if it all goes wrong he is going to have 3 years to think about his decision, in between litigation, court etc, and if it went well and she delivered naturally we would slap him on the back and say well done mate you were lucky. His final comments were if I wanted to go ahead good luck, but just remember the hospital staff feel a bit down if something goes wrong but go home to there families we are the ones left to deal with a sick, damaged or dead baby/mother and the repercussions that go with that. Scarey thoughts hey, but the wake up call I needed!!!
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