Vaginal Birth After C Section-pg116795671510
3 Replies
|
|
|
|
|
|
I am pregnant with my 4th child. My first was born by c-section,and then the next two were vback. My new doctor for the first will not deliver me va___ally because he says it is not safe and he cannot believe my last doctor delivered vback. I love this doctor; he delivered my first. Why after I have had two vback will he not deliver me that way? I don't want to switch doctors but should I get a second opinion? This doctor says that the hospital that he goes to will not do vbacks and the risks greatly outweigh the benefits. He says that this has changed in the last 2 or 3 years.
|
|
 | djh - January 4 |
|
|
|
|
|
|
I am not sure what he is talking about. The risks with ONE low uterine incision is 1% for uterine rupture, the risks from getting a pulmonary embolism ( a potentially life threatening condition) from a c-section far exceeds that. The risk of hemorrhage or infection is higher for the c-section delivery. The list goes on not in favor of the c-section. If he really weighs the risk v.s. benefits of both deliveries I don't see how he could tell you that. In his defense, the 1% risk of uterine rupture can have devastating effects on the baby, but with fetal and contraction monitoring that is still a much smaller risk than a c-section is for you. The fact that you have had 2 successful VBACs means you are an excellent candidate. The key point is that the HOSPITAL no longer allows them. That is quite simply due to insurance mandate. They would rather deal with complications and potential lawsuits from c-sections than from one VBAC case. If they do a section they can say they had done "everything" to ensure the delivery whereas if a rupture occurs during a VBAC they feel more vulnerable. I have issues with hospitals telling women they must have a forced surgery. It is your body, your baby, and your right to not have a surgery that has its own risks. I would tell your current doctor that you would like to get another opinion or ask him if he has privelages at another hospital that allows VBACs. Good luck to you!
|
| djh - January 4 |
|
|
|
|
|
|
I would like to add that I am not a doctor, and the prudent thing to do is to discuss this with him at length and get a good handle on what all the risks are. Perhaps your doctor has his reasons that aren't driven by insurance mandates.
|
|
|
|
|
|
|
|
Some doctors just will not consider doing a VBAC. Discuss it with your dr. and let him know you do not want a c-section and if he will not agree to the VBAC I would switch to another dr. who will.
|
