Sunday, May 20, 2012

VBAC

Ok, so for those that don't know I had a c section with my son. To most people this means I have to have another one, but that is not the case, there is something called Vbac, or vaginal birth after ceasarian. This means that I let nature take its course, go into labor, work my way through contractions and dialation and then push, you know, like a normal person. But there is this big scarey vbac monster called uterine rupture. Yeah, its just liek the name indicates, your uterus ruptures during labor or delivery. Now that idea alone is enough to scare the vbac right out of most women, but not me. Me, I ask "oh really, and just how often does That monster rear its very bloody head?" The answer, in less than 1% of vbacs, its closer to .87%. thats not a big risk at all. granted its higher than the risk of it if you have NEVER had a csection (which by the way does happen, women do have ruptured uteruses even though they have never had a csection) Justin is concerned that i may die during this procedure. He is SO scared of it that he is a fence sitter right now, he gets that its my choice but states he will "never forgive you if you die and leave me alone with this baby" I have to laugh, especially after research is showing that my death is at a higher risk for a repeat elective csection than it is with a VBAC. Just wait til he hears that one.

I have looked at risk factors, and I have debated on what to do, but honestly I'm a perfect canidate for a VBAC, they ask for 24 months between births, well we are looking at 4 years here. and as long as my little bean decides to make his world debute before or around his due date there is no extra risk. I'm also gonna quote vbac.com here because I thought this was important. "Current US health law and medical-ethical guidelines give childbearing women who once gave birth by cesarean the option of laboring for a VBAC or scheduling an elective repeat cesarean. ACOG’s current guidelines for VBAC state that women with one prior cesarean should be counseled about VBAC early during pregnancy and offered a trial of labor. Physicians should give women comprehensive information about the benefits and risks of VBAC and elective repeat cesarean, but ultimately the decision should be made by the patient" yeah that means that after only one csection the bigwig docs think it would be unethical to not educate women on vbacs, would be unethical to not allow a trial of labor. Yeah, that sounds about right. Hello, if the big wig think a trial of labor is the best option who am I to disagree, who is anyone to disagree with a woman that makes the choice to try?

So now that I have covered that a rupture is highly unlikely I'd like to poke at what if. What if it did happen? Did you know that research has shown that as long as quick action is taken and surgery is performed within 30 mins that the risk to mother and child are minimal? Did you know that I ws rushed from my labor room to the OR and my son was born in less than 30 mins? Did you know that the hospital i have chosen to give birht in is set up for the worst case senerio and that my child will be delivered through emergency csection in less than 30 mins if anything should go wrong? Yeah, most people don't know that, most people assume that the uterus pops like a balloon and everyone dies, yeah no. If it takes weeks and months for a uterus to shrink to normal size after birht than its not going to disappear the second it ruptures. the concern is that the baby or placenta would prolapse through the rupture and into the abdomen of the mother causeing issues for both mother and child.

I think at this point i have defended my choice well and hope that everyone else can either stand by that choice or at least step out of the way for it to be made.

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