Re: -V B A C

[Guest guest]

,

Common sense (medical knowledge aside) tells you that if you have

a previous c-section incision/scar, it is more likely to rupture at

that healed incision site than in a woman whose uterus has never been

cut before.

I am certain Chrystal appreciates your input if she understood it.

You lost me for a minute until I read your post several times.

As I am certain I have told you before, being the L&D RN taking care

of a Mom whose uterus DID rupture and her baby DID die (& she nearly

died) from complications of attempting a VBAC, that was enough to

make my mind up and opt for a repeat c-section 2nd time around. I

considered a VBAC for probably 3 seconds tops!!

Chrystal asked for advice and I gave her mine. Giving one's own

personal experiences when asked is what I was doing. I'm sure she

appreciates your expertise as well. You say: " For those who undergo a

trial of labor rupture rate is .53% " Not bad stats at all for *most*;

the tragedy occurs when you happen to be in that .53% and I wasn't

willing to take that chance. Certainly you can understand my concerns

even if you disagree with them.

Sheila

Chrystal,

I am usually not in here that much. Being a moderator I usually

approve/deny messages from my email. If you have any further

questions/concerns/comments that you wish to ask of me, please email

me privately as I may miss it in the group setting!

Sheila

[Guest guest]

> Common sense (medical knowledge aside) tells you

that if you have a

> previous c-section incision/scar, it is more likely to

rupture at that

> healed incision site than in a woman whose uterus

has never been cut

> before.

It's not just common sense that tells us that...it's studies

and statistics that back that up.

that is absolutely the case. a woman who has had a

previous cesarean is at a greater risk of uterine rupture

than a woman who has never had surgery on her

uterus. Absolutely.

> I am certain Chrystal appreciates your input if she

understood

> it. You lost me for a minute until I read your post

several times.

>

> As I am certain I have told you before, being the L&D

RN taking care

> of a Mom whose uterus DID rupture and her baby DID

die (& she nearly

> died) from complications of attempting a VBAC, that

was enough to make

> my mind up and opt for a repeat c-section 2nd time

around.

How you made up your mind is up to you...you could

have made up your mind just because you liked the

post-surgical drugs. Why you had a repeat elective

cesarean is nobody's business but your own.

I just wanted to make sure that the information and

facts are clear. when you said that you chose a repeat

elective cesarean because there was a chance that you

could have a uterine rupture..it implied that there isn't a

chance if you've never had a cesarean. That's not the

case...in fact, your risk is higher with an induction of

labor on a uterus that has never seen surgery than it is

with an unmedicated non-induced VBAC.

There's always a risk of uterine rupture. Is the risk

greater with a VBAC mom? Yes. Is the risk greater

with an induced mom? Yes. Is the risk greater with an

induced VBAC mom? Absolutely...much much greater.

But there's always that risk.

> I

> considered a VBAC for probably 3 seconds tops!!

>

> Chrystal asked for advice and I gave her mine. Giving

one's own

> personal experiences when asked is what I was

doing. I'm sure she

> appreciates your expertise as well. You say: " For

those who undergo a

> trial of labor rupture rate is .53% " Not bad stats at all

for *most*;

> the tragedy occurs when you happen to be in that

..53% and I wasn't

> willing to take that chance. Certainly you can

understand my concerns

> even if you disagree with them.

>

I completely understand your concerns..

I'm a VBAC mom, too. I've been attending births for 9

years, too (I know you've said you've been an L&D

nurse for a long time)...

I just wanted to make sure that the REAL risks are

known, because anecdotal evidence, while it can be

emotionally persuasive as it was in your case, doesn't

show true risk...

(and even when you look at the .53%...you then have to

look at how many of those are true ruptures, and how

many are dehiscences (or thinning of the scar which

isn't imminently dangerous but is lumped into ruptures))

There's just so much to look at...with the risk of ruptures

actually being a very very tiny one. You looked at more

of a personal emotional reaction to trying for a vaginal

delivery..that's as valid as anything, and I'd never tell

someone what they should or shouldn't do. I just

wanted to make sure that if someone is making a

decision that they are basing it on facts...not just one

person's experience (whether that one person is

someone who has had a uterine rupture and lost her

baby, or if that one person is someone who died in a

cesarean, or if that one person is someone who had a

wonderfully amazing vaginal delivery....the plural of

anecdotal evidence is not data and they should know

the real risk, not just personal singular experiences...)

Soderblom CCCE CD(DONA) CLD

Student Midwife - Mesa, AZ

CAPPA Board of Directors

Doula/CBE/Pregnancy/Birth Photography

Owner: Birth Story Diaries - real births, real photos

http://www.birthdiaries.com

Owner: SouthwestDoulas.com

[Guest guest]

elfanie@s... wrote:

> How you made up your mind is up to you...

---------------------------

actually, it was Chrystal who asked *how I made up my mind* (or

rather she asked for personal opinion and I gave her mine and why.

Being a paramedic herself, I'm certain she will look at every option

and method of bringing her baby the most safe way into the world.

Thank you for yet another opinion.

Sheila