Now that you've read the story of my first delivery, I'd like to welcome you to the more pleasant journey through deliveries 2 and 3, also known as, Savannah and Julianne (shown below)!
Anyone looking for some info and real life experience with VBACs? Here ya go, friends!
I was adamant about getting another shot to experience a vaginal delivery for all the reasons you've read about in my previous blog and both of Brittany's (). Here are a few stats you may not know to help you make an informed decision as well.
In many published studies, 60-80% (that's roughly 3 to 4 out of 5) women who have previously undergone a cesarean delivery can successfully give birth vaginally. According to the American College of Obstetricians and Gynecologists (ACOG), if you had a previous cesarean with a low transverse incision, the risk of uterine rupture in a vaginal delivery is .2 to 1.5%, which is approximately 1 chance in 5001. Good numbers, right?!
Recently, ACOG also stated that VBAC (vaginal birth after cesarean) is safer than a repeat cesarean, and VBAC with more than one previous cesarean does not pose an increased risk (1). This statement doesn't cover everyone or every situation as you guessed so always discuss your options with your health care provider to decide if VBAC is right for you and your pregnancy.
If you are hoping for VBAC and had a similar situation as me, here is some info to consider and steps I recommend, some obvious, but no less important:
Find an OB who is comfortable with VBAC deliveries.
Not just ok, but really comfortable. You don’t want to get to D-day and they jump to surgery quickly because they really don't prefer it. If you are unsure, get someone in your corner who understands what you want like a midwife to back you up!!
Wait at least 12-18 months between your previous delivery and conception to allow your body to heal.
You need to be in shape for this next baby no matter how you are delivering, but allowing your uterus and cervix time to heal is huge on this path.
Be prepared for anything.
This may not go as planned, like the first round, and that’s OK!! Healthy baby, healthy mama is the best end result, right?!
No medical induction options this time as they increase your risk of rupture so get ready to do some walking, deep squatting and breathing to get this party started if needed when the time comes!
So that being said, we were of course NOT induced with either and waited until they were ready. That ended up being pretty easy since my water broke with Savannah the night before her due date and 2 nights before my due date with Julianne. Remember above when I mentioned walking, deep squats and breathing? Game changer and a must!
As mentioned above, if you really want a specific birth plan, I'd highly recommend a midwife to be by your side and fight for your plan, knowing the risks and your health history well, to help you reach it. I didn't know much about midwives when I was pregnant with my first and I really wish I had!!
After my water broke, I started having contractions and moved way faster than anyone expected, having both babies within 9 and 8 hours, respectively. Your body has been here before and should move quicker and easier than it did the first go-round when everything was so new.
So if you want to go the VBAC route, go get it girl! After you discuss and get the ok from your doc of course ;)
Worst case, you have a c-section which you've already experienced and we'll help you rock your recovery! Worth a shot, right?!
Check out Britt's blog about her experiences, start here https://www.healthyhappyjourneys.com/post/brittany-s-two-very-different-labors
Visit www.acog.org for more info!