How to Prepare for a Successful VBAC

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How to Prepare for a Successful VBAC
Wellness Mama » Blog » Motherhood » How to Prepare for a Successful VBAC
Note from Katie: Several years ago I wrote about my own successful VBAC birth, and because of it, I’m often asked by expectant mothers what’s the best way to prepare for a vaginal birth once you’ve had a C-Section. I’ve asked a fellow doula (and student midwife) Jennifer West to write about that today. Jennifer specializes in v-bacs and has had 4 successful v-bacs herself. Enter Jennifer…

Considering a VBAC?

If you’ve had a Cesarean birth by necessity or choice, and have decided to attempt a vaginal birth in a current or future pregnancy, the idea of planning a VBAC (Vaginal Birth After Cesarean) may seem overwhelming. There are so many emotions that often surround this decision.

Many blog posts have been written on how to have the best chances of achieving a VBAC from a medical standpoint, covering all of the things you should and shouldn’t do in labor and the tests you should and shouldn’t have late in pregnancy. This article has some great starting points for things to think about when considering a VBAC.

My experience, planning my own VBACs and working with other Cesarean and VBAC moms, has shown me that the best advice I can give is to educate and empower yourself. Emotional and educational support is key so that you can make the best choices for YOUR birth and feel prepared and empowered for your VBAC journey. This post will cover the ways in which you can prepare before labor ever starts. Much of that preparation involves finding the best support and education that you can.

Find a Supportive Provider

One of the single most important factors in having a successful VBAC is finding a truly supportive provider. Depending on the area you live in, the birth climate, and availability, this may be an OB/GYN or a midwife.

The midwifery model of care is often times more supportive of VBACs, as they tend to practice in a more natural, less-is-more environment. Midwives also tend to spend more time with their patients during pre-natal exams and during labor, helping their patients to feel more supported.

Midwifery care seeks to protect, support, and avoid interfering with the unique rhythm, character, and timing of each woman’s labor. Midwives are trained to be vigilant in identifying women with serious complications. Medical expertise and interventions are sought when necessary but are not used routinely. (1)

It is incredibly important to find out as early in your pregnancy as possible (or before you are pregnant) if your provider is truly VBAC supportive or just VBAC tolerant. Many women are led to believe that their providers will “allow” them to try for a VBAC only to find in the last trimester, the conversations often turn towards a repeat Cesarean and their doctor seems to be trying to find a way to schedule a Cesarean. Here is a great list of ways to find out if your provider is VBAC tolerant or VBAC friendly.

Two very important questions you should ask your provider, are:

How many VBACs have you attended this year?

and

How many of your patients have had a trial of labor after a Cesarean (TOLAC) and of those how many have had successful VBACs?

It’s important to know, not just how many women have had VBACs, but also how many have tried for them and how many have actually achieved them. If a doctor’s VBAC rate is only 30% (after a trial of labor) then that’s not a good sign. Statistically, women who attempt a trial of labor after a Cesarean have about a 70% success rate.(2) If your provider’s VBAC rate is much lower than this, it could be a major red flag that they are not truly supportive of VBACs.

Despite the high VBAC success rate for women who have a trial of labor after a Cesarean, only about 10% of women will ever try for a vaginal delivery. The other 90% will go on to have repeat Cesareans in their subsequent pregnancies. One of the biggest reasons for this is the fact that so many women don’t feel supported by their providers in attempting VBACs or because they are simply told that they cannot or should not attempt a VBAC.

Here is an article with some great ideas of other questions to ask when interviewing a potential care provider for your VBAC. Remember, you are interviewing them to find the best provider match for you and your birth.

If you are not satisfied with your provider’s answers, it may be time to find a new provider.

Switching providers during pregnancy can be scary, but it’s your right and can make a world of difference for your birth experience. This is your birth and you are paying your provider for a service. It’s never too late to switch providers during your pregnancy.

Location: Different Hospitals, Birthing Centers, & Home Birth

If you have the option of birthing at multiple hospitals, tour them all and if possible, talk to the nurses and ask them specific questions about their labor and delivery procedures and protocols.

I recently visited a friend who was delivering in a larger city with multiple hospitals. Her doctor had privileges at two hospitals in town. She asked me to tour both hospitals with her and tell her what I thought of them. The first hospital had a very inviting and comforting atmosphere (it seemed more like a birth center than a hospital). When we talked to the nurses, they were very open to moms being able to move freely and walk during labor, the use of a hep-lock instead of an IV, intermittent monitoring, using the large shower for pain relief, and pushing in different positions.

The second hospital had a very sterile feeling to it. Their rules were very black and white and the nurses let us know that there was not an option to not have an iv and once your water broke you would be in bed, on your back, with constant monitoring. The difference between the two hospitals and their procedures was night and day.

One of the nurses we talked to at the second hospital suggested going to a local birth center staffed with midwives in order for my friend to find the birth that was more in line with her birth plan.

That brings up another good point…A hospital may not be the best setting for you personally, to achieve your VBAC. You need to birth where you are most comfortable (and that may well be in the hospital) but thoroughly investigate all of your options.

Depending on where you live, a birth center may be another option for your VBAC. Freestanding birth centers are typically run by midwives and are often times in very close proximity to a local hospital.

One study by the National Institutes of Health showed that 87% of women attempting a trial of labor in birthing centers had successful VBACs. That’s a much higher number than for hospital births.

Another VBAC option is a home birth, often referred to as an HBAC (Home Birth After Cesarean). Many home birth midwives (CPM’s and CNM’s) attend HBAC’s and have very high VBAC success rates.

According to this study by The Journal of Midwifery and Women’s Health, the success rate of VBACs at a planned home birth was also 87%.

Find Personal Support

Another extremely important factor is having a support system around you who believes in what you are doing. Is your spouse/partner supportive of a VBAC? Do you have friends/family members who are supportive of a VBAC? Everyone in your family and circle of friends doesn’t need to be supportive or in agreement with you (and they likely won’t be), but it’s important to have key people who you can talk to, knowing they are cheering you on.

If you don’t have this support system, it might be time to find it or make it for yourself. Look to see if there is a local ICAN chapter in your area.

ICAN is the International Cesarean Awareness Network. Their mission is “to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery, and promoting Vaginal Birth After Cesarean.”

Local ICAN chapters have monthly or bi-monthly support meetings. These are wonderful opportunities to process through your previous birth experience with others who understand what you have been through. They also hold meetings focusing on the 3-fold-mission of their organization (preventing unnecessary Cesareans, Cesarean recovery, and promoting VBACs).

Here is a list of other support groups. Some of them offer online options if attending a face-to-face meeting isn’t an option in your area or for your life circumstances.

Find a local La Leche League chapter or similar breastfeeding support group. Look for a parenting group that has a natural mind set such as Attachment Parenting International or The Holistic Moms Network. These are the places where you will find other mommas who have been there and can the offer the support that you may need when you face moments of doubt. These groups are also a wealth of knowledge when trying to choose a truly supportive doctor or midwife.

Hire a Doula

A doula is a word “used to refer to a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth.”

Studies show that having a doula decreases the length of labor, the need for pain medication and Pitocin, the use of forceps/vacuum extraction deliveries, as well as decreasing the chances of a Cesarean. These same studies show that having a doula also increases the health of the newborn, as well as increasing the women’s satisfaction of her birth experience.

Doulas are not only there to offer support during labor. Much of the work and support that doulas provide is done before labor ever starts.

They offer education regarding birth options as well as empowering the families they are working with to become more comfortable advocating for themselves. Becoming an advocate for yourself and your birth will be one of your biggest jobs while preparing for a VBAC. Your doula can guide and support you in this journey.

Doulas typically know the local hospital protocols and procedures and can help you to navigate within them. Your doula will also help you to learn and practice the comfort measures you will use during labor as well as helping your partner to put these into practice.

Take a Childbirth Education Class

Attending a reputable evidence-based childbirth class will help you find and sift through the information that you and your partner may need during pregnancy and labor. You can then make informed decisions regarding your pregnancy and birth. Being faced with these options for the first time at week 40 of your pregnancy is not the optimal time to start your research. Neither is when you are in the throes of labor in between contractions.

If you don’t know your options, you don’t have any. –Diana Korte.

There are so many decisions to be made regarding your birth but in order to make the best decisions for yourself, your baby, and your family, you will need to know all of your options as well as the benefits, risks, and alternatives. You also need to have time to weigh those options.

This is exactly what a quality evidence-based childbirth education class does: it gives you the information you need to be armed with in order to make the best possible choices for your pregnancy and birth.

There are many evidence-based childbirth education classes out there. Among some of the most popular are: Lamaze, Bradley, ICEA, Mama Natural BirthHypnobirthing, and Birthing from Within. Take a look at the curriculum they use and the structure of the classes and see which appeals most to you and your spouse.

Some of these methods offer online/distance courses. Although I recommend taking an in-person class if possible (this is another great way to build your support circle), I realize this is not always possible. In such cases, an online course is a great alternative.

Read Books that Will Encourage and Empower You

My favorite book to read when I was planning my first VBAC and natural birth was Ina May’s Guide to Childbirth. It can be a little hippy dippy for some, but it really allows you to see the beauty of what childbirth can be and it has so many amazing birth stories.

I’ve talked to many women who have read this book and have told me that it took away much of the fear that they had about childbirth in general or about a vaginal birth.

Birthing from Within is another book that really helps to alleviate the fears that many women often struggle with surrounding childbirth.

Katie has a list of her 10 favorite pregnancy books here.

Here are a few other book recommendations:

Watch Informative Movies About VBACs and Childbirth

This is even better if you can get your partner to watch the movie with you. My husband wasn’t interested in reading my birth books, but he was willing to watch the movies with me. These movies are filled with information and encouragement for VBACs and birth in general.

Create a Birth Plan

Your birth plan shouldn’t be more than one page long. It can simply be bullet points of the things that you would like to happen and not to happen during your labor.

Typically, nurses have shift changes in the hospital every 12 hours. If you are there during a shift change you may have multiple nurses caring for you. You want each nurse and health care provider to be clear about your choices for your labor and birth, but those choices need to be easy and quick for them to read.

Remember, plan for the birth you want but realize that sometimes (due to medical necessity) plans may change. Make contingencies for the possibility of those changes (such as a Cesarean).

Here is Katie’s simple but effective birth plan.

Make Preparations for a Repeat Cesarean

Don’t ignore the fact that you could end up with another Cesarean. Don’t dwell on it either, but have a plan in case it happens. One of the worst things that can happen to a woman who has planned for a VBAC is to end up with a needed repeat Cesarean, only to find herself completely unprepared for it.

We’ve had several moms in our support groups who, after preparing for a VBAC, ended up with a repeat Cesarean and were very happy with their experiences. They were able to hold their babies right away, breastfeed in the operating room, and not be separated from their babies at all, despite the fact that these preferences went against the hospital’s typical protocols. This was because the conversations about what their preferences were, in case of a Cesarean, was discussed several times with their OBs, long before labor ever started.

Often times the ultimate decision of what happens during the surgery rests with the anesthesiologist. If your OB knows your preferences and desires for your birth, he/she may go to bat for you and be able to make it happen simply by them discussing it with the anesthesiologist.

A VBAC can be very healing after a previously traumatic Cesarean, but so can a C-Section that is planned well. What has made the biggest difference for the women I have worked with seems to be that they felt more prepared and empowered the second time around, planning what they wanted their Cesarean to look like in the event that it became necessary.

Here are some questions to think about and discuss with your OB when preparing for the Cesarean portion of your birth plan:

  • Do you want to see your child being born? The drape can be lowered as baby is emerging. (Some hospitals are even offering clear drapes and a new drape has just been invented which offers “a sealable flap opening that allows the doctor to pass the baby to the mother.”)
  • Do you want skin-to-skin contact immediately after birth?
  • Do you want to breastfeed on the operating room table after baby is born?
  • Can baby stay with mom in the operating room and not be separated?
  • Can you have more than one support person in attendance during the surgery so that one can stay with mom and one can go with baby if baby needs to be separated from mom? An additional support person, such as a doula, can also help facilitate skin-to-skin contact and immediate breastfeeding in the operating room.
  • If there is a need for separation, will you immediately be reunited in the recovery room or do you have to wait until you are in your postpartum room?
  • Do you want to delay a bath (and other procedures) for the baby in order to have more time bonding/breastfeeding immediately after baby is born?

Many of these procedures are currently changing in hospitals across the country, to allow for more gentle/family centered Cesareans. It takes time for procedure and protocol changes to happen within hospitals. The more women who request and push for these options to be made available during their Cesareans and in their birth plans, the sooner hospitals will change their current protocols and these options will be available to all women in the US.

Don’t make the mistake of ignoring the fact that you may have to have a repeat Cesarean. Despite the goal of a VBAC, there are circumstances when a VBAC may not be possible and you’ll want to be as prepared for that as you possibly can be.

For more information on gentle Cesareans or family centered Cesareans, check out this NPR article and this National Institutes of Health article (I would suggest printing this one off and bringing it in to your provider because it is from the National Institutes of Health. It will give your provider much of the necessary information regarding the options you would like available to you during a Cesarean. Your specific provider may not be familiar with these options and it may take some “education” to get them on board.)

Katie wrote an excellent post about how to have a gentle and natural c-section, and here is an example of a family centered birth plan.

Read the VBAC Success Stories of Others

When I was preparing for my first two VBACs I had quite a bit of fear. I find that this is very common with VBAC moms. We tend to have quite a bit of doubt that our bodies are capable of a vaginal birth after having a previous Cesarean.

One of things that helped me most was reading the successful VBAC stories of other moms. It gave me the feeling that because they had done it, so could I.

Katie’s beautiful birth story of her healing VBAC breech home birth is a great story to read as well.

Labor at Home

I know, I said that I wasn’t going to give you “in labor” advice, but I do want to say: Labor at home (preferably with a doula) until contractions are well established. Many providers use the “5-1-1 rule”, meaning that contractions have been 5 minutes apart and lasting for at least 1 minute for at least 1 hour, as a guideline to know when to come into the hospital or birth center.

In my experience (and the experiences of many birth professionals I work with), VBACs tend to be longer in length than non-VBAC labors. This is especially true for moms who have never had a vaginal birth. These births are essentially more like a first birth because despite the fact they have given birth via Cesarean, they have not birthed vaginally.

It is very common once you are at the hospital to be put on the birthing time clock, meaning that you are given a range of time in which you need to progress to 10 cm and push baby out before most OB’s will start pushing for a repeat Cesarean.

Research shows that women who arrive at the hospital with “advanced cervical examination findings (cervical dilation and cervical effacement)” have a higher rate of a vaginal birth. This study found that women who were dilated to 4 cm or more when they arrived at the hospital, had an 86% rate of VBAC.

Study the VBAC Education Project

The VBAC Education Project is a wonderful new resource available through ICEA and ICAN. It is a free evidence-based educational project with modules for both parents and professionals. There is a wealth of knowledge regarding VBACs in these modules. Because these are brand new, I haven’t been through every module, but the ones I have been through are wonderful! Take advantage of all of the free information provided here.

Conclusion

So, now that you’ve read this very long post, I would say that my VBAC advice could be broken up into 4 basic points:

  1. Choose a VBAC supportive provider
  2. Do your research
  3. Build a support system
  4. Trust your body

I’ll leave you with one of my favorite birth quotes:

Remember this, for it is as true and true gets: Your body is not a lemon. You are not a machine. The Creator is not a careless mechanic. Human female bodies have the same potential to give birth well as aardvarks, lions, rhinoceros, elephants, moose, and water buffalo. Even if it has not been your habit throughout your life so far, I recommend that you learn to think positively about your body.
-Ina May Gaskin

Other Helpful VBAC Websites:
www.vbacfacts.com
www.theunnecesarean.com
www.cesareanrates.com
www.vbac.com

Have you had a VBAC? What did you find helpful in preparing for your VBAC?

Jennifer WestAbout the Author: Jennifer West is the mother of 5 and a DONA trained doula, specializing in VBAC’s, and currently working towards her midwifery certification. She founded and for 3 years co-led her local chapter of ICAN, working with local women to prevent unnecessary cesareans through education, providing support for cesarean recovery, and promoting Vaginal Births After Cesarean (VBAC). She is an administrator for a VBAC and C-section support group, and is a regional liaison for the Kentucky Home Birth Coalition. Jennifer has been married to her husband, Adam, for 12 years.
Sources
Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. WellnessMama.com is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

14 responses to “How to Prepare for a Successful VBAC”

  1. Samantha Blake Avatar
    Samantha Blake

    Hi! I wanted to share The VBAC Link Podcast!! There are TONS of VBAC stories and they publish new ones every with with a LOT of useful information you never would have thought about. I seriously LOVE them! You can find them on any podcast app, I think. I listen on Apple Podcasts but I know for sure they are on spotify, too. They are seriously the BEST!

  2. Claire Birdi Avatar
    Claire Birdi

    Hi there,

    Does anyone have any experience with having a natural birth following a laproscopic myomectomy and a cesarean section? I am pregnant with my 2nd baby, with my first I went ahead with the advice of my consultant who thought I should opt for a c-section but I would really love to give birth to my 2nd baby naturally if I can do so without putting myself or my baby at unnecessary risk.. I am based in the UK. Any advice would be greatly appreciated!

  3. Danielle Avatar
    Danielle

    So I just found out I’m pregnant (5 weeks) and I went to the doc yesterday. Initially I wanted to have a VBAC because I hated having a c section the first time around and I loved the idea of having a water birth. I had a c section because my little girl basically didn’t want to come out. I was dialating, she didn’t want to come down, and they didn’t want to risk her getting stuck which prompted the emergency c section. She ended up weighing 9 lbs 7 oz when she was born. Now, the doc that I saw yesterday told me that if I wanted to continue my care with them then I would be automatically scheduled for another c section. She did inform me that there’s another office that I could go to that support VBACs, which also happens to be the same office I went to during my first pregnancy. She also let me know that I may still end up having a c section is I can’t deliver naturally for whateva reason. Now, I don’t know how many more kids I want in the future, but heck I’m only 28!! I’ve asked friends & family what they think and only a few support me on the VBAC. Everyone else is saying just do the c section. However, my other half can’t fathom the idea of me having another surgery unless absolutely necessary and I couldn’t disagree with that. I’m just so confused on what to do now…..what do you think?!?!

    1. Wellness Mama Avatar

      It is definitely a difficult decision and a very personal one. For me, I knew that I would probably want to have more children and I also couldn’t fathom choosing a surgery if it wasn’t necessary, especially knowing what the recovery was like. My personal advice would be to first do some serious soul-searching and figure out what you want to do, and then to find car providers who support and can work with you for those options. A doula may be a big help, and statistically, staying home for as much of labor as possible increases the changes of a VBAC. My midwife also recommends a somewhat low-carb and high-protein diet to women who have had larger babies in the past to increase the chances of a successful VBAC. Whatever you decide… Congrats on your pregnancy and I hope you have a wonderful and uneventful pregnancy and delivery@

    2. blaire Avatar

      Danielle I wanted to suggest something since I have been through this exact issue.. my first Surgical Birth was not completely needed and I was very upset about it but baby #1 was in an OP position and I couldn’t dilate past a 6. My second Surgical Birth was a total emergency after an attempted VBAC of 36 hours of trying and very scary, my baby and myself almost died on the operating table. My 3rd Surgical Birth was an elected Cesarean but just me I fought the doctor for many months before accepted the fact that my body just doesn’t not dilate past 6cm. I wanted home births for my first two deliveries which both ended up in different hospitals and so my thirs I decided to do it calm and I had a BEAUTIFUL “Gentle Ceserean”..This 3rd Surgical Birth was more of a BIRTH than a surgery..every moment of it was calm. My husband felt very involved and got to cut the cord, I had a window in the sterile drape so that we could both see the baby be born, they even laid her on my stomach so we could discover her gender ourselves, I got to “push” her out as the nurses cheered for me to “push harder, you can do it”..i felt a part of my babie’s birth experience. We had skint o skin immediately after so we could bond. The entire experience was VERY healing, peaceful and is it crazy to say fun!? I had a hard time making peace with my other two tramatic surgies but THIS birth was everything I dreamed of and more! It was my “home water birth” I had always wished for and I would do it again in a heart beat! I felt very safe and guess what? Before this birth I was the most anti-cesarean person out there..only rooting for vbacs but I am SO glad I didn’t do one because when they opened me up I had a “window” in my uterus and even though I was double sutured at my 2nd surgery to lessen the chance of rupture..i probably would of lost my baby or even myself to my thin uterus..im all in favor of “gentle Cesareans” and you should highly considerate it IF you can’t find a vbac provider.

  4. Christine Avatar
    Christine

    This post and the information within has been extremely helpful. I am 16 weeks pregnant with #2 and my first was a c-section because she was breech. I have been told by my ob that a vbac is absolutely possible and something she would actually prefer I do instead of a repeat c-section. However, I am considered a high risk pregnancy as I have a congenital heart condition so will be delivering with quite a bit additional attention and monitoring. One thing that has been discussed to prevent too much stress on my heart during labor is pain management. I’m wondering what the natural pain remedies you mentioned in your birth plan are. As much as I’d love to do an all natural labor, I know that the chances of that given my health issues are pretty slim. However, I’d like to try and do as much as I can without medication etc if my ob is open to it. Thanks!

  5. Dee Avatar

    i had 3 c sections, and my fourth was regular Thank G-d, unfortunately i was given so much heat after that it was harder then the birth i do not know what to do now i really wish there was someone supportive in my area.

  6. Jennifer L. Avatar
    Jennifer L.

    I had a scheduled cesarean with my first daughter who was breech. When I was pregnant for my second daughter, my OB said she was great with VBACs; however, I received a note from my insurance company at 10 weeks saying that they had “pre-approved” my cesarean per my OBs request. Uh, no thanks! I wasn’t signing up for that voluntarily a second time around! Oi, a scheduled cesarean was mentally and emotionally challenging for me. We had to show up at 6 a.m. and just wait and wait until the scheduled time at 8 a.m. I slept terribly the night before, but was wired from excitement/anticipation/worry, nonetheless. Having a spinal epidural or whatever body numbing agents they give is no walk in the park! My daughter was fine and I was fine, but it was an odd process. My second daughter was born at home and that was so much easier mentally! I wasn’t stressed, I didn’t want to run out of the room. I was staying there because I wanted to meet my baby and there was a reward at the end! It wasn’t like I had to psyche myself up for the pain or whatever in the way that I had to sit patiently while they did the spinal. I had my baby–someone didn’t *hand* me my baby! It was a very subtle difference. I have to admit that I didn’t realize I should have asked for more ibuprofen after having my daughter at home. I tore a bit and was very, very sore for days after. I likely would have been more sore had the ibuprofen wore off during the cesarean recovery, but I think I felt better while recovering from the cesarean because I wasn’t dealing with pain in the same way. I just don’t recall being as clear with my midwife about how much it was hurting when I sat (and I was sitting a lot). We did ice, and all kinds of other pain measures, but I wasn’t taking ibuprofen or anything else (because I had a natural home birth, duh!). This time around, if I tear, I’ll just remember the pain meds! And if I have another cesarean for any reason, well, pain meds won’t be an option! I feel that having a cesarean was a learning point for me. I couldn’t find any midwives to support a breech home birth in the city we lived in, so I kind of had to accept it. Now, with the third, I have a better idea of what’s in store both routes and quite honestly, neither way is a real walk in the park! I’d rather be in my own house with my own pillows and blankets any day though! I have a goal of sleeping as much as I can this time during the early part of labor if it’s at night (the last one was from 1 p.m.-7 p.m.)–we’ll see how well that plan works out :-). Oh, and my kids were nearly 4 years apart, so I was sure my cesarean wound had healed well.

  7. blaire Avatar

    My first was a C-section due to the baby being in an OP position after 18 hrs of labor and only dilated to 6cm, he was 14 days late and only went into labor due to the doctor breaking my water with out my consent.. so 5 yrs later with 2nd pregnancy I planned HBAC which ended in TOLAC at hospital with tons of complications due to water being broke for 39 hours and only dilating to 5cm, and ended in emergency surgery. Now my 3rd pregnancy I have a Gentle Cesarean planned with a doula and midwife at a hospital but can’t decide if I should try one more time for a VBAC (just scared I won’t dilate again)..any suggestions?

    1. Janelle Avatar

      I’m the same way, 2 c-sections after failure to progress. I tried to go to a midwife this time with my 3rd pregnancy but they would not agree to a vbac after two c-sections. I really would like to know if any providers would attempt it. I really don’t like the c section experience. My OBs wouldnt even listen to my questions about making a c section more “natural.” So disappointing.

  8. Debra Avatar

    My first baby was a csection due to being transverse which I didn’t know until I was in labor. When I got pregnant the 2nd time I started actively preparing for a homebirth with midwives. I wanted to avoid the whole hospital setting. I started chiropractic early to make sure my pelvis was properly aligned, I read every book I could get my hands on and my favourite was The Thinking Woman’s Guide to a better birth and I hired a doula.Then at 20 weeks pregnant I had a huge surprise. I decided to go for just one scan. Unknown to me and my midwives I was carrying identical twins (shared a placenta).That placed me in the high risk category and I then had to have shared care with a high risk ob. My midwives chose an ob that was vbac friendly and experienced delivering twins vaginally. The midwives and ob would not support a homebirth. I was induced at 37 weeks and gave birth to 7 lb and 6.3 lb boys. Definitely a whole lot better than my csection. But I HATED the hospital experience. The nurses actually did some questionable things that even my ob said was dangerous for me and the babies. We moved to Australia not long after and at 41 I was pregnant again and was told if I went the hospital route I would be treated high risk just because of my age so we decided to pay $4000 for a private midwife. I gave birth to a 9 lb 4oz girl with a whopping 37cm head at home with my 3 other children present. The difference in experiences was like night and day. I encourage all women that are passionate about vbac to educate yourself on your choices, shop around for a supportive carer and to believe in yourself. I should also mention that my doula I had for my twin vbac was actually the most valuable and important choice I have ever made.

  9. Tanya Avatar

    My 1st child was vaginal, my 2nd was an unplanned c section… my 3rd was a successful VBAC. I used some Spinning Babies positioning techniques and drank Pregnancy Tea and did “hand and knees time” as well as Hypno Babies…unfortunately there aren’t supportive hopsital, OB units for VBACs in the area…but I thankful they still gave me the option though they offered a c section 2 weeks prior to my due date. My VBAC come ON her date, on her own and weighed 9lbs 4oz

  10. Sara Avatar

    Not sure what all the VBAC fuss is about. My 1st baby was delivered by C-section. My next 4 babies were VBAC. All were delivered in the hospital. My bone size is on the small side. My body frame size is petite/average. I don’t have wide hips. I went past my due date for all of my deliveries. All my babies were well over 9 lbs. (yes 9) and very healthy! I didn’t make any special plans for the VBAC. I was just prepared to have an emergency C-section if something went terribly wrong. Basically, for my last 4 deliveries: I labored at home until I couldn’t take the pain anymore (my contractions were always irregular – 5 min,, 10 min,, 3 min,, 8 min., 4 min., etc…), then I went to the hospital and requested an epidural once I was assigned a room. After the epidural, my body would relax, labor would progress well, and I delivered my babies vaginally. Thanks be to God!

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