Pregnancy

I’m Considering Having A VBAC

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In the state of Florida, “less than 1% of women with a previous cesarean deliver vaginally. This downturn is thought to be largely related to the American College of Obstetricians and Gynecologists (ACOG) VBAC guidelines, which mandate that a physician and anesthesiologist be ‘immediately available’ during a trial of labor.” This does not inspire confidence. At to this grim percentage the fact that you are basically rushed into surgery at the very first sign of fetal distress, and I’m kind of feeling like the cards are stacked against me.

The complication that doctors worry about most in regards to VBACs is uterine rupture. This happens to a very small percentage of women. American Pregnancy.org reports that 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 500.” This is not a large percentage at all, but apparently the results can be catastrophic enough to risk the life of the baby and mother – as well as the doctor’s chance of being insurable. If they detect a fetal heart rate drop, there is essentially no way of knowing if it is something that will safely pass, or if your child is reacting to a ruptured uterus. They obviously err on the side of safety, and rush you into surgery.

A friend of mine just underwent surgery for uterine fibroids. She’s from Florida, still has her insurance there, and went back to get the surgery done. She had what is called a myomectomy. This is basically a c-section, minus the baby. It’s the same type of incision and healing process. Her doctor flat out told her that when she became pregnant they would be scheduling a c-section for her at 37 weeks, so as not to risk uterine rupture. What? I don’t want to be fighting with doctors that think a 1 in 500 chance is reason enough to not let my baby go full term and come out when she’s good and ready. My midwives here told me they let VBACs go to 42 weeks before they insist on a c-section.

Ugh.

Trust me, the most important thing to me is that my child and I get through this birth safely. But I don’t want to be spooked out of a natural birth and into the operating room by the VBAC boogeyman. I want to at least have a chance.

I’m just not sure that I do.

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