Posts Tagged ‘VBAC’

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Baby Week 17 - Movement, VBAC Update and Downs Syndrome Testing

July 29, 2008
17 week fetus

17 week fetus

Apparently I have a lot to talk about this week, so I’ve mashed it all into one post. First, movement! I’m certain I’m now feeling movement, which is much earlier than the last time around. It’s not very regular yet, and sort of feels like that drop in your stomach when you hit a hill in a roller coaster or a steep road. I’m expecting the “kicks” to feel more like kicks in the upcoming weeks.

A VBAC update. I’ve decided to have another c-section. Ironically, it was Abby’s comment in my original post that helped me figure out what I really wanted to do. I think subconsciously I was already leaning towards c-section, but I wanted to make sure that I had carefully considered my options. Abby said that she thought with her second child she would opt for a VBAC, as she had a short-ish labor (5 hours) but a rather lengthy and painful recovery. I was the exact opposite. I had a long and miserable labor, but my recovery was quick and relatively painless. This helped me to realize that I’m much more comfortable doing that again than I am with an unpredictable labor. Those of you who know me know that I am not a spontaneous person. I like my life to be orderly and planned. In fact, I’ve already started making arrangements for my maternity leave even though it’s still over 4 months away. The idea of having everything planned before the next baby arrives is appealing and comforting to me. The thought of surgery is not overly concerning, and if my recovery is like the last one, then I should be feeling pretty good in a week or so after the event. I haven’t had a chance to discuss this with my doctors yet. My next appointment is August 21st, so hopefully they’ll be able to give me some more details at that point.

Speaking of my doctor’s appointment, I completed the “optional” additional testing my doctor’s office offers for downs syndrome and other various birth defects. The test is simply a vial of blood drawn. We did this with Xander during the last pregnancy. I stressed about it a little the last time, and started down the “what if” path. Luckily, Zach pulled me back to reality, and we decided not to even discuss other options until we had more information. Xander was of course perfect, so we never had to have discussions about “what if our child has a birth defect?” In my mind, this test was not optional for us. Regardless of the results, I want to know as much about my child as soon as possible. Even if the baby has downs syndrome, it’s something that I want to be prepared for - research, read books, talk to people and most importantly, prepare my family ahead of time. I don’t know how I would react to those faces that would initially be excited for us, and then look at us with pity. I want everyone to be happy about his baby’s arrival, and I don’t want any surprise that could have been prevented to detract from that happiness. I suppose that parents have reasons for choosing not to know - similar to those who chose to wait to find out the gender until the baby is born. I am just having a hard time figuring out why parents would make the decision not to know…

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Baby Week 14 - VBAC debate…

July 10, 2008

VBACI hadn’t ever heard the term “VBAC” (pronounced ‘v’ back) before I got pregnant this time around. Apparently if you have a c-section in your first pregnancy, you are sometimes have the option of having a “Vaginal Birth After Cesarean.” I happen to fall into this category. So now I get to decide, do I want to try another regular delivery, or would I prefer to go straight to a scheduled c-section? For those of you who don’t recall, my first delivery experience was quite lengthy and painful and ultimately ended in an emergency c-section. For those of you interested in the gruesome details, you can check out Xander’s first post here.

Right now, I just can’t decide. There are pros and cons to both sides. With a successful VBAC, there are less lung complications for the baby. However, if I attempt a VBAC and then end up with another emergency c-section, there are higher risks to the baby. There is also a small chance that if I attempt a natural birth, my uterus may tear at the sight of the incision of the first c-section. This would of course be bad news for both me and the baby. If I decide to have a scheduled c-section, there is more danger that the baby’s lungs might not be fully developed, but there is less stress than in a regular delivery. Since there is no way to predict how this birth will go, it’s even more difficult to decide what would be best.

Then of course, there are the practical considerations - a regular birth means a shorter recovery time, but an unpredictable delivery, and no guarantee that I might not need a c-section again eventually. A scheduled c-section fits much better with my type A personality and need to schedule and plan things. But, it also means a longer recovery time, and I wouldn’t be able to lift Xander for at least 2 weeks. I know some women feel robbed of a natural delivery if they end up having a c-section, but I never felt that way. I didn’t ever feel like I was less of a woman, or that my delivery was somehow less valid than any other delivery, so this time around I don’t feel like I need to try a natural delivery because I missed out on something the first time around. At least this isn’t something that I need to factor into my decision.

My doctors have been wonderful - I wondered if they would encourage one option over another, but they didn’t - not even a little bit. At my last visit we talked about some of the benefits of each option. He said that in his experience, women who went through a second c-section generally found the recovery time to be easier the second time around, which was a relief to hear. We talked a little bit about my specific delivery experience, and decided that we’d look at the records more later, and talk more as the time got closer. He also said that if I decided to try a regular birth, it would be like last time where I waited forever before they decided on a c-section. This time around, I could change my mind at any point. If I felt like things were going as slowly as they were before, then I could say that I didn’t want to wait anymore and I would prefer to go straight to c-section. All of this information made me feel a lot better about either decision I make, but I’m still having a heck of a time trying to decide.

There are tons of websites out there with individual stories about women who had VBACs, even vbac.com - which is of course entirely in favor of going the natural delivery route. A quick google search turns up tons of information on the subject. It sounds like lots of hospitals are banning VBACs - they say for medical reasons, but most individuals claim it’s more legal and business reasons. This part of the debate doesn’t affect me much personally, as my hospital still encourages VBACs for women who are interested, but I do find the debate over them rather interesting.

I’ve got time of course to make my decision, but I think that this one is going to take me a while to sort out. Has anyone else out there gone through this VBAC decision process? What did you do to help you decide?