An Opportunity To Give Birth By Caesarean After VBAC Success?
Hello HealthReplies.com, I am 36 years old and am waiting for the birth of the 3rd child whose HPL is October 29, 2019. My first child was born by cesarean delivery in June 2015 due to what happened when I experienced 2 openings at 5 am and my baby’s consideration according to the doctor’s size is estimated at 4.2 kg, and after birth it turns out 3.9 kg, born at 1 pm. Then in July 2016 I became pregnant with my second child and planned to undergo a cesarean delivery according to the doctor’s advice because of the close distance of the pregnancy even though I really wanted to give birth normally. In March 2017 I was thankful for having succeeded in giving birth to a second child of a normal male sex even though at that time preparations for a temporary cesarean were carried out. Well, doctor, when I was about 31 weeks old, I was in control of the same obstetrician, my baby was female and healthy through ultrasound monitoring, but I was a little surprised that the doctor suggested returning a cesarean section in this third child. when I asked why the cesarean should return according to the doctor I was lucky to succeed normally in the second child but not necessarily succeed normally with the current pregnancy. Frankly I am confused and disappointed with the answer because I hope there is a scientific answer that I can understand as a lay person especially I always consult during pregnancy at the doctor considering that he is the only obstetrician in my place. I was a bit shocked and worried after the consultation. Is there an explanation for this situation? What is the percent chance of successfully returning to normal birth after previous VBAC success? What influences the success of normal childbirth for this condition? Between the two childbirth processes, in general which is more beneficial for the health of the mother and baby? Thank you for the explanation. Regards, Dona
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We understand the concerns that you feel. Most pregnant women want the birth process to run normally. VBAC (vaginal birth after caesarean) is a method of vaginal delivery / normal in women who have previously had a caesarean delivery.
We also respect the opinions of doctors who treat you. We are sure that the doctor's statement must have gone through medical considerations based on physical findings and investigations that have been carried out.
We cannot judge how much chance there is to be able to have a normal delivery after VBAC. This is due to complications and the risk of childbirth can occur at any time resulting in failure in normal delivery. The most feared condition is a torn uterus especially in the former surgical incision that can occur unexpectedly.
Other risks may also occur such as increased blood pressure in pregnant women or also called pre-eclampsia which must immediately get emergency measures to remove the baby.
Which can affect normal pregnancy of course from the condition of the pregnant woman herself and the baby she is carrying. Consideration from your doctor may be one of the preventive steps to prevent various complications and risks of childbirth for you and your fetus.
Obstetricians are obliged to carry out medical examinations and monitoring for pregnant women and the unborn fetus. Doctors are also required to provide medical considerations related to the health condition of pregnant women and the provision of information related to labor later. However, patients are also entitled to determine their own methods of delivery based on medical considerations from the doctor.
Therefore, we suggest that you re-discuss with your treating doctor or do a second opinion to another obstetrician to get more complete and relevant information.
Thus the information we can convey, hopefully helps