How Many sucessful VBAC's..

Specialties Ob/Gyn

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How often does your hospital have sucessful VBAC'S? Does your hospital even allow them? Have you had any really bad outcomes?

If you had had a prior c-section would you consider VBAC for yourself? TIA

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Specializes in Critical Care.

At my hospital we do do vbac's and they are generally successful, i'm not sure of numbers as i do not work ob but i know they are done. personally however, my first child was c-section and i will never go through labor again, i would definately opt for a repeat c-section

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Specializes in OB.

I think the success of a VBAC is dependant on the reason for the first c-section. If the section was for breach or fetal distress then your chances might be beter than if it was for failure to prgress or CPD. However in either case you don't have a proven pelvis, nor has your body gone through all aspects of labor so you still have a chance of a c-section. We still do VBAC's at my hospital, but we have lots of policies that govern the care of these pt's.

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I'm not a nurse, but I just wanted to share that I had a VBAC two years ago and it went very well :)

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Specializes in Med-Surg, ER, Mental Health.

Hi,

They are encouraged at the hospital where I delivered my sons, a teaching maternity and children's hospital.

I had my first son by c-section in 1993 and expected to be booked for another one when I found out I was pregnant again in 1996; but my doctor was very hopeful and encouraging about VBAC.

I delivered my VBAC baby with no trouble at all in April of 1997 -- all 9 lbs, 5 oz. of him! :p They monitor so carefully for trouble, and I think that the modern way of doing a low tranverse incision makes it much safer than it used to be.

Just my experience. :rolleyes:

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VBAC isn't "allowed" at my hospital, despite our Chief of OB & the large practice she works with's continual efforts to change policy... funny, one practice wants to offer elective primary C-sections, while the other (much larger, accounting for the majority of our patients) is fighting to bring back VBAC. But that would mean getting anesthesia to stay in house 24/7, and they're just not on board... yet.

So, with that in mind, we have a prewritten C-section refusal/VBAC consent form and have had I think 2 VBACs last year and 1 so far, this year. Plus at least 1 patient who presented in early labor and consented to be transported to a tertiary care facility.

And I would absolutely consider having a VBAC!

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Specializes in Mental Health, & Internal Mmed.

I had my oldest daughter by c-section in 94 after being induced for 2 days and only progressing to 9cm.....the c section was okay.:)

in 98 i was convinced that a vbac was a good idea and i was a good candidate for it....so i had my second daughter that way...ended up with a 4th degree laceration...it sucked.:o

in 2000 i had my 3rd daughter and she was a planned c section..everything went fine and i felt better after the 2nd c section than i ever did after having the other 2.

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How often does your hospital have sucessful VBAC'S? Does your hospital even allow them? Have you had any really bad outcomes?

If you had had a prior c-section would you consider VBAC for yourself? TIA

Just did a vbac last week very successful

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Personally I have had 3 Vbac's after my C-section. There was 4 years between my c-section and my first Vbac. My first Vbac was great, no pain because of epidural, second Vbac was awful, epidural only worked on my left side; third Vbac was ok, epidural took and I had relatively no pain. Give me a Vbac anyday.

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I believe that women should have the right to choose VBAC and have heard so many amazing and empowering and wonderful stories about successful VBACs. Unfortunately I know someone who had the worst possible outcome...uterine rupture...and she lost her baby (and her other children almost lost their mother!) Now, I think her care was poorly managed...she was induced for no good reason...isn't that a really bad idea for someone trying to VBAC, to use pitocin?

So anyway, me personally...I wouldn't. Maybe if I hadn't heard that story...but when you personally know someone who had the bad outcome it changes things. If we did get pg. again, and I were lucky enough to make it to term and have a healthy baby (I have IC and an increased risk of chromosomal abnormalities) I would not do anything to jeapordize the baby and would do a scheduled section. But my situation is unique. I really think that women should be able to make an informed decision to try for a VBAC.

Shannon

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Not sure about the first question, but I have 2 kids and have never experienced labor. First was a breech 10 pounder. I didn't ask my OB to VBAC but he advised against a VBAC because I had less than a year between pregnancies. I would choose an operative delivery again if given the choice. Mine was a good experience all around.

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Sarah,

If anesthesia isn't in house, what happens if someone needs an emergency section in the middle of the night? Sorry if that is a stupid question, I am not a nurse...yet!

My MFM told me that at a hospital in Orlando they ended up having to do a c-section with local b/c the anesthesiologist couldn't get there soon enough...that just sounded so scary and horrible!

Shannon

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