Hi there

I am having serious fears about going with my plans and dreams to have a VBA2C. I have been having this strong desire to birth naturally after having had 2 elective Caesars after gynaes recommended them unnecessarily so.

I have never been given a chance to try and birth naturally as the first time I was told that my pelvis was too small, my baby was too big (Born 3.4kg), 2 weeks overdue (Even though we disagreed about the right due date), the baby had not engaged yet, also told that the baby was face presentation and my gyane was due for his vacation so I had to make a decision very quick. Ultimately I gave in to having an elective caesarean with my first born.

The next baby born 21 months later at 38 weeks, I was told had not engaged (My gynae also made a statement that it seemed that my babies do not engage) and since I had already had a caesar the first time, it only seemed right to do it again. I gave in since I could never get any midwife or anyone who agree to a VBAC in my small town. Mpumalanga has no independent midwives practicing.

My 3^rd baby is due on the 8^th of October and again have had to struggle to get a care giver who would even allow a VBA2C.

After searching on the net I was excited to find this website and found out that there are so many people like myself out there and here are so many others who have done this successfully. This is where I found out about the Genesis clinic and my current midwife.

Reading so many positive birth stories, I realised that there is a chance for me and my baby to do this, naturally. I met my midwife and she assured me that midwives handle these kind of pregnancies almost on a daily basis and all I needed to do was believe.

Today I went and saw a gynaecologist and was disappointed when he spoke about the risks of a uterine rapture. This was the longest 1 hour consultation of my life. Everything he spoke about, I had already known, yet he kept hammering them in and I just felt hopeless and felt that this was indeed a big mistake on my part. I drove 2 hours from Middelburg for this and didn’t even have to.

Very sad and disappointed

René

Birthdoula said:

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Hi Clarisse,

No need to apologize for something that is so near to you right now. The reality is also that for the greater percentage of women a rupture never happens.

Provided you are with good caregivers who have this kind of birth experience and are confident in what they are doing and in you there is very little to

worry about.
Let me put this into perspective for you so that you can rest assured that a uterine rupture shouldn't worry you:
The risk of a uterus rupturing (0.03-0.07%, in a scarred or unscarred uterus is lower than a cord prolapse (2.1-2.3%) in all pregnancies.
There are not many women out there that worry about cord prolapses yet this is a higher risk of occurance as opposed to a uterine rupture.
Yes, in case you're wondering, a uterine rupture is possible in an unscarred uterus too and infact I have only really ever seen it in a first time mommy.
Listening to Prof Justus Hofmeyer at a midwifery symposium recently he was stating that there has been a huge increase in UR in unscarred uteruses as opposed

to scarred uteruses as a result of incorrect dosage of Cytotec drug to induce labour. Since most caregivers know not to induce vbac's the chances are lowered

for a UR for vbac's.

Hope this helps quell those fears a little.
Worry is good, it makes you look for answers to understand your fear.
Keep digging.

Love and sunshine
Lia
xxx

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Hi there,

To be very honest, its still one of my biggest fears! Before anything else, Im worried that something is going to pop. I was speaking to a midwife a few

months back and she made a comment that sort of freaked me out a bit. She said that if a scar is going to go, then there is nothing you can do about it. If

its going, its going.

I just smiled and nodded but never really asked her what she meant by this. I think I should have lol. So you think she was trying to say that if the scar is

going to rupture its gonna happen whether I VBAC or CS? Ive been telling myself that.

I getting crazy broody again this last month or so. Its almost getting irrational this yearning to have another child and to have my vba2c. Im feeling a bit

shy about it.

I have so much weight to lose before I can even consider getting pregnant again. I am at least 15kg over the norm, so my personal feelings will have to wait.

First weight then the rest. Im battling to lose the kilos. Work stress and bad eating habbits are really not helping.

Sorry, Im monologing here

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I had a lovely dream of my VBA2C and one of the things that stuck with me was the fear of the scar tearing.

Is it possible for your scar to go while you are pushing hard? Can you feel it tearing in between the contractions?

Is this a normal fear to have for VBAC moms?