Q&A: I'm considering a VBAC, but heard the best person to advice you on it would be the OBGYN present during your prior C-section.

by Dr. Gerard M. DiLeo

In a response regarding whether someone should have a VBAC, the recommended advice was that the woman's OBGYN was present during her prior C-Section would be the best to advise her about her eligibility for VBAC.

I am seeing a different doctor with this pregnancy, and she seems open to the possibility of a VBAC, but my husband and I are still unsure.

Our daughter was frank breech and so delivered via C-Section. I had a super attitude about the surgery and felt it would be quite routine. Although the medical staff had everything under control, I ended up felling as though I was knocking on death's door. The epidural was my problem. Drugs and I don't mix well, and the epidural was a nightmare. I wish I were exagerating.

So, here I am at 27 weeks with a precious baby boy in my belly and I just don't know how we're going to bring him into the world. I'm on brethine for some contractions that started at 20 weeks (no dilation though). Other than that, things are going along fine. I've only gained 8 pounds, so junior doesn't seem to be heading in the big baby direction of his older sister who was 8 lbs 15 oz.

Ultimately I would like to avoid anesthesia altogether if I can manage a VBAC. I just do not know if it really is as "safe" as many say. I cannot is good conscience risk my life or that of my child's simply so that I can avoid emotional trauma. To this day, I am convinced that my prolonged (though not severe) post-partum depression came from what I felt emotionally on that operating table that I was utterly unable to express amidst our family's exuberance.

Your new OB should look at the operative dictation from your previous OB to see if there were any worrisome tears that might make VBAC risky.

I don't think VBAC is as safe as some claim. But under adequate supervision, they have a good track record for the most part. But a repeat C-section is usally better tolerated than a first C-section. Also, a different anesthesiologist can make all the difference in the world. Tell your next one just what your fears are.

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