I'm almost halfway through this pregnancy with our second child, so what to do when it's time for him/her to arrive has been on my mind more lately! I have two options: a scheduled C-section at 39 weeks (around December 10), or trying for a VBAC. The new OB I had been seeing at JFW had had a month to look at my op report to make sure I had the lowest-risk incision to try for a VBAC, so at my last appointment with her 5 days ago I asked her about it. She said I was in the clear and had the best incision, which she said most Doctors do today anyway (low transverse).
But she also told me that there was a 5 to 10% chance of something going wrong, and when it goes wrong it is almost impossible to save the baby. She also said that there is a greater chance of stillbirth when a woman goes past 41 weeks. Now, the percentage above is enough to dissuade me from thinking of a VBAC. The OB gave me two pamphlets published by the American College of Obstetricians and Gynocologists, one on Caesarean Birth and one on VBAC.
Within the next couple days I read through the pamphlets and found that both pamphlets had a much more of a favorable description of a VBAC than my OB had given. The VBAC pamphlet said that the most serious risk of a uterine rupture is less that 1% with the kind of incision I have. Another source said it is a .47% chance! Further, other than saying there is a 60-80% success rate of TOLAC (trial of labor after Cesarean), the only other figure mentioned was the one I just said - the very low and rare risk of uterine rupture. No mention of this 5-10% chance of baby dying. Hhhhmmmmmmmm.....
Yet I was no longer ruling it out for one MAJOR reason: Lord willing, we want to have at least one or two more kids, possibly more, after this 2nd one! The pamphlet warned that if a woman wants to have more kids, having another Caesarean birth is not the best for her. The VBAC pamphlet says, "For women planning to have more children, VBAC may help them avoid problems linked to multiple cesarean deliveries. These problems include hysterectomy, bowel or bladder injury, and certain problems with the placenta." The Cesarean Birth Pamphlet warns, "... the more cesarean births a woman has, the greater her risk for some medical problems and problems with future pregnancies. This may not be a good option for women who want to have more children." That last quote from the pamphlet all about Cesarean births is what finally got me. I knew at this point that the best thing would be to try for a VBAC and I sought out more advice. My friend Becca put me in touch with a doula (me talking to a doula is an occurrence I honestly didn't see coming) and I got more information from her as well.
I won't try to have a VBAC just to climb Mt Everest, prove how awesome I am, what a great Mom I am (I'm not, fyi). I'm not militantly granola and I find that kind of mindset cultish, narrow-minded, judgmental, legalistic and burdensome. Just to be brutally honest. (I don't feel like I have any close friends who fall into that category, those of you reading this. lol. I get this from the things I read online.)
We are all told that childbirth is a natural process and that nothing usually goes wrong, that we don't need all this "medical intervention". But from the standpoint of our Creator, "natural" is a slippery word. Before the fall, yes, birth was easily "all-natural" and probably a lot less painful and didn't result in death. But now sin and it's result, death, is at work all over the world and has effected our bodies. Childbirth is no longer easy as it was originally created. Women used to write goodbye letters to their husbands before going in labor, so many women would die in childbirth before this age of medical advancement! And the fact remains that my labor did not progress with Carson, and if this happens again I will have to have a C-section. It may never be known if my labor would have progressed after the 8 hours I was in it with Carson, but I'd like to find out this time for the sake of my and my future children's health! So that I feel like David and I can have as many kids as the Lord allows without taking some major risks.
I will have a thousand questions for the nurse practitioner when I meet with her in early August. I've had a few questions buzzing around my head concerning the Dr. that delivered Carson. My mom's labor with me was long because I was her first. But after they broke my water, Carson only had 8 hours to get out before I had a C-section. What if the Dr. had let me labor through the night to see what would've happened? His vitals were fine. I had only gone from 2 to 4 cm, and most of that was earlier in the day. It had probably been 5 or so hours with no progress, still at 4 cm. By 6 PM I had the Dr (via speakerphone... ugh!), David, and David's mom standing around my hospital bed, waiting for me to say whether or not I was going to have a C-section after having been persuaded by the Dr. that I should. David's mom didn't say a word, but David was convinced by the Doctor. I was very drugged, physically and emotionally drained, and frightened! As was David. I felt relief when I decided to have a C-section. The experience itself was not so bad, nor was the recovery process.
My regrets with this are that,
1) I had been induced into labor with Carson instead of letting it come on its own. It seemed to me that labor coming in its own is much better. Or at least waiting to induce a little longer. I wonder if the labor with Carson was so slow because my body was not on board, and also slightly malnourished.
2) I opened myself up to having a C-section as early as my 38 week appointment when the Dr gave me the doom and gloom speech about shoulder dystocia, or even as early as the first appointment when I told the Dr comically that I'm not all about natural childbirth, meaning without pain meds.
3) That I allowed the time crunch before Christmas, and my Dr's personal schedule, to pressure me into inducing. I could've easily had another Dr deliver Carson if she was busy. But I was too unsure of what birth was like and was scared of the whole process. (I've always been scared of health events honestly. Especially barfing. Don't get me started on my honeymoon! lol)
Like my mom said to me the other day, C-sections are sometimes medically necessary and thank God for that! But I'm unsure whether mine was. In fact, I highly doubt it was.
