Thursday, May 31, 2012

To have another C-section or not...that is the question.

I need some advice...Dave and I are expecting Baby Eli  in September.  Because Noah was an emergency C-section I had planned on having Eli as a C-section as well.  I am now having second thoughts. 

With Dave recently being in a car accident and having a broken hip and some other broken bones I am not sure that I want to be laid up after a C-section.  Dave won't even be able to start walking for another 6 weeks...our hope is that he will be about 90% by the time we have Eli in September...but I don't want to be laid up with another C-section!  Especially if Dave isn't 100%. 

I have heard some pro's and con's to both.  When I spoke with my doctor she made it very clear that it was my choice.  However, I never labored with Noah...never had once contraction.  They took him because his heart rate was super low (and had stopped several times).  So because I haven't labored before, the Doctors can't say that my birth canal is even big enough for a baby to come...but my thought it, my mom, and both my grand mothers were small ladies and they did it several times with no problems.  Come to think of it, I'm actually the first one to have a C-section.  another concern, what if I labor for hours, and still have to have a c-section?  Well that would just suck!  Right?  Third and most major concern- Apparently the biggest fear with a VBAC is that a pregnant woman who has a cesarean scar on the uterus has a slight risk of the scar breaking open during labor. This is called uterine rupture. Although rare, uterine rupture can be life-threatening for both mother and baby. So women with risk factors for uterine rupture should not attempt a vaginal birth after cesarean (VBAC).  (At least this is what google says...so how do i know if I'm at risk for a uterine rupture?)

Other risks listed:
The risks of VBAC include:
  • Problems during labor that result in a cesarean delivery. This occurs with about 20 to 40 out of 100 women who try VBAC. But it doesn't happen with 60 to 80 out of 100 women who try VBAC.1
  • Rupture of the scar on the uterus, which is rare but can be deadly to the mother and baby. A vertical incision used in a past C-section, use of certain medicines to start (induce) labor, and many scars on the uterus from past C-sections or other surgeries are some of the things that can increase the chance of a rupture.
  • The chance of infection. Women who have a trial of labor and end up having a C-section have a higher risk of infection. This means that the risk of infection is lower after vaginal births and after planned cesareans
I don't want to be selfish.  I want to do what is BEST for the baby.  Gosh, typing that almost makes me realize that a C-section would be best for the baby but harder on me and Dave.

Thoughts?