I emailed a few months ago about my worry that c/s were on the rise due to "the fear of having large babies". Anyway, now I've got another issue that I'd like your opinion about. I'm haivng a really hard time making a decision on this one.
I’m just about 6 months along with my 3rd baby. I had 2 previous c/s's. I'm at a point where I feel like I need to make a decision about this birth. No one is really pressuring me (besides myself) but I just feel like I need to make some progress. I’ve even made an appointment with a therapist to have some cranio-sacral work done. I’ve heard great things about it and I’ve spoken with the therapist over the phone and she agrees that I have issues to work out with regards to my previous births – so much so that those issues may be hindering me from making a decision about this birth.
Anyway, I wish my decision was cut and dry, black and white – you know! My OB is a high risk OB (not that I'm high risk though) and after having an initial 2-hour consultation with him, he recommends another c/s but will support me through a vaginal birth if that’s my choice. I was thrilled once I heard that but then there are some other circumstances that are making me worry. I took references to so many studies on VBACs (with more than one prior c/s) with me when I spoke with him. I was not going to be told that my only risk factor for not being allowed a VBAC was that I had 2 previous surgeries. The good thing is that he assured me that that was not even a consideration for him. He said that if that were my only risk factor that he would definitely recommend a VBAC. However, after reading my post-op notes from both my previous surgeries he is more worried about the amount of scar tissue I have. Apparently I have an abnormal amount of it and the adhesions are covering most of my abdominal cavity including my bladder and bowel. So, of course if something happened during labor and they had to get baby out fast, there are 2 things to worry about 1) getting baby out fast enough and 2) he would have to cut through me and risk hitting my other organs. He didn’t say it in so many words but that’s what he meant. To be 100% honest with myself at this point, I’m more scared of surgical complications (i.e. nicking my bladder, etc) than the actual wish of a vaginal birth. Does that make sense? Sure, I want a vaginal birth so badly but I’m more scared of having a terrible recovery like last time. I expressed this him and he mentioned that I apparently had a pretty nasty infection after my last surgery (which is more common with women who labor and then have surgery) and that was probably why I felt so horrible and had such a bad recovery. My first c/s was for a breech baby and the second was due to baby's heart rate issues and me having a fever.
So, these are my 3 options….1) I can try for a VBAC 2) I can schedule another surgery (which scares the heck out of me) or 3) I could have another surgery but let myself go into labor naturally and then have the surgery.
After discussing my worries, my OB again encouraged me to go with the scheduled surgery so that he would be able to take more time with the surgery and hopefully there will be less risk to me.
I’m really frightened to admit that I’m leaning towards #3 ( a c/s but going into labor on my own) – mainly because with more “scheduled” conditions, I’m less likely to get an infection and have surgical complications. I think???
I feel like I’m just rambling on here. Like I said, I just wish things were more cut and dry. I feel like my background in childbirth education and all the knowledge that I have is really making this decision hard. I worry that I can’t get a straight answer from anyone. I know that some c/s are "true" necessities but when is that the case?? I've been such an advocate for normal birth and for unneccesary c/s's that I don't know what is best for me at this point.
I'm so research oriented - I just wish there were more research out there that pertained to c/s vs. VBAC risk and adhesions.