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    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

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    Aug 28
    2013

    Posibility of VBAC after 2 previous laparoscopies

    Tarryn Swartz
    Hi Henci,
     
    I've been doing some research on VBAC and feel really depressed about being  pregnant again because I feel so isolated in terms of the birthing options  available to me. I had a cesarean with my first child because the nurse said the  labor was too long and I wasn't dilating as I should (I was at 6cm in 15hours.)  I was young and tired and agreed to have the cesarean section, which I really regret now. 4 years later I am 6weeks pregnant with my 2nd child and I want to give natural birth but  it seems as if no one wants to consider it. I have had 2 previous laparoscopies to  treat endometriosis, will this in combination with the ceasar render me an unfit  candidate for a VBAC? I want a big family and can't imagine having more cesarean deliveries. I have read about the trail of labour after cesarean section (TOLAC) could I be viable for this?
    Please help, I need more information.
    Regards
    Tarryn
     
     
     
     
     
     
     
     
     
     
    Henci Goer

    I would consult an ob/gyn about this, but while there is some concern about the effect of uterine surgery (for fibroid tumors, for example) on the safety of planned VBAC, I don't see how having had laparoscopic surgery for endometriosis would make a difference--unless it involved the uterine scar. Choose an ob/gyn who ordinarily is in favor of VBAC so you can trust the doctor's judgment if you are told VBAC isn't a good idea.  In so far as general information goes, you can get good, evidence-based information here and here.

    ~ Henci


    All Times America/New_York

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