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Help a Mom: Mom wants natural birth after two C-sections

Posted September 25, 2012

I received this email from a mom who would like to try for a vaginal birth after delivering her first two children via Caesarean section.

She's looking for an obstetrician in the Triangle who is willing to offer what's sometimes called a VBA2C - or vaginal birth after two C-sections. Here's what she wrote:

"I wanted to ask if any moms know of any local VBA2C OB/GYNs. It wasn't a problem finding a VBAC provider after only one C-section, but after that most doctors don't want to take a chance. My first was a C-section due to pushing for two hours [only to find the baby] was face up. My second, I had a trial of labor and found out my baby was breach at 10 cm."

Can you help? Please share your tips and advice in the comments box below. (If you don't see the comments box below, you'll need to log in or sign up for a WRAL account. You can do that by going to the top of the page and clicking on either "log in" or "register").

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  • americaneel Sep 27, 2012

    Check Angie's List...

  • FromClayton Sep 27, 2012

    "My first was a C-section due to pushing for two hours [only to find the baby] was face up. My second, I had a trial of labor and found out my baby was breach at 10 cm."

    In general, you need a better OB. Those things could have been discovered with an ultrasound BEFORE labor was even attempted. I did Raleigh OBGYN/delivered at REX and had as good of an experience as you could epxect. I think they would work with you if it was in the best interest of you and the baby. Either way, they sure wouldn't let you "try" labor and THEN find out the baby was breech. They make ultra sounds for that. Good luck!

  • selenaebzhost Sep 26, 2012

    Hello I'm not in your area but wanted to offer some encouragement. Planning a VBA2C is a healthy choice for YOU and your BABY! Don't listen to the negative comments here. I had a VBA2C with my now 2 year old and it was wonderful. I could walk around and care for my older 3 children without being in pain. I felt great and my baby was born perfectly healthy with no problems. Vaginal births are generally healthier for babies and it's the natural way babies were meant to be born. I hope you find a supportive provider have have a wonderful birth!

  • smj Sep 26, 2012

    I'm a mom attempting a VBA2C next month and I'm going to Dr. Thomas Ivester at UNC. He's been really great. I was previously at Triangle OB but they won't allow VBA2C - apparently I was the 3rd person who had asked the week I discovered I was pregnant. They're ok with regular VBACs, but there's something about doing a VBA2C with Wake Med Cary - they won't let them doing them. I've been very happy with Ivester & the entire UNC practice/hospital.
    If it's been more than 18 months since your last C/S, there's a possibility that the Birth Center would accept you, but I've heard they've been more picky of late due to the current NC midwives issues.
    Good luck in your search for a better birth! :)

  • sef1528 Sep 26, 2012

    I just had my 3rd csection 2 wks ago. I was offered the choice to have a vbac w/ the third but chose not to b/c I have 9lb. Babies and the first labor was intense. I was told after the third csection I would not be able to have a vbac. Luckily, this was my last pregnancy! Wilkerson ob/gyn been w/ for 7 years. 3 babies and 3 csections. Located off of lake Boone trail, with delivery at rex. Good luck!

  • americaneel Sep 26, 2012

    Angie's List...

  • lwilhelm1 Sep 26, 2012

    Why on earth would you want to try any other type of birth?

    I had a scheduled c-section and it was wonderful. Your sections might have been worse after laboring, but mine was so easy. I needed a c-section because I'd had many fibroids removed a few years before and that surgeon told me I shouldn't try labor. The section and recovery was much easier than for the fibroid surgery.

    Because it was scheduled I was able to put the birth date right on my calendar, I was able to plan well (something I think anyone with 2 children already would really appreciate). Yes, I was in the hospital a few extra days but I expect many busy mothers would enjoy that time to relax with a new little one.

    The important thing is not the process of birth, but that the birth actually occurs. There is nothing lost about having a child when it is done by c-section. You and your child are no less human or special because of surgery.

  • dbyrd2 Sep 26, 2012

    I delivered my son by VBA2C 20 years ago with UNC Hospitals High Risk Obstetrics Group. I'm diabetic, first daughter was breech, 2nd Csection was preplanned, but delivering my son naturally went very well. He was 8.5 lbs., I required only 1 stitch, and was up and walking less than an hour after delivery. So much better than a csection!!!

  • righthere1234 Sep 26, 2012

    Make sure you check the hospital policy as well. At the time I had my first child almost 6 years, the hospital I delivered at did not allow VBACs at all. Now they do, but I don't know if they allow it after 2 c-sections. If I ever get pregnant again (highly unlikely), I would be in the same boat as you so I wish you the best of luck in finding someone to do it!

  • lilypony Sep 26, 2012

    A friend (from Illinois) was also in this spot. She said it was hard to find a doctor willing after her two c-sections (transverse twins, then a very large baby). She did find someone and that doctor required that she have a strong epidural on board in case of emergency. That was her plan anyway so it didn't matter. Everything went just fine. She was concerned about the health of the baby being delivered but needed to avoid surgery at all costs with 3 kids under 3 in the house already.