Elective C-Section vs. VBAC Talk with Ilana Saul | Susan Yara

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The decision to have an elective c-section or VBAC with your second baby can be a hard one. This time around, I'm having a c-section but my friend Ilana Saul had a successful VBAC. That's why I brought her on to talk about our thoughts and experiences. Did you have an elective c-section or a VBAC with your second baby? Let me know in the comments!
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8 июл 2024

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Комментарии : 111

@SusanYara 5 лет назад

I really hope this video sheds some light on VBAC. Big thank you to Ilana for sharing her story with us!

@display_name2121 5 лет назад

"Choice is the most important thing." Absolutely! We have to feel as though we're being empowered and not having to justify ourselves. Really interesting video and I appreciate hearing both of your perspectives. Have a great day! Xoxo

@noelleirina5628 5 лет назад

Somewhat disagree. Your doctor knows best. Making random decisions based on what you've read or heard or on how scared you might be is never good. Doctors in Europe don't even imagine letting women choose C sections if they're not even needed. For good reason.

@UpandAboutGina 5 лет назад

I love these genuine women to women conversations. I had two C sections 1 emergency and 1 elective. I was grateful for actually going into labor and have my baby ready to be born vs going in for surgery with out contraction.

@yvonnerodriguez6099 5 лет назад

I had a c section with my twins boys and my recovery and the whole experience was great for me I felt no pain after and with my second pregnancy I decided going the VBAC route although my recovery and experience with a c section was great I just didn’t like that I wasn’t able to do much and especially bc I already had two toddlers so I decided to do the VBAC so that way I was able to do more with my kids and my VBAC went great my labor and delivery went by so fast and I honestly loved both of deliveries.

@jczelusniak777 5 лет назад

I had a c-section with my first and I’ve had three v-bac’s after for me v-bac was so much better this video was great.

@Victorialuss 2 года назад

Can u give me some input I had a c section two years ago with my daughter but I would love to try a vagina delivery I would want to be induced instead of having a c section bc I didn’t have a great healing process after my daughter.

@socalgirl220 2 года назад

I had a traumatic emergency c/s in 2020 after 36 hours of a maxxed-out on Pitocin birth (the attending nurse for the end of my labor said she had never seen so much used and was horrified but the doctor insisted). I had failure to progress (stalled at 8cm and started swelling shut), choreo, baby in distress/meconium… basically all the things wrong not to mention I was exhausted. The recovery was so brutal I would scream at the top of my lungs for the crescendo of pain I would feel on my left side (still have pain to this day there) for the first several weeks after birth. I couldn’t walk upright for 3 months. Debilitating PPD for one full year. Hearing your stories has really helped me think about a second birth experience and how an elective c/s might be a better option and (hopefully) easier recovery than what I first went through. I appreciate you taking the time to share your different perspectives.

@plugrapls 5 лет назад

Interesting. I had a vaginal birth and a lot of difficulty breastfeeding and postpartum anxiety. I feel like we honestly have so little control over these things. The first big lesson of motherhood, letting go of control :)

@Kaylapaidousis 5 лет назад

plugrapls this was me too.

@TheRavensNest 5 лет назад

I love getting to "listen in" on conversations like this, these are my absolute favorite kinds of videos on your channel! It was very interesting to hear your experiences around c-sections and vaginal birth. I'm 34 weeks pregnant with my third and I have had two vaginal births. Hoping this one goes as smoothly with no complications. 🙏 Here in Sweden you can't have elective c-sections, they only do it if there's an actual medical reason for it (with some exceptions). I feel like that makes it a slightly different conversation here.

@soojinkim80 5 лет назад

This is so interesting. So would a vbac be the natural process for a 2nd or 3rd child?

@TheRavensNest 5 лет назад

@@soojinkim80 That's a very interesting question that I've never thought about before! I don't know much about VBACs and the science around it but I would assume that they have to make individual determinations in each case to see what option is the safest for mom and baby, simce that is always supposed to be priority #1. But I actually don't know! I'm interested now to try and find the numbers on how common VBACs/c-sections are here compared to in the US.

@evitaevita98 5 лет назад

I had an emergency csection with my first and the recovery and postpartum period was tough. I opted for a VBAC the second time around and although it most painful thing I've ever done. I'd do it again in a heartbeat. I agree with llana about the feel-good hormones. I'd say it felt euphoric for about a week or two.

@Sabihah228 5 лет назад

Eva C why was it the most painful thing you’ve ever done?

@evitaevita98 5 лет назад

@@Sabihah228 It was an unmedicated vaginal delivery and I pushed for 2 hours because my baby was big (almost 10 pounds). But the feel good hormones she talked about are so real!

@penelopematshamba454 4 года назад

How long did you have to wait to get pregnant again?

@lizbeth.c6734 5 лет назад

I've had 1 vaginal birth and 5 c sections and I've never had problems with any surgery lol. No problems with breastfeeding or my births at all I guess I'm a lucky one 😊

@hetallakum3926 Год назад

How much gap between each pregnancy?

@myhsub 5 лет назад

Thank you so much for this video! I’m considering a VBAC and really appreciated both of you guys talking about your experiences 🖤

@katsoutofthebox 5 лет назад

Also I have to say I love your spirit. By now I know you are one of those people who tries and makes the best out of a situation. That is a really important quality to have.

@beautynerd5918 5 лет назад

Thanks for sharing! Whichever route you choose just make sure it’s the safest route for baby & mama so have open communication with your ob/gyn. I had a C-section after going through IVF. I had 2 failed inductions so at the last minute my doctor said our son was bigger than she had previously thought so I had to have a C-section. He was born 3 days late but def worth the wait. We love him so much and hope the universe will allow us to have another child. We shall see🙂

@MsJackonWorknTwerk 5 лет назад

Thankyou so much for this piece of amazing content!! I'm 19w along and hoping for a vbac this time around, good to know what's coming! Have a wonderful week and lots of love from Australia ❤ xox

@kawenthebear 5 лет назад

Amazing video!! Thank you for sharing your experiences

@ladericaallen5438 4 года назад

Thank you so much for sharing! This has been very insightful!

@wamikakhanna2858 5 лет назад

I love how you make these videos so informative and help us clear out so many doubts we all have as expectant mothers or planning another baby.

@kelly1827 5 лет назад

My first daughter was a c/s for frank breech (after trying everything to turn her including an external cephalic version). My next two daughters were both unmedicated VBACs with CNMs in the hospital. I thought unmedicated birth was one really hard, difficult day (and with my second one an uncomfortable week after because of a 2nd degree tear) but recovering from those *for me* was soooo much easier than recovering from my c/s, even with other children to take care of. Having a doula with my VBACs really helped too, not only during labor, but in the months leading up to it. My doula really helped me get my "head in the right space", made sure I was well educated about normal physiologic birth, and generally was a great resource. My youngest will be 13 in July and we are still friends

@nicoleee1980 5 лет назад

Thank you so much for making this because i had to have a c section for the same reason Ilana had to have one. And after, i too felt i struggled with breastfeeding my first baby because of it. And now faced with the decision to do a VBAC or C section the next time around i’ve been on the fence but after hearing about the risk of uterine rupture I may opt for the C section again. The fourth trimester is the toughest for sure!

@kelly1827 5 лет назад

When I had my c/s, the consent for it was so brief and nonchalant, focusing mostly on anaesthesia complications. They practically made it sound like "We'll give you anaesthesia and then unzip you, take the baby out, and zip you back up!" There was NO mention of the higher risk of placental problems in subsequent pregnancies, or wound healing problems (glossed over under "other surgical complications"). My consent for VBAC was so much more detailed, but didn't explain that the 1% risk of uterine rupture includes women who have epidurals and are induced with escalating pitocin. If you avoid those the risk is actually lower. The "Patients" section on the ACOG website doesn't go into detail on those things either: m.acog.org/Patients If you went to the Practice Guidelines section of their website, the articles on VBAC and Induction don't give abstracts and you must be an ACOG member to open any of the guidelines. Also, one point to consider is that if a hospital "doesn't do" VBACs it is usually because they don't have 24/7 anaesthesia coverage. Complications requiring an emergency c/s -- placental abruption, amniotic embolus, fetal distress -- can occur with ANY birth. According to the March of Dimes, placental abruption occurs in 1% of pregnancies -- the same % as the generic rate cited for VBAC. I'm not trying to sway you one way or another, just making sure you know that women often don't get ALL the information broken down for them, and we deserve it. Ask for it.

@EmorettaRobinson 5 лет назад

This was very informative. Though I've always wanted to experience the whole process of being pregnant from feeling the baby kick all the way up to labor and delivery. I don't have a child. I've never heard of the "feel good hormones". So it was nice to get a chance to hear from both Susan and Iliana.

@vigtoria8123 5 лет назад

I’m pregnant with my first and I didn’t even know vbac was an option. I was always told by family and friends who had kids that once you have a c-section you can’t give birth vaginally after

@olalapola 5 лет назад

Great video. It’s such an important thing to have a choice... In Poland vbac is not optional - and thats why I’m a bit scared even thinking about second child. My emeregncy c-section and recovery was pretty good experience, I cant complain. Idea of vaginal birth is terrifying 🙁

@faranak15 5 лет назад

Susan great conversation! This is such an important topic. I will add my story: I had a c section for my twinsies, then for my 3rd baby my uterus actually did rupture when I got to the hospital to attempt a VBAC. Without even pushing, just very early contractions. Had a second c section and all of my babies are healthy and happy. So overall a success story. But I do want to emphasize that the uterine rupture risk is very real- low low risk, but it happened to me.

@chloe067 5 лет назад

How was the recovery of your second C section?

@abbysheehan245 2 года назад

yes. I felt like they minimized and glossed over how dangerous a uterine rupture is when it does happen. A family member lost her child and nearly died herself due to uterine rupture in a hospital setting. It’s not just “yeah if you have a rupture, they just take your baby out and everything is always okay.”

@kelseymohamed7469 5 лет назад

Thanks so much for this video I had a c section 2 months ago because my baby was breech ( first baby) it was also a terrifying experience for me as I wanted to go natural. This video is so informative hopefully for my next baby I can do a vbac.

@lillianlafave8457 2 года назад

I totally relate to the Vbac mom. I also had a c section for breech baby and didn’t want to be in surgery.

@narmiataf3993 5 лет назад

My first baby born with c- section but my second one is veginal and my third one is also veginal i feel like going in labor naturally is better than c-section.

@lindseywinters8833 2 года назад

Good for you no one cares

@Sammie-wk7mw 2 года назад

@@lindseywinters8833 you're so rude everyone is sharing their experiences which many woman like myself find helpful

@nebiyatberhe8807 4 месяца назад

Why did you think it was better? I’m scared about the vagina not being intact

@VivirSimple 5 лет назад

Thank you for sharing!

@noelleirina5628 5 лет назад

With C sections, they cut all your abdomen muscles apart. Which means even moving is extremely difficult for weeks. C sections aren't some random procedure. They're a huge deal.

@lindseywinters8833 2 года назад

Shut the fuck up and stop hating no one cares about your negative opinion

@hartmyndsole 5 лет назад

I’ve never heard of a walking epidural before! I wish I had that! Lol.

@brittanymakyla8547 5 лет назад

This video is so helpful!!! My first was a c-section, unplanned as he was six weeks early, and I've been going back and forth on what I'd prefer with my second. Still A LITTLE terrified either way lol but I think that just comes with giving birth, period!

@oceangingerbananas7071 2 года назад

I had to have an emergency csec. I’m so glad I’m not alone with feeling like csections are scary. I absolutely freaked out and they had to sedate me, then I freaked out more swatting through the curtain and caused my doctor to cut herself. They had to fully put me under anesthesia after that.

@autumngeorge2398 5 лет назад

Susan - you are MY PEOPLE! lol Everything you said about your first c-section was me. And your comment about the catheter hahahaha - I told my husband that thing was amazing! When we are ready for a second baby, my doctor has already told that she does not do VBACs, so if that is something I wish to try I would have to fine another doctor, however I don't think I will want to go that route - though having another c-section does scare me - the initial one I was all for it and even secretly wanted it instead of a vaginal birth, but like I said the thought of a second one terrifies me. (Also want to note I had c-section with first and was not able to see her for over 3 hours due to her having a possible infection and being treated for that and me getting stitched back up etc.. I am almost 9 months postpartum and still breastfeeding and going strong! Tho I did have latch issues at the beginning but she finally got the hang of it at about 6 weeks)

@ilanasaul3055 5 лет назад

Hi! Thanks for watching the video! I was also able to exclusively breastfeed my first for over a year but was simple saying that we had a lot of trouble establishing latch at the beginning. It took weeks and many visits with lactation consultants to get things off to a good start. It’s definitely still possible to breastfeed after a C-Section but statistically it makes things a little harder, and j always imagined that could have been one factor involved that made it more challenging.

@Lolee56 2 года назад

As daunting as it is I will be trying a vbac for second baby because the recovery with my c-section was sooooo painful and hard

@nehamushtaq8615 5 месяцев назад

I had my first baby planned c section because he was breech and my recovery was so easy. I was up and about in only 1 week. My second baby I had vbac and the recovery was so rough. 2nd degree tearing so painful 4 weeks postpartum and I’m still in so much pain. Everybody is so different.

@katsoutofthebox 5 лет назад

I had an emergency c-section and it wasn't a bad experience at all and recovery was so fast. I didn't really make a big deal out of it, he was gonna come out one way or another lol

@MsJackonWorknTwerk 5 лет назад

I'm the same 😊

@ImJustJessica 5 лет назад

I really needed this!! I’m so on the fence about whether or not to do a vbac with my 2nd in September. Great perspectives! Thank you 💗

@tsolberg4503 3 года назад

What did you do?❤️

@Orophileme 3 года назад

What did you have?

@bees_nail_art82 2 года назад

Same I’m due in May 2022

@cjraagasable 4 года назад

Hi. In the Philippines, what is practiced that once you get a C-Section, you are "required" to c-section for all your succeeding babies.

@Legal.Knievel 5 лет назад

My c-section (well pre and post c-section) experience was so awful, I contemplated getting my tubes tied or my husband a vasectomy because I was terrified of ever needing another cesarean. First of all, I can't get an epidural or spinal due to tumors in my spine and I can't have an unmedicated vaginal birth due to a heart condition, so my only option was a c-section under general anesthesia. Therefore, they had to put the catheter in with no numbing and that was the most painful thing I have ever felt. They also didn't give me any pain medication before I woke up and it took them over an hour to get my pain meds from the pharmacy, so I was in so much pain fresh from surgery. I also bled a lot during surgery and needed two blood transfusions. It was AWFUL! I had twins and one was in the NICU, they wouldn't let me go see him until the next day because I was required to walk there and they wouldn't let me walk until the next day because of the pain meds, even though my body is tolerant to them because I take them daily for chronic pain.

@chloe067 5 лет назад

That's horrible, you poor thing. I had a terrible emergency C section under GA too.. And the surgeon used staples on me which just didn't take! The recovery was horrible. I watch these videos but it makes me so emotional as I'd love a second child I'm just so scared 😭😭

@SEEpsalm27 3 года назад

In the U.K. you can do a water birth at the hospital with VBAC . :-) they use waterproof, wireless monitors to monitor you

@treazon90 5 лет назад

Hey Susan! I'm pregnant, 23 weeks..I'm terrified of giving birth but I still want to do a vaginal birth. Although this isn't your current situation, do you think you could have the same kind of conversation about taking an epidural? I've heard pros and cons against it and I'm still in the middle about whether or not I should take it.

@kelly1827 5 лет назад

I would highly recommend looking into having a doula. They can help you work through your fears, give you solid, fact-based information, and will support you no matter how you end up giving birth. Their role is to support you (and your partner, to some extent), not to replace your healthcare provider. Check out www.dona.org/what-is-a-doula/ and www.cappa.net/about. Hope that helps!

@brismuvela3631 5 лет назад

I gave birth naturally, and i did feel that natural high, but as soon as i had to leave the hospital with my new baby, crippling post partum anxiety and depression hit hard, and i also struggled to breast feed. I tried all i could and ended up drying up at 3 months. Lots of mixed feelings. It was a very dark time for me. A VERY DARK TIME. I guess natural birth doesnt always guarantee stars and rainbows.

@MichelleDavies 4 года назад

I had an emergency csection with my first because he got stuck, I’m currently 28 weeks with my second and with my ob’s recommendation I’m having a scheduled csection, the thing I’m most terrified about this time is the COVID issue right now and how it’s going to go in the hospital with everything

@bees_nail_art82 2 года назад

My son got stuck too my doctors are saying I can do vbac or a c section it’s up to me

@sazzlepop321 Год назад

I know this comment was years ago, but how did you did you try a vbac?

@MichelleDavies Год назад

@@sazzlepop321 no my dr told me that wasn’t a good idea that’s why I had the scheduled C-section

@valentinah2825 5 лет назад

Can you react to Anastasia Beverly Hills skin care? Please

@Sha721 4 года назад

I had 2 c-section. Both my babies were breeched.

@priyavishnu4554 5 лет назад

I asked my OB-GYN for an elective c- section and she said no!

@jenel2147 2 года назад

Elective is better than emergency c section I’d hate if my doctor told me no and I ended up having complications and have to do an emergency c section

@ceciliamnisi3607 3 года назад

I had my first boy with c section now I'm considering vaginal birth i cant go through c sectuon again i thought i was going to die 😭😭😭

@commenttator9758 5 лет назад

Why do people talk like the lady on the right where they pronounce the second half of every sentence like whispering sound? It’s quite hard to hear. Anyone knows what I mean?

@robynology101 5 лет назад

Comment Tator I think she has what they call vocal fry.

@MrFosco7 5 лет назад

What about natural birth with the help of a Midwife? Do you have that option in the US? I had a beautiful experience and the recovery was incredible fast.

@kelly1827 5 лет назад

Yes, we do. We have Certified Nurse Midwives (CNMs) who primarily work in hospitals, and Lay Midwives (LM) or Direct Entry Midwives (DEMs) who focus on out of hospital birth. Different states have different laws.

@weeztone 5 лет назад

Daniela Zavala Mora Most insurance won’t pay for it though. It’s not accessible for everyone unfortunately.

@kelly1827 5 лет назад

@@weeztone Insurance almost always covers a natural (unmedicated) birth with a CNM in a hospital. Both of mine were fully covered. The OB/Gyn group I use has both CNMs and OBs, and unless you specifically request an OB, the CNMs cover most of the nornal hospital births, even VBACs, so the OBs are available for surgery and other procedures out of the CNM scope of practice. Finding insurance which covers a freestanding birth center or homebirth is much harder though, true.

@lomaneD 5 лет назад

Could you do a home birth/ water birth vs a hospital birth/ medicated birth

@SettieSpaghetti Год назад

My OB called the shaking babyquakes.

@LifeasaGift Месяц назад

Actually the worst case scenario when you're having a vbac in the hospital and your uterus raptures is your baby dying for lack of oxygen. As soon as your uterus raptures, your baby stops getting oxygen, and if your medical team is not super attentif and reactif, and by "super" I mean extremely alert and knwoledgable (which is not as common as we'd like to)the baby will die. You'd be surprised by the number of nurses online who say they don't get the proper training and information about uterine rapture during vbac and can't effectively recognize the sighs when it's happening... Just because the risk of this happining is low, we should still not mimimize it. When you see mothers who had this scenario happen, you have to take things a little more seriously.

@suzanak5197 5 лет назад

In addition to today's topic, it would be great if you also addressed benefits of vaginal birth for your child's gut microbiome, and that is a benefit for life.

@kyipasbeautyminati4172 2 года назад

So do you guys,have a bulging stomach after c section?!is it possible to get flat stomach?

@jessicaroberts7391 5 лет назад

I think there is this big stigma on what happens with a vaginal birth with "ruining holes" & its ridiculous! Vaginal birth is the most natural way & the reason we have the parts we have. Things change having natural births but it doesn't ruin parts. I hate that people make that assumption when they've never experienced it themselves.

@amandakesterson224 5 лет назад

Jessica Roberts I think it was more in reference of tearing. Just because a vaginal birth is the most natural doesn’t mean its the best way. Your first vaginal birth increases your likelihood of tearing.

@jessicaroberts7391 5 лет назад

That may be but it certainly isn't ruined. I'm not saying natural birth is for everyone because obviously there are reasons people have to have C-sections. I just don't think people should use words like "ruined" to reference natural birth.

@Rinsuki 5 лет назад

@@amandakesterson224 I guess but most modern births they do too much intervening. They pump you full of chemicals then the fetus becomes distress and then it just ripples down into all these things. My coworker told me her horrendous birth because they just kept intervening and it made everything worse.

@natalieunanue5502 5 лет назад

Omg it was a joke. Lighten up. Plans change but natural birth was killing thousands of women before doctors started helping. 🤦🏻‍♀️🤦🏻‍♀️

@SamboParko 4 года назад

Not all our vaginas are equally resilient. Some of us have had painful labia growths and needed surgery to fix it. That's me. I'm electing for c section second time after first being emergency because labia and vaginal tears can result in excess growth for me plus my vaginal surgery was miles more painful than c section not to mention labor!!! My labor went on for 5 + days!! Everyone has a right to make decisions for their body! Having a safe delivery and a fast or more comfortable recovery is in everyone's best interest. I don't agree that the "natural is always best" approach. Everyone is different and the approach that feels the calmest for mum is best! The judgment that comes from "natural is always best" or judgement that mums who have their reasons to avoid vaginal delivery and or labor is unnecessary. Food for thought.

@durbanag6061 5 лет назад

The shaking is the anaesthesia wearing out or something. Its horrible. I remember being so scared when that was happening after my c section.

@Sabihah228 5 лет назад

durba nag I was shaking before they started so hopefully not

@natalieunanue5502 5 лет назад

It’s not just the anesthesia it’s also the hormones leaving your body. I had them for about three weeks after my c section.

@durbanag6061 5 лет назад

Ya..just googled..i didn't know this. It is something that is called postpartum chills

@natalieunanue5502 5 лет назад

durba nag yes it is my nurse told me. It was horrible

@vikkisunflower8899 5 лет назад

This lady reminds me chelsea clinton

@poolboyinla 5 лет назад

I am so thankful my wife had a normal delivery.

@Legal.Knievel 5 лет назад

What do you mean by "normal?" Vaginal or uncomplicated? Because a c-section is "normal" also.

@poolboyinla 5 лет назад

@@Legal.Knievel Normal is kind of a funny word for it but I thought it was the "normal" word for vaginal delivery because where I live (Philippines) that is the term everyone uses.

@poolboyinla 5 лет назад

@@Legal.Knievel You can see our crazy birth experience here ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SUFQPSb2tdI.html

@alexikrusso 5 лет назад

Also if you want more than a couple kids. A VBAC may be better because they don’t Ike doing more than two csections.

@mfstarr1 4 года назад

Yep!

@noelleirina5628 5 лет назад

Choice is not the most important thing when it's uninformed choice. In Europe, elective C section is mostly not a thing. For a great reason. C section is major surgery and has huge consequences. In cases where women have a really hard time giving birth the first time or the doctor can tell there might be issues during labor, they usually recommend a C section the second time around anyway.

@Keepinitreal55 5 лет назад

Why would you get a c section a month early?! What if the baby turned in that month! 😳

@lenig.1805 5 лет назад

Her water broke. No way back.

@ilanasaul3055 5 лет назад

Yes, exactly. We had already been trying to get her to turn (did a Version procedure and everything) but then at 36 weeks my water broke and I went into labor early.

@Keepinitreal55 2 года назад

@@lenig.1805 my friends baby turned after her water broke while in labor. Same with my aunt more than once 🤷‍♀️

@Keepinitreal55 5 лет назад

I think doctors who push elective c section just don’t want to deal with it being more difficult the other way around. But everyone knows that vaginal birth is extremely important for the baby! the passage and swallowing of microbium of the mother sets the babies gut health for life!