I Love how Dr. Green explains the worrisome topics without sounding too harsh. We all know there’s risks, but they manner he explains them, is welcoming and are more of a “just in case” scenarios.
I’ve had 2 VBACs and going for my 3rd in a few weeks. I wish more doctors were more supportive of this. A repeat c-section is just as risky as a VBAC. I prefer a vaginal birth anyday. I encourage all moms to do their own research. Great video and information 👍🏿! Thanks for sharing ❤️!
I had a VBAC 4 months ago and it was the most beautiful thing I’ve ever experienced. (Not to be confused with easy 😂) I will say that I am so incredibly thankful for my OB being in my corner the entire time, even with high BP scare. I definitely want to try again if I have more children.
Dr. Green you are an amazing Doctor one of the best Doctors, and I was very lucky to meet you yesterday it was an honor to meet you impeccable bedside manners thank you for reassuring me that my baby boy and I where doing good. god bless 🙏
I had 2 successful homebirth after 2 c- sections one in 2013 she was 7 lb 12oz and my 2nd baby he was 10lb 10 oz and no tears at all thank god💗💗🙌amazing experience
Im a 2 homebirth after 3 c. I also have clients with more than me and they do fine. It may just take longer to birth but we do it and ive NEVER seen a rupture in 7 years of doing this. The fear mongering has to stop.
My first was a c-section, my second baby was a vbac and i am so thankful for that. I had to fight my way to get it. And now thatbi know what i know i can easily advocate for myself. I am 37 weeks pregnant and planning to have a second vbac. Hopefully everything goes well.
I had my second baby VBAC after two years of Cs. I had my 3rd baby a month ago, after eight years and was Cs because of how big he was (4.780kg) I prefer VBAC.
@@letyourlightshine2727 why are you all over the comment section with negativity. Like good for you and your decision. It's not helpful to other women though, especially ones that have given birth before a c.section or are all round just good candidates. My change for vbac is between 90-95% based on my history, everyone is different
So happy I found this video!! My second baby was born via emergency c-section due to being trapped in her cord. I was told I was a great candidate for a Vbac but that it was up to me if I wanted to do it. Unfortunately in my situation it’s like the staff is too afraid to pursued me in either direction that they won’t really give me much guidance. This video definitely cleared things up for me and I’ll be going for a Vbac.
@@Coco-ny5wh Yes, I did! It was actually my easiest and fastest labor as well. I only had to push twice to get her out. She was my smallest baby at 6lbs 3oz, so that probably helped.
Hes pulling 5% rupture risk right out of the air. Im a 2 home birth after 3c mom and a traditional midwife and i can tell you after 7 years of doing this and attending women with up to 7 cs, i have NEVER seen a rupture. Ladies your bodies know how to labor and produce a baby. The thing you need to consider is it takes longer for women like us to labor and birth because our bodies know there has been a trauma there so it goes slower. Your body will not try to kill your baby. Please dont give into this fear mongering and know that you dont need anybody else to birth. Just yourself .
@Anna Lightsaber... please what's your advice on trying to conceive 6 month after C-section,..I had my first child through C-section, he is 10 year old, and my second pregnancy, i had emergency C-section at 26 week preg,my baby died due to hydrops fetalis, leaving me devastated....I want to know, if i should try again for another pregnancy, thank you..
Unfortunately his not accurate on the rate of possible rapture after 2nd cesarean or any rate for that matter. This is what ACOB says: “One study found no increased risk of uterine rupture (0.9% versus 0.7%) in women with one versus multiple prior cesarean deliveries, whereas the other noted a risk of uterine rupture that increased from 0.9% to 1.8% in women with one versus two prior cesarean deliveries.” To say it’s from 1% to 5% is completely inaccurate in both aspects and also scary. Do your research ladies!!!!!!!
Dr. Green, I needed this video! I'm 39 weeks today and attempting a VBAC with baby # 2 . I had a c section 5 years ago with my first son. I pray God will allow a smooth experience for me. Thank you doc!
@@111LisHa111 vbac failed dear. Was in labor 12 hours and only dilated to a 4 or 5. Baby's heart rate was going down with the little pitocin they gave me to help with contractions. I had to have another c section. Thankfully the doc that did it must of did a better job because the healing and recovery was clean and so much BETTER! so if I plan to have more kids I have to plan a CS. Which I may just stop here...I am blessed and happy with my 2 sons and my hands are full lol
Good point at the end about considering the number of children you are going to have in the future. Doctors like to assume you're going to be done after 2 or 3 kids.
I am attempting a VBA2C and my midwife and doula is very supportive and I’ve seen hundreds of successful stories! The risk is just as high and dangerous for major abdominal surgery.. but doctors never talk about the risks for repeated cesareans only the risks for vaginal births.. and alot of these cesareans were not medically necessary just was “convenient” for doctors and hospitals.. faster they can clear a bed, the faster they can get a new customer! They don’t want mothers laboring in their beds too long.. there are many documentaries that explain the business of birth in the US and it’s sad 😢 also a lot of Dr do not carry malpractice insurance so whether you are a good candidate or not, they will always say “repeat c section”.
That was super informational, this gave me a lot to think about and triggered questions for my doctor. I had my first baby (only one so far) via c section, I went through labor, pushed for 3 hours and could not successfully push him out even with a vacuum attempt. My sons head was much too large (just like his dads haha). I thought for sure I’d be a great candidate for a vbac, I very much enjoyed the challenge and process of laboring (all of it was beautiful) and wanted to go through it again but with a 20% chance of success it makes me feel otherwise. Thanks again!
This number is complete bull*t… sorry… don’t let him fool you. There are so many reasons why it didn’t work out the first time! I had the same situation with my first and my VBAC was absolutely easy. Just used a few techniques and positions from spinningbabies and it worked wonders. Maybe you were in a suboptimal position for delivery the first time? Or Scared? Or had an epidural? Or baby was in a bad position… which all can be completely different this time. Also the risk of uterine rupture does not increase to 5% after two C-sections. It increases from 0,2-0,5% to 1-2%. These are new scientific research results and this video is not at all up to date. In fact, to me it doesn’t seem VBAC friendly at all…
@@xNinchenx1991 The benefits are comfort, ease/ time of recovery, and some emotion related. The risk his life and death related. Much heavier. The longer labor, the more of an indication that there could be problems with the next delivery. Especially for a first time mom. It really needs to be an excellent evaluation of why the first C-section took place before deciding whether someone is a candidate or not. Trust me, as a surgical technologist for 18 years and the last three years doing solid C-sections every day… You don’t even want the tiniest uterine tear, there are a lot of things that have to be lined up in an order to save moms and babies life if this happens. I would say that you should put a little more weight on your urging moms to be educated and a lot less weight on criticizing professionals who are just trying to keep mom and baby safe. Also, it is completely untrue that a C-section is just as much of a risk VBAC. 100% wrong information. Ridiculous. I am pro VBACK back , but only for an accurately evaluated, excellent candidate. regarding this subject, going conservative is directly related to life and death.
@@brendametube There is an additional factor missing from your list. There is increased risk of complications during pregnancy and birth with each subsequent c-section. The choice of surgery does not occur in a vacuum; future pregnancies are impacted. If a woman can have a successful VBAC and wants many more children, in a healthy mother and pregnancy this could be the better choice in spite of the risks.
What is your suggestion for a patient that would like to switch providers during a pregnancy? Could you also address how to handle a situation when your provider is not affiliated with your preferred delivery hospital.
Thank you for ensuring me a bit no one is on my side but my first child was born by c-section almost 6 years ago i'm currently 34 weeks pregnant and they want to give me another c-section however, i only had the surgery because i went in at 40 weeks with my child that's now 6 and i wasn't dilating so i was given pitocin and still nothing so after a while her heart rate started to drop so that's why i had the c-section. Now with this baby i'm due June 3rd 2022 and i want to push! I'm sure i can do it!
Thanks for this video! Three questions: If a woman's first pregnancy resulted in a planned C-section (i.e. she has an "unproven pelvis"), does that have any impact on chance of success with vbac? Given the small risk of uterine rupture and emergent C-section, is it advisable to labor with an epidural in place so that C-section can be performed more quickly without requiring general anesthesia (or would a rupture necessarily result in a need to put the pt under? Does an induction increase the risk of rupture i.e. is there any sense in planning a repeat C-section unless labor occurs spontaneously i.e. avoiding need for an induction?
I'm pregnant with twins and my old OB instantly wanted another csection (I've only had one previous pregnancy/ birth via csection) I switched OBs and I'm now being given the chance to attempt a vbac and I'm very thankful for being given the chance instead of instant surgery.
@The Real Amanda Ade I ended up getting a csection. I didn't want to labor to get one baby out vaginally to end up needing a csection along side that. This csection recovery was amazingly fast and thank goodness for that since I have a 2 year old and twins. My girls are going to be 4 months this month and thinking back about their birth, it doesn't really matter now that they are here and healthy. Thanks for asking! 👋
I love your videos! I recently had a baby boy and watched your video on circumcisions and it was very informative! Could you do a video about the after care of a circumcision?
I’m almost 27 weeks pregnant. My oldest, who will be 10 (years) in July, was born by c section due to distress; the cord was around his neck twice. I think this time around, I’m going to try to have a VBAC. 🤞🏻 it’s funny because I was terrified of a vaginal birth the first time around; but this time around I’m terrified of a c section. I didn’t even have a bad experience. 🤷🏻♀️ Ps. I would LOVE to have you as my doctor.
Charlotte please give me an update! I have an 11 year old and just found out I’m pregnant with baby number 2! I had a c section as well and REALLY want to have the baby vaginally this time. I hope you and baby are doing well 🥰.
Me too my son is 21 months today and I’m almost 37weeks. I pray I can have vbac at this time Cessation before was so scary to me and was sick for a year .
As an OB/L&D RN, there is no easy way to get them here. There are major risks with a C-section, in most cases more risk than a vaginal birth, which is what he is saying.
I was so terrified of trying a vacation after a traumatic labor and emergency c section with my first daughter in 1997. I chose c sections for my other three children. I was terrified of a normal labor and delivery.
I watched a few other videos but none said how long it would be advisable to wait to get pregnant again. Thank you so much for all the valuable information!
You seem like such an amazing DR. So well spoken, calm and seem very kind. I'm here because I had a Csection 8 years ago and I am currently pregnant and being advised from my OB that he will NOT do a VBAC, he doesnt want to take the risk also states that becuase i'm African American my pelvis is shaped differently which can make it difficult..... My baby was breeched and I would like to have the opportunity to do a VBAC because I also do want to have 1 more child. Unfortunately, My OB has not given me any of the info you have provided in this video. My OB is great and he performed by csection for my last pregnancy but I am hurt that he wont even allow me to try to deliver vaginally and so quick to slice me up through a csection. I want to have the opportunity to deliver without a csection....do you recommend women switching providers do to a situation like this? I would've loved to be one of your patients.
I am 27 yrs now and had an emergency c section 2 yrs 7 months ago for my first baby boy, the c section was performed bcoz I was post due date and syntocin didn't work for me. Now I am pregnant for my second baby (38 weeks) want to have a vbac. My fluid was reducing from 29 weeks (9.9cm)to 36 weeks 7.8 cm) but now it's increased 11.5cm. Myp previous scar in the uterus measures 3.5cm in the thinnest point of the uterus at 37 weeks. So am I a good candidate for a vbac?
I have a suggestion; can you please discuss the use of antidepressants during pregnancy? The risks and benefits, and the odds of baby being born addicted to them? Please and thank you!
My doctors are pressuring me into vbac they told me it’s more safer for me and that a c section has way more risks then trying for a successful vbac but I made the decision and I will be trying tolac and try to go for a successful vbac
I’ve only just seen this video as I’m pregnant 2 years on after my first child and I’m just wondering if you can have a VBAC if you didn’t dilate properly and had an infection in your waters?
Had a vertical cut because of cord coil 5/ baby did not descend. Thats 5 yrs ago. Is vbac still okay? Hope i can get a reply as they are waiting for me to decide :)
If you’re attempting a Vbac, when should you go to the hospital once contractions have started ? Are uterine ruptures more likely to happen nearer delivery or anytime once you start contracting? Thank you!
I went to the hospital once the contractions were going pretty steady for my vbac. I didn't get any special instructions except just go when baby was coming.
This is not necessary true. I’ve heard of many successful vbac from induction and mamas that used pitocin to help their lador. In fact, pitocin is the most recommend drug.
@@keilamcfadden2433 for women with an unfavorable cervix its downright dangerous to use Pitocin which is not equal to oxytocin and is an oxytocin blocker.
I have a natural birth 12 years ago labor for 4 hours, she came early. 4 1/2 years later I got pregnant again this time they notice at 28 weeks she wasn't growing, they did an emergency c section at 31 weeks and she came out breathing on her on! 4 years later I got pregnant again & because in Florida it's hard to get vbac they did the c section she was also early but was fine after labor. Here I am 4 years later pregnant again 😩😩 I really want to do a v bac .. what are my options
I had twins my first pregnancy and my Dr at the time recommended that I have a c section because they were both breach and she said I could try to turn them but usually will.end up having a c section anyway a d didn't wa t me to be put under all the stress. My husband and I were fine with the decision and agreed. She is no longer available this go around... But this Dr with my singlton pregnancy is open to VBAC and I am terrified. I have a low incision sight and a barely visible scar. But I'm so scared...
this is my third vbac im 39 weeks im waiting and ready to have my baby now the new dr i go to does not want to induce me that sucks my last vbac i was induced
Crying as I watch this. I want a vbac so bad… but I’ve had 2 c-sections already. I feel like a part of my womanhood is being ripped away from me and it just hurts so bad. 😢
Hello dr, I had c-section 8 years ago when i was 27 weeks pregnant. Baby was still birth. I have no idea about how the incision was made during c-sec. I am now 31 weeks and I would like to try Vbac this time. Please tell me if it is possible to have vback this time?
I always dreamed of a vaginal delivery since I was a kid even. At 40 weeks with my first child I went in to be induced and after cervadil, cytotec, and pitocin my daughter was delivered at 40 weeks +2 via c-section because my water had been ruptured for 30 hours. Baby was healthy and never in distress. I recently spoke with my doctor and she informed me that the hospital she delivers at does not allow vbacs since they do not always have a doctor or anesthesiologist on staff. I love my doctor and cannot imagine switching from her or switching hospitals even. My daughter was born almost 10 months ago and I cannot let the thought go that this is my fault for choosing to be induced on my due date instead of trying to wait another week or so. I am extremely heartbroken about the whole thing and struggling on how to heal emotionally and how to move forward with any future pregnancies. 😔
aysia It is so worth it to change Drs and hospitals to get that birth you want. They may say they don’t allow it but it is your body, your choice. The dr 1000% can NOT force you to have a cesarean. If you go to the hospital in labor then they have to let you labor, they can’t legally force you to go to surgery.
@@tubularyou007 Thank you. I know it is my choice. My doctor said I would be a candidate she just couldnt offer it. It wouldnt be safe at that hospital because there is not always doctors there since the have midwifes there frequently. The whole thing just makes me nervous. I guess I am not sure what I want.
aysia If you would have waited, the baby would run the risk of inhaling meconium. All in all the 100% goal is a healthy baby regardless of csection or vaginal. Don't beat yourself up. For future babies, if you want to vbac I would try another Dr and facility that allows it. My first was Csection and my next 2 were successful vbacs.
For me personally, waiting did not help. I was 40 weeks and 6 days when I had my son. No epidural, attempted to induce labor with pictocin and breaking my water. (After being pressured to do so.) My contractions were strange. They would get so close together like they were supposed to then abruptly stop. I finally labored for 8 hours straight and got to 9-10 cm just to have an emergency C-section bc his heart rate was dropping and the umbilical cord wrapped around his foot as he was trying to uh..make his exit. It's so easy to feel so guilty when things don't go the way you want them to...in the end you gotta trust your body even if it does what you don't want it to do. I hope by reading this, it'll take away some of the guilt you may feel. I know I honestly went through some severe PPD not having the natural birth I wanted. But I should/am thankful for being able to have my healthy baby boy at all. He is about to be 14 months now and I'm 27 weeks pregnant now with a healthy baby girl so far. I pray and wish you all, all the best. And don't feel guilty for doing what you have to do for taking care of you and your precious baby!
In my case it's not clear what caused the c-section, probably several factors, big baby, never really enganged properly, inflammation, interventions, placenta then detached partially due to overstimulation through induction. Smaller baby this time, engaged etc. I was told my chances are good.
hi dr..would like to ask if how about vertical incision for ceasarian section.. I'm having my baby number 2 next month, and planning to VBAC..my eldest is 6 y.o..is it have a low risk for uterine rupture and is it safe?thanks
Am so happy that i found this video thank u doctor u are very helpful, am 36 weeks pregnant ceserean number 5 but my last born is 3years old am really afraid of this 5th c section is there a chance of me trying normal delivery please advice i can feel the baby poking me in my pelvis already . I had 4 transverse is it possible to do .
Can you answer I had to have a c-section after not going into labor on my own they induce me with cervix because I can’t do it on my own I was told if I don’t go into labor on my own this time I will have no choice but to have a c-section my one child is 13yrs old now this is my Second child 4 pregnancy
I've only had one child so far, and unfortunately resulted in a c section because her head was stuck in a crooked position in my pelvis, and labor would not progress. I'm almost 34, what are my chances for having a safe successful vbac with my next child?
I had 2 csections due to low heart rates. My last c section was over 6 years ago but my hospital is automatically wanting me to have another c section. For some reason I’m more terrified of a 3rd c section and would really want to try for vbac. There’s risks with both and at this point I’m nervous either way. I don’t know if I should try to push my hospital to let me try for vbac or just go through with the scheduled c section.
What do you think my chances of a successful vbac is. My first c section (i was 16 years old) my baby was 10 pounds at 37 weeks and had extra amniotic fluid. They chose to do a csection based on my size at the time and the babies size. Second c section was when i was 21 (5 yesrs later) they decided to do a csection due to previous c section and she was 8 pounds 11 ounces. Now 6 years later i just found out im pregnant again and do not want another csection as the recovery is terrible with no help at home afterward. (Dad being at work)
Thanks for this video. My first child was a vaginal delivery and the second was a C-section due to placenta previa. It will be nearly 10 years since my second kid when I give birth to this one and I am hoping for a vbac.
Just had a c-section for my second baby due to placenta previa aswell. I. Doing research to see if it will be safe to have vaginal births for future babies, God willing.
@@shaz4709 update: we tried the vbac however I did have a uterine rupture. My daughter went into distress but luckily they were able to save her via emergency c-section. They had to do major repair work on me as well because she tore a hole in me.
Best video about vbac so far.. It really gave me hope to get my vbac done successfully I am 37 weeks.. I had a Csection 5 and half years ago with my son.. Because I had Preeclampcia and I had an elective Csection at 34 weeks.. But in this pregnancy my blood pressure is normal and there is no sign of Preeclampcia.. I really hope to deliver this baby Vaginally.. But in India doctors don't promote or support vbacs that much.. Hope for the best
@@mwanamkeshujaabongoflavama7180 yess alhamdulillah i feel blessed but i have lifelong regret for not delivering naturally as it was our last baby Here the doctors only pretend that they support vbac but in reality they don't..
@@Heenakazi most of the doctors are not willing to do, I had to sign consent form I'm due this month let see how it goes remember me in your prayers and I'm sorry for what you feel too , the rest we will leave it in Allah's hands he has better plans he knows best
I had a cs in January, I wasn't deleting beyond 4cm,and the doctor said something about CPD I can't really remember what that's about, and I was in labor for hours so I had a cs... My husband and I plan to have another child in two years, can I still have a VBAC
Can you do a video or answer the question about doing a VBAC with pre-eclampsia? I had pre-eclampsia and GD with my pregnancy and was scheduled for induction at 38 weeks. But my baby had a PAC so was unable to be monitored and resulted in a c-section. Do pre-eclampsia and GD make your risk higher for a failed VBAC?
36 weeks and have been denied by 4 doctors. Not due to me not being a good candidate but because of their policy of not want to do it cuz of the risk. Feeling hopeless
Thank you so much for your honesty on this matter. I'm having my second c section. My first was because my daughter was breech. Most doctors don't give all the facts about this and play down the huge risks of having a vbac/tolac. I have no desire or will to try this. I had a really good c section experience, my doctor is amazing. I don't want to go into labour and have a random doctor deliver my baby. It's really important that people have options and know what the risks are.
@@ShadesofSage That's great for you. It is wonderful when women get to have a positive birth experience. The risk is much higher than 1%. A friend of mine lost her uterus and almost died, the baby was in NICU for weeks. Honestly don't think there is a safe way to have a baby. Anything can happen.
@@stephaniekowalchuk2614 Yes, birth is risky period. And the risk is 1%, he stated that in the video. I’m a doula also and I’ve done my own research. I encourage all moms to do their own research and decide what’s best for them and their babies. Repeat c-sections are risky as well and uterine rupture can happen in those cases too. Going for my 3rd VBAC in a few weeks and confident everything will go fine🙏🏿.
