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The Hello Bar is a simple web toolbar that engages users and communicates a call to action. My external incision with my emergency c-section was the low transverse- but when I got my records when I was pregnant with the twins, we learned that once they got in there, they cut my uterus twice- once the low transverse, but then they had to cut vertically too so they could get her out safely. Back in the day, cesarean incisions were often made vertically (up and down) and higher up on the uterus–the most likely place for rupture to occur.
In a study of 36,000 women having VBACs, not even one┬ádied from uterine rupture, regardless of incision type. The more c-sections you have, the riskier birth becomes for both you and the baby because of all the scar tissue. Due dates can be off by up to two weeks, so if you schedule a c-section for 39 weeks, your baby could really be around 37 weeks. ICAN states (based on scientific research) that a VBAC is less risky for both moms and babies than a cesarean. When I took a pregnancy class before my son was born, it was made VERY CLEAR to me that my hospital does NOT do VBAC…it’s ridiculous!!
I think the best thing you can do right now is go get copies of your medical records–the surgical report, mainly. There’s too much fear around VBACs (vaginal birth after cesarean) circulating out there and slight risks (serious, but slight) are blown out of proportion.

Now, incisions (even in emergencies) are generally made low and transverse (from side to side), where rupture is very unlikely to occur. In a 10-year study (1988-1997) based on 114,933 deliveries, there were 39 ruptures (16 complete, 23 dehiscence). If you received this diagnosis as the reason for your first c-section, it means your pelvis was too small to fit the baby. That leads to increased difficulties and NICU stays (~10% of cesarean babies end up in the NICU).
Women should be able to decide how they want to treat their bodies when it comes to such a special event as giving birth. This condition is very rare and even if you do truly have it, your next birth is likely to still be a successful VBAC.
Vaginal birth also helps to better prepare the baby for the outside world by effectively clearing their lungs and releasing needed hormones. That’s okay, too, I just want to be sure women are making an informed decision, not one based on scare tactics. Most of the time, it’s gradual and is caught by a watchful eye (or fetal monitoring, if at the hospital). Be ready to accept any outcomes from your decision (whether it’s a cesarean or a VBAC).

But most of the time, mom has an epidural and is on her back in a hospital bed and is unable (or not allowed) to move around. There were NO maternal deaths, 33% of complete ruptures [=5-6 women of the 114,933] required a blood transfusion, and there was one neonatal death. Of course it had been a little over 14 yrs since I had given birth so I’m sure that may have been part of it.
She did recommend I NOT try another VBAC because I was now more likely than not to rupture again. The Dr said that my uterus shouldn’t be stretched thin enough yet to rupture and it was less stress emotionally and physically to deliver her normally. I was given an epidural throughout my labor – when it started wearing off all I had to do was press the button for the nurse and they dripped(dropped?) in more meds through the spinal IV.

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