We have just learnt of our unexpected pregnancy (due late Oct). Our children are 2.5yrs (c/s) and 6mths (vbac).
I intend on still breastfeeding the baby until he is twelve months old.
Given that I had a complication free vbac will things be different this time around?
Also how much strain is nursing throughout the p/g for all concerned?
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Dr David
Moderator posted 21 February 2001 05:43 PM
A&s's mum
Rate of uterine rupture in VBAC is lowest (0.2% or 1 in 500) in those with prior vaginal birth. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11084564&dopt=Abstract
Caughey found a successful VBAC rate of 92.8% in the third pregnancy among 500 women who had caesar followed by a vaginal birth. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9790374&dopt=Abstract
So yes, the potential risk of a problem with your scar, and the chance of needing a Caesar in labour are significantly less this time round. You also may have different feelings preparing for a natural birth, as you know you have done it before. Second labours are usually quicker, and second vaginal births are usually "easier" than first vaginal births ( but perhaps some mothers would like to comment on this!).
Breastfeeding is safe in pregnancy. Good nutrition is important and I imagine that calcium rich food or perhaps a calcium supplement would be especially important. Breasts and nipples may be more tender than usual. In mid-pregnancy supply may diminish, and some children wean themselves at this stage. In the last weeks your milk will change to get ready for the new baby and older children may again wean themselves if they don't like the taste. Two babies can be fed, but always feed the younger one first.
(From Breast-feeding. S.Kitzinger 1998) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8251083&dopt=Abstract
Dr.David
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This advice is of a general nature to help in decision-making. It
does not constitute recommended treatment for an individual. You must
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