Uterine Rupture Fears and Opinion.
My first son was born via cesarean, thanks to a very wishy-washy doctor. She "allowed me a trial of labor" and looking back, I realize she did not honestly believe that I could birth. After the typical bs (CPD, failure to progress), I was sent down for surgery. Looking back, laying on my back, no food or drink for 24 hours, and not being allowed to move might have had something to do with it!
Uterine rupture was my biggest fear, while considering an HBAC in 1993. I found a doctor who fully supported my decision to have a VBAC, and he told me if he thought I was at risk, he wouldn't put me in a dangerous position. He attended my birth at home, and was incredibly supportive. He told me there was little to no risk of a rupture, that the uteri that usually ruptured were not the ones with cesarean scars, they were the ones that were initially completely intact. Convinced me!
My first HBAC had a pushing stage of 7 1/2 hours, following a 5 hour dilation. I had minimal tearing, and very little blood loss following the birth. I was up, down, on all fours, standing, sitting, laying down and I ate and drank throughout the entire labor. My next birth had a 3 hour dilation, followed by 7 1/2 minutes of pushing.The fourth birth was over in an hour.
When I think of how my births could have turned out, had I been involved with an uninformed doctor, I wouldn't have had 4 children. I got yelled at by a friend's doctor who thought my doctor was negligent (long pushing stages, large babies - all my babies were over 9 pounds, and two were 10 1/2 pounds). I heard opinions from countless doctors trying to prove their points that what I was considering was dangerous and risky.
Instead, I had blissful and peaceful births. Births filled with empowerment. Births which did not lead me into the depths of despair and depression, as my first birth did. Births which laid the foundation for feeling strong and worthwhile, rather than small and insignificant.
It is discouraging to see the ridiculous interventions falling into place these days. We are seeing demands that VBAC mothers deliver at high-tech hospitals, unnecessary equipment (including monitors) and overpriced medical personnel (including anesthesiologists). All this does is to frighten the mother, and prevent what could otherwise have been a meaningful experience.
You asked for my opinion, and there you have it! 14 years ago, I couldn't have given it to you. A lot has changed since then. Sincerely, Heather "Sam" Doak