VBAC At home or hospital?

Question

I know I am having a VBAC ( vaginal birth after cesarian ) And I have wanted a home birth as it is the only way to have a water birth where I am at unless I want to travel 2-5 hours away. But am unsure because of previous problems with my daughters birth. They told me with her I could have a VBAC if I wanted to. So What do ya'll think

Answer 1

i would go to hospital. i had a c/s with my 1st and with my 2nd(hoping for a vbac) i ended up with an emergency c/s so def hospital

Answer 2

The ACOGs (American College of Obstetrics and Gynecology) VBAC guidelines state that a woman attempting VBAC must be able to recieve an emergency cessarian within 30 minutes of suspected rupture or other complication. So, as long as you live within a half hour of the hospital and have a midwife or specialy trained doula, homebirth is a safe and healthy option. Also, the hospital may be willing to acomidate you if you bring your own tub, (kiddy pools work great) especially if you let your doctor know that homebirth is your other choice, seeing as doctors don't make any money from a homebirth. Medical interventions cause problems, so a homebirth vbac, or HBAC, is actually lower-risk than one in a hospital. You would have less of a chance of rupture and if you did rupture it would be less likely to be a serious one. Despite all the red tape, VBAC births are considered low-risk, rupture happens in less than 0.5% of births and is rarely life-threatening. Here are some facts about rupture that you might like to know:

1: An unscarred uterus in a normal delivery has a 0.3% chance of rupturing.

2: A uterus with one bikini line incision from prior cessarian has a 0.5% chance of rupturing (only a 0.2% increase) This risk is thirty times lower than any other unpredictable childbirth emergency such as acute fetal distress, premature separation of the placenta and prolapsed umbilical cord.

3: Although rupture can be life threatening, the majority of cases are recognized early and are dealt with before any harm is done.

4: Maternal morbidity rates are consistently and substantially lower for women who plan a VBAC - 2%-23% - than for women who have an elective repeat cesarean - 11%-38%

5: Average rate of sucess for a VBAC is 75%, which is the same sucess rate for a normal vaginal delivery

6: The risk to your infant from uterine rupture after a prior cesarean is much less than the risk to your infant from respiratory distress as a result of a scheduled cesarean.

7: VBAC has one, rare risk, while c-section has many risks, such as increased maternal death due to hemorage and infection, increased infant mortality due to breathing problems, much higher risk of future misscariage, future infertility, and stillbirth, future possibly fatal placenta problems, postpartum depression, possibly fatal reaction to anethstesia ( I know, I cant spell) there is even a chance of uterine rupture, although virtually unheard of in modern medicine.

I think a homebirth is a great idea, people are generaly scared of the idea because our society tells us to trust our doctors more than our own bodies. Good luck and have a great birth!!!

Answer 3

I am all for VBACs but would absolutely do it in a hospital.  Although they are possible and should be allowed they are not without risk of severe complication.  I wouldn't want to be anywhere but in a hospital if I tried this.

Answer 4

Hats off to you for going for a VBAC. I think you really need to ask your obstetricians advice on this one...a lot will depend on the reason for the c-section with your first and also how long ago it was. If you really want a water birth then ask your local hospital if hiring one yourself would be possible.  

Answer 5

check out this web site. she has a lot of great information.  

Answer 6

There is no way that I would try a VBAC at home. There are way too many complications that can arise, that can't be taken care of at home. It's best to be at the hospital so if something happens they can take care of you and the baby right away. You might end up needing another c-section, and the time that it takes to get to the hospital could be too long. Also you could start hemorrhaging because of the previous c-section and need blood, and also need a c-section. I think it's best that you go to the hospital.  

Answer 7

I'm not being mean but are you crazy defiantly hospital anything can go wrong cheers