Vaginal Birth After Caesarean Section (VBAC)

kembara

Last month kembara dapat tahu yang kembara preggy lagik. alhamdulillah tapi dalam kegembiraan ada ketakutan yang bersarang di hati. Kembara rancang untuk Pregnant next year tapi terawal la pulak. Anak kembara baru 1 tahun 8 bulan this month. tapi kalau time bersalin nanti dia dah 2 tahun 3 bulan. yang menjadi ketakutan tu bukannya apa. 1st baby kembara terpaksa emergency c-sect sebab..baby songsang dan tak sempat nk pusing dah sakit dan air ketuban dah pecah awal. kembara bersalin 2 minggu awal. kalau ikutkan Dr cakap paling elok selepas 2 tahun baru boleh preggy lagik..tapi ni belum cukup lagik..
mampu ke kembara bersalin normal? kalau ada sesiapa yang ada pengalaman leh la kongsi kat sini..yang kembara tahu dulukalau tak silap nasi impit/mama amna pun 1st c-sect tapi 2nd normal.
Dr. ada check scar tu dan cakap scar cantik tapi dalaman tak tahu la dah recover ke belum..uwa

su_hanim

u ter accident ke kembara..kecik lagi anak tu

ctcham

Originally posted by kembara at 21-5-2008 11:57 AM
Last month kembara dapat tahu yang kembara preggy lagik. alhamdulillah tapi dalam kegembiraan ada ketakutan yang bersarang di hati. Kembara rancang untuk Pregnant next year tapi terawal la pulak. ...

hai kembara..jangan risau..i nak tanya ur ada buat family planing tak?tak payah la fikir masa bersalin tu nanti  kena caesarean ke tak..as long as ur & ur baby selamat..saya dulu pun last minit kena caes gak lagi la masa tu saya baru 34 weeks je...jgn risau..jgn sedih2.kembara tak payah fikir sgt yg penting baby u & u selamat lepas bersalin nnt..bila due date ye kembara?

kakayau

dah rezeki.. jangan terlalu sedih...

limau_nipis

Originally posted by kembara at 21/5/08 11:57 AM
Last month kembara dapat tahu yang kembara preggy lagik. alhamdulillah tapi dalam kegembiraan ada ketakutan yang bersarang di hati. Kembara rancang untuk Pregnant next year tapi terawal la pulak. ...

jangan risau.. i terpregnant yg no 2 masa no 1 baru umur 100 hari.. hehehe
tak apa, anak itu rezeki tuhan..

i dpt bersalin normal lagi, gap tak sampai setahun dengan yang sulung

just make sure:
ibu mengandung jgn makan manis, glukosa membesarkan baby
makan healthy food, ni mmg kena pantang betul-betul untuk pastikan kita dpt baby yg sihat dan memudahkan bersalin normal
weight gain shouldnt be more than 10kg untuk memudahkan ibu meneran
doa banyak-banyak dan minta suami doakan kita sepanjang mengandung suapay dapat bersalin dengan mudah

yang penting, jaga kesihatan..

tejanurain

hi kembara.. teja ader gak pengalaman camni.
tapi bukan teja ler, adik ipar..

anak 1st dia c-sect sebab baby besar 4.2kg, ketuban dah pecah, jalan dah buka 10 cm tapi baby x telus nak kuar.. besar..

then baby dia genap umur 1 thn 3 bln dia preggy lagi..
2nd pun c-sect gak, baby besar gak.. 4.95kg, baby boy..

doc dh tengok ader parut c-sect, tak berani nak amik risiko suh bersalin normal, trus c-sect..

anak 1st lahir 20.01.2005, 2nd 12.01.2007..
tapi alhamdulillah.. mama sihat, baby pun sihat..

jadi kembara tak yah la risau sangat.. insyallah takde pape nye..

meow_tompok

saya dah 2 kali bersalin c-sect.
syookkk tau bersalin c-sect hik hik hik
gap cuma 13 bulan aje antara yg sulung dan kedua.
yg second tu just by chances, baby songsang so doc ckp kena c-sect.
yahoo tak terkata tau. Meow sangat2 suka.
sbb mmg meow dah serik dgn pengalaman cuba bersalin normal, doc masuk vakum, toreh bawah atas.

so my 3rd pregnancy, confirmed kena c-sect balik....

takde ape nak risau, anak sulung u pun nanti umur 2 tahun 3 bulan dah boleh berjalan.

AnitaSabrina

Apa yang kembara risaukan sebenarnya?

Masa bersalin second baby nanti kan dah more than 2 years c-sect.  Dah okay lah tu dah embuh dah semua scar kat luar & dalam kecuali you melompat-lompat and tak jaga luka c-sect.  But sounds like you are sensible person, so I'm sure you are okay.

Btw, mine first baby c-sect.  Second baby normal delivery.

kembara

su_hanim.. kira2 macam terxcident la jugak..hehehe tapi tak kisah la memang rezeki pun.. dan memang nampak coz gaji ibu dia dah naik more than xpected.. alhamduillah..hehehe
ingat nak cuba normal. nak jugak merasa tapi takut plak nk bersalin kat GH..macam2 cerita gerun dengar. nk bersalin kat private tetiba kena emergency c-sect.. lagik naya.. cost tu..

ehem_ehem79

Originally posted by kembara at 21-5-2008 11:57 AM
Last month kembara dapat tahu yang kembara preggy lagik. alhamdulillah tapi dalam kegembiraan ada ketakutan yang bersarang di hati. Kembara rancang untuk Pregnant next year tapi terawal la pulak. ...

kembara, ehem pun emergency c-set sbb baby songsang .... bersalin 37weeks sbb high bp ... dan skrg ni ehem dah pregnant 4bulan & suffiya baru berumur 1 tahun 3bulan ... soooo far gynae kata ok .. tp decision tuk normal atau cset bila kita dah 32week ke atas  .. ehem pun berdoa nak merasa jugak bersalin normal tp kuatkn hati ... nak yang terbaik tuk baby. setiap rezeki yang tuhan bagi .. mesti ada hikmahnya .... ada jugak forumner yang jugak cset & preggy lepas 3bulan ... tp still boleh normal ... benda ni semua tengok condition badan kita ...

jangan risauuuuuuuu la kembara ....... doa jerk yang terbaik

kembara

insyaallah.. harap semuanya berjalan dengan baik.
ehem-ehem79, kiranya you start pegnen sebelum anak u masuk setahun la ya. sebab u skang pegnen 4 bulan n anak u 1 thn 3 bln. emm macammana dengan scar pada perut u? dah 100% ok ker?
cm kembara cuma cek-up kat klinik biasa dan maybe nanti bila masuk 4-5 bulan nak wat double check-up kat klinik komuniti/kesihatan. tak de nye jumpa gynea
so far sekarang scar perut yang ternampak dlm setengah jengkal.... yang asalnya sejengkal dulu.. normal ke nih? ehem ada rasa sakit2 tak masa tekan2 kat tempat luka tuh?

kembara

Originally posted by limau_nipis at 21-5-2008 12:17 PM


jangan risau.. i terpregnant yg no 2 masa no 1 baru umur 100 hari.. hehehe
tak apa, anak itu rezeki tuhan..

i dpt bersalin normal lagi, gap tak sampai setahun dengan yang sulung

...

wah .. 100 hari?..mmg baru betul2 eksiden..tapi alhamdulillah selamat..

pstt penah baca post u pakai salindah kan? ok ker?

ehem_ehem79

Originally posted by kembara at 21-5-2008 01:58 PM
insyaallah.. harap semuanya berjalan dengan baik.
ehem-ehem79, kiranya you start pegnen sebelum anak u masuk setahun la ya. sebab u skang pegnen 4 bulan n anak u 1 thn 3 bln. emm macammana deng ...

so far ehem mmg tak sakit apa2 kembara ...
lepas chckup masa bersalin aritue ... masa tue baru 2bulan ... doc kata luka semua ok .. scar lawa ..
pastu ehem mmg telan gamat banyak2 ....
so far mmg tak pernah rasa sakit kat tempat operate tue ..... gynea picit2 pun tak sakit ...
gynae kata ... luka dah ok ... no problem nak pregnant .. mmg patutnya kena tunggu 2tahun

skrg perut dah muncit sket .... takde pun rasa apa2 kat scar tue ..
cuma dah start gatal2 laaaa ...

takde apa la kembara .. takyah risau ...
kalo 2nd ni kena zasssssss jugak .. mmg dah rezeki kita la tue ... dapat beranak senanggggggggg kekekeekek.

scar tue mmg jadik kecik ... sbb perut kita mengempissssssss kan ...

[ Last edited by  ehem_ehem79 at 21-5-2008 02:06 PM ]

limau_nipis

Originally posted by kembara at 21/5/08 02:00 PM

wah .. 100 hari?..mmg baru betul2 eksiden..tapi alhamdulillah selamat..

pstt penah baca post u pakai salindah kan? ok ker?

salindah for me tak best sgt

tapi i masa pregnant mmg doc bagi n mmg tak miss hari-hari makan folic acid, obimin & calcium
kalau doc bagi supplement, makan yer untuk kuatkan baby dan develop baby dalam perut

walaupuan accident, tapi syukur alhamdulillah anak lahir sempurna sifat
tapi tang bersalin tu, mmg koyak banyakkk sangat.. siap tumpah darah lagi, maklumlah, doc cakap macam bersalin anak sulung sebab first time dpt bersalin normal

tapi bila tengok muka baby yg keluar dari perut, rasa lega sangat

bLUe_jaMBu

count me in too!

my second doter pun VBAC.

yg pertama c-sec, preggy nomot 2, 2month masa yg sulung 2 years..boleh normal, even baby no 2 berat sket dari akaknya...3.3, 3.5.

yg penting think positif, jaga makan, dan kalau kita xder apa2 masalah cam HBP or small pelvic bone, shud be ok laaa...apa apa pun, berserah pada Allah..bersalin cara m,ana pun x kisah asal selamat dedua..

kembara

rezeki beranak senang? hehehe memang pun...tahu2 dah siap..dah ada baby..org tengok macam azab je bersalin c-sect tapi rasa ok jer. tak de la teruk mana pun..cuma perut ja muncit sket almaklum kembara tak berbengkung masa berpantang n habis pantang. pssttt bengkung tu terbesar la..kena jahit dulu baru leh pakai...

dulu 1st baby sempat gak merasa sakit nak beranak sampai 4cm.. tu pun dah macam tak tertahan. maklum la jenis tak tahan sakit .. cam na la nak hadapi sakit bebetul nanti..ahaks..

kembara

Originally posted by limau_nipis at 21-5-2008 02:11 PM


salindah for me tak best sgt

tapi i masa pregnant mmg doc bagi n mmg tak miss hari-hari makan folic acid, obimin & calcium
kalau doc bagi supplement, makan yer untuk kuatkan baby dan dev ...

ni yang takut ni sebab rahim kita kan pernah luka teruk sebab c-sect..mgkin sebab tu limau_ nipis banyak kuar darah kot

kembara

[size=-1]Vaginal Birth After Caesarean Section

[size=-2]high or "classical" [size=-2]lower transverse uterine scar & low vertical uterine scar

[size=-1]A Guide for Women Caesarean section is a common surgical procedure. For decades it had been generally assumed that once a woman had a caesarean section, all her future babies would have to be delivered by caesarean section. However, this concept has changed due to improvements in obstetric care and surgical techniques. Many women who have had a caesarean section can safely give birth through the vagina during a subsequent labour. This known as vaginal birth after caesarean section (VBAC). With careful selection of patients and good obstetric care, about five to eight women out of 10 who attempt VBAC are successful. Reason for VBAC # Lower risk of complications (such as bleeding and infection) than routine, repeat caesarean section. # Other risks associated with surgery are avoided, such as reaction to the anaesthetic, damage to internal organs, decreased bowel function, and abdominal would infection. # A shorter hospital stay and quicker recovery. # Some women regard vaginal birth as more fulfiling. # If successful, VBAC facilitates vaginal birth of subsequent babies, avoiding the risks of repeat caesarean section. The decision to attempt VBAC It will depend on your medical history and the progress of your current pregnancy. To decide for VBAC, your doctor will consider factors such as: # the location of the uterine scar from the caesarean incision. # the reason for the previous caesarean section. # how you want to deliver this baby. # your access to a hospital that is well equipped for an emergency caesarean section. # how many more babies you hope to have. # the time since you previous caesarean section (uterine scars less than two years old may have a greater risk of rupture). Location of uterine scar: The women most suitable for VBAC have had a horizontal incision (cut) in the lower part of their uterus, known as a lower transverse uterine incision. The four types of uterine incisions are: 1)lower transverse- a side-to-side cut in the lower, thinner part of the uterus where labour contractions are minor; this is the most common incision and is the most suitable for subsequent VBAC. 2)low vertical- an up-and-down cut in the lower, thinner part of the uterus. 3)high or "classical"- an up-and-down or horizontal cut in the upper part of the uterus; more stress is placed on this area during labour than on the lower areas of the uterus. 4)inverted "T shape" incision; this is the weakest scar. You cannot tell where your uterine scar is by looking at the scar on your skin. The uterine scar is in a different position. A doctor needs to see your medical records to determine which type of uterine incision was made. Another factor is whether the reason for your previous caesarean section is again present in your current pregnancy. If the problem is absent, VBAC might be an option. PREPARING FOR VAGINAL DELIVERY Some women are enthusiastic about attempting VBAC, while others may be reluctant, especially if a prior caesarean section was performed as an emergency. Discuss you concerns fully and frankly with your doctor because understanding labour and its stages can be helpful. Remember when you attempt a VBAC you may still need a caesarean section if complication arises. Epidural analgesia can be used during VBAC. However, it may limit mobility and can make it more difficult to push the baby out. Other pain-relief medications such as pethidine can be used or non-drug techniques such as massage and emotional support. UNSUITABLE CONDITIONS FOR VBAC #The woman has a "classical" scars or inverted-T uterine scar. #The position of the uterine scar is unknown. #The woman does not want to try a vaginal delivery. #Some types of previous uterine surgery, such as fibroid removal. #Previous rupture of the uterus. #The woman needs induction of labour and has an unfavourable cervix. #The woman has an unusual pelvic shape. #The baby is in the transverse position (lying across the uterus). #The baby appears to be too big to pass through the birth canal. #The hospital where you want to deliver is not equipped for an emergency caesarean section. #The woman has a medical condition that can complicate labour. #Any other contraindications to labour (for example, placenta praevia, where the placenta lies across the cervix). There can be other medical reasons why VBAC may not be safe for a woman, and they may be unrelated to the previous caesarean section. RISKS OF VBAC VBAC is associated with a small risk of rupture of the uterine scar. This rupture can be caused by uterus's forceful contractions during labour and pressure against the scar. Rupture of a uterine scar is an uncommon but serious complication. The signs of uterine rupture can be difficult to detect. A woman may have some bleeding or pain between contractions, but changes in the baby's heart rate may be the first sign of uterine rupture. This is why continuous electronic monitoring of the baby is often recommended during VBAC. Rupture of the uterine scar can be life-threatening for mother and baby, and an emergency caesarean section will be necessary. Rupture of the uterine scar occurs about once in every 200 VBAC attempts. Of those woman who do have a uterine rupture during VBAC: #about one woman in 10 of these women will need a hysterectomy (uncommonly, a woman may need a hysterectomy following uncontrollable bleeding during an elective caesarean section). #about one birth in 20 uterine ruptures can result in a stilbirth. Of every 10 women attempt VBAC, from two to five will need to have a repeat ceasarean section.For this reason, VBAC should take place ONLY in a hospital equipped to perform an emergency caesarean section.In an emergency, general anaesthesia or regional (spinal or epidural) anaesthesia will be required, depending on the situation at the time. The most common reason for an emergency caesarean section during VBAC is not uterine rupture but failure of the labour to progress. Any labour is associated with some risk to the baby. It has been estimated that, during VBAC, risks to the baby are similar to those faced by a baby who is the vaginal first-born to any mother. Patient Education RANZCOG

[ Last edited by  kembara at 21-5-2008 02:24 PM ]

dini_alieyah

Originally posted by limau_nipis at 5/21/08 02:11 PM


salindah for me tak best sgt

tapi i masa pregnant mmg doc bagi n mmg tak miss hari-hari makan folic acid, obimin & calcium
kalau doc bagi supplement, makan yer untuk kuatkan baby dan dev ...

Allahuakbar...ngeri bc koyak rabak tu limau
dini pun c-sec mase 1st baby
now dia dah 4 thn dah
kali ni preggy mmg nak cuba normal...

kembara...ok lah tu..by the time u bersalin , 1st baby dah 2yo+
jaga jek kesihatan n berdoa supaya dpt bersalin normal
but klu c-sec gak..ok jek la..
lg cepat baby kuar..

dini_alieyah

Originally posted by kembara at 5/21/08 02:12 PM
rezeki beranak senang? hehehe memang pun...tahu2 dah siap..dah ada baby..org tengok macam azab je bersalin c-sect tapi rasa ok jer. tak de la teruk mana pun..cuma perut ja muncit sket almaklum ke ...

kembara, dini dulu dah bukak 10cm
dah push 3x
but sbb mase tu baby dah lemah (dini sakit 16jam)
then terpakse emergency c-sec
huhuhu...