I Love how Dr. Green explains the worrisome topics without sounding too harsh. We all know there’s risks, but they manner he explains them, is welcoming and are more of a “just in case” scenarios.
I’ve had 2 VBACs and going for my 3rd in a few weeks. I wish more doctors were more supportive of this. A repeat c-section is just as risky as a VBAC. I prefer a vaginal birth anyday. I encourage all moms to do their own research. Great video and information 👍🏿! Thanks for sharing ❤️!
I had a VBAC 4 months ago and it was the most beautiful thing I’ve ever experienced. (Not to be confused with easy 😂) I will say that I am so incredibly thankful for my OB being in my corner the entire time, even with high BP scare. I definitely want to try again if I have more children.
I had 2 successful homebirth after 2 c- sections one in 2013 she was 7 lb 12oz and my 2nd baby he was 10lb 10 oz and no tears at all thank god💗💗🙌amazing experience
Im a 2 homebirth after 3 c. I also have clients with more than me and they do fine. It may just take longer to birth but we do it and ive NEVER seen a rupture in 7 years of doing this. The fear mongering has to stop.
My first was a c-section, my second baby was a vbac and i am so thankful for that. I had to fight my way to get it. And now thatbi know what i know i can easily advocate for myself. I am 37 weeks pregnant and planning to have a second vbac. Hopefully everything goes well.
I had my second baby VBAC after two years of Cs. I had my 3rd baby a month ago, after eight years and was Cs because of how big he was (4.780kg) I prefer VBAC.
@@letyourlightshine2727 why are you all over the comment section with negativity. Like good for you and your decision. It's not helpful to other women though, especially ones that have given birth before a c.section or are all round just good candidates. My change for vbac is between 90-95% based on my history, everyone is different
Unfortunately his not accurate on the rate of possible rapture after 2nd cesarean or any rate for that matter. This is what ACOB says: “One study found no increased risk of uterine rupture (0.9% versus 0.7%) in women with one versus multiple prior cesarean deliveries, whereas the other noted a risk of uterine rupture that increased from 0.9% to 1.8% in women with one versus two prior cesarean deliveries.” To say it’s from 1% to 5% is completely inaccurate in both aspects and also scary. Do your research ladies!!!!!!!
Dr. Green, I needed this video! I'm 39 weeks today and attempting a VBAC with baby # 2 . I had a c section 5 years ago with my first son. I pray God will allow a smooth experience for me. Thank you doc!
@@111LisHa111 vbac failed dear. Was in labor 12 hours and only dilated to a 4 or 5. Baby's heart rate was going down with the little pitocin they gave me to help with contractions. I had to have another c section. Thankfully the doc that did it must of did a better job because the healing and recovery was clean and so much BETTER! so if I plan to have more kids I have to plan a CS. Which I may just stop here...I am blessed and happy with my 2 sons and my hands are full lol
Hes pulling 5% rupture risk right out of the air. Im a 2 home birth after 3c mom and a traditional midwife and i can tell you after 7 years of doing this and attending women with up to 7 cs, i have NEVER seen a rupture. Ladies your bodies know how to labor and produce a baby. The thing you need to consider is it takes longer for women like us to labor and birth because our bodies know there has been a trauma there so it goes slower. Your body will not try to kill your baby. Please dont give into this fear mongering and know that you dont need anybody else to birth. Just yourself .
@Anna Lightsaber... please what's your advice on trying to conceive 6 month after C-section,..I had my first child through C-section, he is 10 year old, and my second pregnancy, i had emergency C-section at 26 week preg,my baby died due to hydrops fetalis, leaving me devastated....I want to know, if i should try again for another pregnancy, thank you..
Dr. Green you are an amazing Doctor one of the best Doctors, and I was very lucky to meet you yesterday it was an honor to meet you impeccable bedside manners thank you for reassuring me that my baby boy and I where doing good. god bless 🙏
So happy I found this video!! My second baby was born via emergency c-section due to being trapped in her cord. I was told I was a great candidate for a Vbac but that it was up to me if I wanted to do it. Unfortunately in my situation it’s like the staff is too afraid to pursued me in either direction that they won’t really give me much guidance. This video definitely cleared things up for me and I’ll be going for a Vbac.
@@Coco-ny5wh Yes, I did! It was actually my easiest and fastest labor as well. I only had to push twice to get her out. She was my smallest baby at 6lbs 3oz, so that probably helped.
I am attempting a VBA2C and my midwife and doula is very supportive and I’ve seen hundreds of successful stories! The risk is just as high and dangerous for major abdominal surgery.. but doctors never talk about the risks for repeated cesareans only the risks for vaginal births.. and alot of these cesareans were not medically necessary just was “convenient” for doctors and hospitals.. faster they can clear a bed, the faster they can get a new customer! They don’t want mothers laboring in their beds too long.. there are many documentaries that explain the business of birth in the US and it’s sad 😢 also a lot of Dr do not carry malpractice insurance so whether you are a good candidate or not, they will always say “repeat c section”.
What is your suggestion for a patient that would like to switch providers during a pregnancy? Could you also address how to handle a situation when your provider is not affiliated with your preferred delivery hospital.
Good point at the end about considering the number of children you are going to have in the future. Doctors like to assume you're going to be done after 2 or 3 kids.
Thanks for this video! Three questions: If a woman's first pregnancy resulted in a planned C-section (i.e. she has an "unproven pelvis"), does that have any impact on chance of success with vbac? Given the small risk of uterine rupture and emergent C-section, is it advisable to labor with an epidural in place so that C-section can be performed more quickly without requiring general anesthesia (or would a rupture necessarily result in a need to put the pt under? Does an induction increase the risk of rupture i.e. is there any sense in planning a repeat C-section unless labor occurs spontaneously i.e. avoiding need for an induction?
That was super informational, this gave me a lot to think about and triggered questions for my doctor. I had my first baby (only one so far) via c section, I went through labor, pushed for 3 hours and could not successfully push him out even with a vacuum attempt. My sons head was much too large (just like his dads haha). I thought for sure I’d be a great candidate for a vbac, I very much enjoyed the challenge and process of laboring (all of it was beautiful) and wanted to go through it again but with a 20% chance of success it makes me feel otherwise. Thanks again!
This number is complete bull*t… sorry… don’t let him fool you. There are so many reasons why it didn’t work out the first time! I had the same situation with my first and my VBAC was absolutely easy. Just used a few techniques and positions from spinningbabies and it worked wonders. Maybe you were in a suboptimal position for delivery the first time? Or Scared? Or had an epidural? Or baby was in a bad position… which all can be completely different this time. Also the risk of uterine rupture does not increase to 5% after two C-sections. It increases from 0,2-0,5% to 1-2%. These are new scientific research results and this video is not at all up to date. In fact, to me it doesn’t seem VBAC friendly at all…
@@xNinchenx1991 The benefits are comfort, ease/ time of recovery, and some emotion related. The risk his life and death related. Much heavier. The longer labor, the more of an indication that there could be problems with the next delivery. Especially for a first time mom. It really needs to be an excellent evaluation of why the first C-section took place before deciding whether someone is a candidate or not. Trust me, as a surgical technologist for 18 years and the last three years doing solid C-sections every day… You don’t even want the tiniest uterine tear, there are a lot of things that have to be lined up in an order to save moms and babies life if this happens. I would say that you should put a little more weight on your urging moms to be educated and a lot less weight on criticizing professionals who are just trying to keep mom and baby safe. Also, it is completely untrue that a C-section is just as much of a risk VBAC. 100% wrong information. Ridiculous. I am pro VBACK back , but only for an accurately evaluated, excellent candidate. regarding this subject, going conservative is directly related to life and death.
@@brendametube There is an additional factor missing from your list. There is increased risk of complications during pregnancy and birth with each subsequent c-section. The choice of surgery does not occur in a vacuum; future pregnancies are impacted. If a woman can have a successful VBAC and wants many more children, in a healthy mother and pregnancy this could be the better choice in spite of the risks.
As an OB/L&D RN, there is no easy way to get them here. There are major risks with a C-section, in most cases more risk than a vaginal birth, which is what he is saying.
I'm pregnant with twins and my old OB instantly wanted another csection (I've only had one previous pregnancy/ birth via csection) I switched OBs and I'm now being given the chance to attempt a vbac and I'm very thankful for being given the chance instead of instant surgery.
@The Real Amanda Ade I ended up getting a csection. I didn't want to labor to get one baby out vaginally to end up needing a csection along side that. This csection recovery was amazingly fast and thank goodness for that since I have a 2 year old and twins. My girls are going to be 4 months this month and thinking back about their birth, it doesn't really matter now that they are here and healthy. Thanks for asking! 👋
Thank you for ensuring me a bit no one is on my side but my first child was born by c-section almost 6 years ago i'm currently 34 weeks pregnant and they want to give me another c-section however, i only had the surgery because i went in at 40 weeks with my child that's now 6 and i wasn't dilating so i was given pitocin and still nothing so after a while her heart rate started to drop so that's why i had the c-section. Now with this baby i'm due June 3rd 2022 and i want to push! I'm sure i can do it!
I’m almost 27 weeks pregnant. My oldest, who will be 10 (years) in July, was born by c section due to distress; the cord was around his neck twice. I think this time around, I’m going to try to have a VBAC. 🤞🏻 it’s funny because I was terrified of a vaginal birth the first time around; but this time around I’m terrified of a c section. I didn’t even have a bad experience. 🤷🏻♀️ Ps. I would LOVE to have you as my doctor.
Charlotte please give me an update! I have an 11 year old and just found out I’m pregnant with baby number 2! I had a c section as well and REALLY want to have the baby vaginally this time. I hope you and baby are doing well 🥰.
Me too my son is 21 months today and I’m almost 37weeks. I pray I can have vbac at this time Cessation before was so scary to me and was sick for a year .
You seem like such an amazing DR. So well spoken, calm and seem very kind. I'm here because I had a Csection 8 years ago and I am currently pregnant and being advised from my OB that he will NOT do a VBAC, he doesnt want to take the risk also states that becuase i'm African American my pelvis is shaped differently which can make it difficult..... My baby was breeched and I would like to have the opportunity to do a VBAC because I also do want to have 1 more child. Unfortunately, My OB has not given me any of the info you have provided in this video. My OB is great and he performed by csection for my last pregnancy but I am hurt that he wont even allow me to try to deliver vaginally and so quick to slice me up through a csection. I want to have the opportunity to deliver without a csection....do you recommend women switching providers do to a situation like this? I would've loved to be one of your patients.
I love your videos! I recently had a baby boy and watched your video on circumcisions and it was very informative! Could you do a video about the after care of a circumcision?
If you’re attempting a Vbac, when should you go to the hospital once contractions have started ? Are uterine ruptures more likely to happen nearer delivery or anytime once you start contracting? Thank you!
I went to the hospital once the contractions were going pretty steady for my vbac. I didn't get any special instructions except just go when baby was coming.
I’ve only just seen this video as I’m pregnant 2 years on after my first child and I’m just wondering if you can have a VBAC if you didn’t dilate properly and had an infection in your waters?
Had a vertical cut because of cord coil 5/ baby did not descend. Thats 5 yrs ago. Is vbac still okay? Hope i can get a reply as they are waiting for me to decide :)
I watched a few other videos but none said how long it would be advisable to wait to get pregnant again. Thank you so much for all the valuable information!
I have a suggestion; can you please discuss the use of antidepressants during pregnancy? The risks and benefits, and the odds of baby being born addicted to them? Please and thank you!
I am 27 yrs now and had an emergency c section 2 yrs 7 months ago for my first baby boy, the c section was performed bcoz I was post due date and syntocin didn't work for me. Now I am pregnant for my second baby (38 weeks) want to have a vbac. My fluid was reducing from 29 weeks (9.9cm)to 36 weeks 7.8 cm) but now it's increased 11.5cm. Myp previous scar in the uterus measures 3.5cm in the thinnest point of the uterus at 37 weeks. So am I a good candidate for a vbac?
I have a natural birth 12 years ago labor for 4 hours, she came early. 4 1/2 years later I got pregnant again this time they notice at 28 weeks she wasn't growing, they did an emergency c section at 31 weeks and she came out breathing on her on! 4 years later I got pregnant again & because in Florida it's hard to get vbac they did the c section she was also early but was fine after labor. Here I am 4 years later pregnant again 😩😩 I really want to do a v bac .. what are my options
I just had and emergency C-section with my first born after laboring and getting to 7cm, the complication for us was a uterine fibroid near the birth canal that blocked him and stalled My labor. What about those cases? Until the fibroid made itself a problem we we’re going along very nicely.
Hello dr, I had c-section 8 years ago when i was 27 weeks pregnant. Baby was still birth. I have no idea about how the incision was made during c-sec. I am now 31 weeks and I would like to try Vbac this time. Please tell me if it is possible to have vback this time?
hi dr..would like to ask if how about vertical incision for ceasarian section.. I'm having my baby number 2 next month, and planning to VBAC..my eldest is 6 y.o..is it have a low risk for uterine rupture and is it safe?thanks
Crying as I watch this. I want a vbac so bad… but I’ve had 2 c-sections already. I feel like a part of my womanhood is being ripped away from me and it just hurts so bad. 😢
this is my third vbac im 39 weeks im waiting and ready to have my baby now the new dr i go to does not want to induce me that sucks my last vbac i was induced
Can you do a video or answer the question about doing a VBAC with pre-eclampsia? I had pre-eclampsia and GD with my pregnancy and was scheduled for induction at 38 weeks. But my baby had a PAC so was unable to be monitored and resulted in a c-section. Do pre-eclampsia and GD make your risk higher for a failed VBAC?
Can you answer I had to have a c-section after not going into labor on my own they induce me with cervix because I can’t do it on my own I was told if I don’t go into labor on my own this time I will have no choice but to have a c-section my one child is 13yrs old now this is my Second child 4 pregnancy
I had 2 csections due to low heart rates. My last c section was over 6 years ago but my hospital is automatically wanting me to have another c section. For some reason I’m more terrified of a 3rd c section and would really want to try for vbac. There’s risks with both and at this point I’m nervous either way. I don’t know if I should try to push my hospital to let me try for vbac or just go through with the scheduled c section.
I was so terrified of trying a vacation after a traumatic labor and emergency c section with my first daughter in 1997. I chose c sections for my other three children. I was terrified of a normal labor and delivery.
My doctors are pressuring me into vbac they told me it’s more safer for me and that a c section has way more risks then trying for a successful vbac but I made the decision and I will be trying tolac and try to go for a successful vbac
I've only had one child so far, and unfortunately resulted in a c section because her head was stuck in a crooked position in my pelvis, and labor would not progress. I'm almost 34, what are my chances for having a safe successful vbac with my next child?
How long should you labour at home before going into hospital when attempting a vbac. Obviously during COVID hospitals don’t want you in too early...what’s your opinion on that?
@@kyipasbeautyminati4172 Hey 👋🏽 I had to have an emergency cesarean due to complications unfortunately. Me and baby girl are doing well we just celebrated her first birthday yesterday ☺️
Thank you so much. Finally got some answers i was looking for a whole year. So getting pregnant with 2nd child after 2-3 years of first c section is safe right?
The second time that i was pregnant was 3 years after my first c section and the doctor said that it was to early and i had to have another c section. :(
I had twins my first pregnancy and my Dr at the time recommended that I have a c section because they were both breach and she said I could try to turn them but usually will.end up having a c section anyway a d didn't wa t me to be put under all the stress. My husband and I were fine with the decision and agreed. She is no longer available this go around... But this Dr with my singlton pregnancy is open to VBAC and I am terrified. I have a low incision sight and a barely visible scar. But I'm so scared...
Thanks for this video. My first child was a vaginal delivery and the second was a C-section due to placenta previa. It will be nearly 10 years since my second kid when I give birth to this one and I am hoping for a vbac.
Just had a c-section for my second baby due to placenta previa aswell. I. Doing research to see if it will be safe to have vaginal births for future babies, God willing.
@@shaz4709 update: we tried the vbac however I did have a uterine rupture. My daughter went into distress but luckily they were able to save her via emergency c-section. They had to do major repair work on me as well because she tore a hole in me.
Ok so I was pumped to having a VBAC but now unsure after watching that... My story is that when I was 15 I laboured for 8 hours and tried pushing her out for 2 hours being unable and they gave me a emergency csection! 21 years later lol I am due to have my 2nd baby in May and I reallllllly wanted to try vbac but the dr in this video said I’m only 20% chance because of my first labouring story. I am a right candidate except for that and even my hospital is all for me to try but I don’t want to try if it’s only going to be 20% success and then after all that have a csection anyway :( also I had a tummy tuck over 5 years ago cut over my csection scar.. does that count as 2 or would still only count as 1? I’m so confused cos I would love to vbac but any risk at all to baby I would never try :(
111LisA111 I don’t think when you do tummy tuck they recut your uterus..?? Only the skin/fat..when they do csection they cut muscle and uterus wall.. but you should talk to your OB :)
I previous had a cesarean 8years ago due to Hemorrhage, it was my 1st time I Hemorrhage and never experienced it before, I than after 2/3weeks after birth had DVT. Can I consider a VBac with this history??
This is not necessary true. I’ve heard of many successful vbac from induction and mamas that used pitocin to help their lador. In fact, pitocin is the most recommend drug.
@@keilamcfadden2433 for women with an unfavorable cervix its downright dangerous to use Pitocin which is not equal to oxytocin and is an oxytocin blocker.
In my case it's not clear what caused the c-section, probably several factors, big baby, never really enganged properly, inflammation, interventions, placenta then detached partially due to overstimulation through induction. Smaller baby this time, engaged etc. I was told my chances are good.
I just had my VBAC 5 days ago and it was the most beautiful thing ever! I was very scared but I knew God would help me.
I love how calming his voice is. I would love for him to be my doctor.
Savannah Kremer my Obgyn has a calming voice too.
I was thinking the same, then I saw your comment
I said the same thing!!
He was my doctor 20 years ago ☺️
I Love how Dr. Green explains the worrisome topics without sounding too harsh. We all know there’s risks, but they manner he explains them, is welcoming and are more of a “just in case” scenarios.
I’ve had 2 VBACs and going for my 3rd in a few weeks. I wish more doctors were more supportive of this. A repeat c-section is just as risky as a VBAC. I prefer a vaginal birth anyday. I encourage all moms to do their own research. Great video and information 👍🏿! Thanks for sharing ❤️!
How is your gap
Mine is one year can you say anything
Pls what is the gap between
@@patriciamgala5292 It was 20 months between my first and second. And 13 months between my second and third births.
@@ShadesofSage thank is the 20month include pregancy i slso want to try i lost my bby 9month now
Pls reply
I had a VBAC 4 months ago and it was the most beautiful thing I’ve ever experienced. (Not to be confused with easy 😂) I will say that I am so incredibly thankful for my OB being in my corner the entire time, even with high BP scare. I definitely want to try again if I have more children.
Wow. Congrats🎉🎊👏
In Indian doctor are not supporting. Unfortunately
Lydia can you tell me a little how was this experience ? I want to have a VBCA after 3 c sections
Kaneez Sayyed true as they just want to cut is out make money :(
Lydia M how did you feel the incision while you’re in labor?
I had 2 successful homebirth after 2 c- sections one in 2013 she was 7 lb 12oz and my 2nd baby he was 10lb 10 oz and no tears at all thank god💗💗🙌amazing experience
How did u do it???
@@kobusingyeesther4789 with a professional midwife
Really?!
Wow your great I am also had 2c -section in January . Vbac is possible .
Im a 2 homebirth after 3 c. I also have clients with more than me and they do fine. It may just take longer to birth but we do it and ive NEVER seen a rupture in 7 years of doing this. The fear mongering has to stop.
Studying for Nursing School and really needed to hear this information discussed and not just from literature, thank you truly.
My first was a c-section, my second baby was a vbac and i am so thankful for that. I had to fight my way to get it. And now thatbi know what i know i can easily advocate for myself. I am 37 weeks pregnant and planning to have a second vbac. Hopefully everything goes well.
How many gaps do you give after cs
How did everything go did you get a Vbac again?
I had my second baby VBAC after two years of Cs. I had my 3rd baby a month ago, after eight years and was Cs because of how big he was (4.780kg)
I prefer VBAC.
Good 4 ya but I'm not risking a uterine rupture
@@letyourlightshine2727 why are you all over the comment section with negativity. Like good for you and your decision. It's not helpful to other women though, especially ones that have given birth before a c.section or are all round just good candidates. My change for vbac is between 90-95% based on my history, everyone is different
I just found out I'm expecting and these videos have been so informative, I hope you start making them again!
Unfortunately his not accurate on the rate of possible rapture after 2nd cesarean or any rate for that matter.
This is what ACOB says:
“One study found no increased risk of uterine rupture (0.9% versus 0.7%) in women with one versus multiple prior cesarean deliveries, whereas the other noted a risk of uterine rupture that increased from 0.9% to 1.8% in women with one versus two prior cesarean deliveries.”
To say it’s from 1% to 5% is completely inaccurate in both aspects and also scary.
Do your research ladies!!!!!!!
Great video. Very informative and easy to follow. I also appreciate that you addressed inverted T incisions.
Dr. Green, I needed this video! I'm 39 weeks today and attempting a VBAC with baby # 2 . I had a c section 5 years ago with my first son. I pray God will allow a smooth experience for me. Thank you doc!
Classy Cassy how did you go hun?
@@111LisHa111 vbac failed dear. Was in labor 12 hours and only dilated to a 4 or 5. Baby's heart rate was going down with the little pitocin they gave me to help with contractions. I had to have another c section. Thankfully the doc that did it must of did a better job because the healing and recovery was clean and so much BETTER! so if I plan to have more kids I have to plan a CS. Which I may just stop here...I am blessed and happy with my 2 sons and my hands are full lol
Classy Cassy thanks heaps for getting back to me. Im sorry to hear it didn’t go to plan. I’m happy it all turned out for you though congratulations xx
I'm trying to decide what to do either VBAC or another C - Section.
B. Bmb
Thank you so much for this video. I'm 15 weeks and it gave me great confidence.
Hes pulling 5% rupture risk right out of the air. Im a 2 home birth after 3c mom and a traditional midwife and i can tell you after 7 years of doing this and attending women with up to 7 cs, i have NEVER seen a rupture. Ladies your bodies know how to labor and produce a baby. The thing you need to consider is it takes longer for women like us to labor and birth because our bodies know there has been a trauma there so it goes slower. Your body will not try to kill your baby. Please dont give into this fear mongering and know that you dont need anybody else to birth. Just yourself .
@Anna Lightsaber... please what's your advice on trying to conceive 6 month after C-section,..I had my first child through C-section, he is 10 year old, and my second pregnancy, i had emergency C-section at 26 week preg,my baby died due to hydrops fetalis, leaving me devastated....I want to know, if i should try again for another pregnancy, thank you..
Dr. Green you are an amazing Doctor one of the best Doctors, and I was very lucky to meet you yesterday it was an honor to meet you impeccable bedside manners thank you for reassuring me that my baby boy and I where doing good. god bless 🙏
Thank you for this detailed video explaining the risks and benefits.
So happy I found this video!! My second baby was born via emergency c-section due to being trapped in her cord. I was told I was a great candidate for a Vbac but that it was up to me if I wanted to do it. Unfortunately in my situation it’s like the staff is too afraid to pursued me in either direction that they won’t really give me much guidance. This video definitely cleared things up for me and I’ll be going for a Vbac.
Did you get a vbac ?
@@Coco-ny5wh Yes, I did! It was actually my easiest and fastest labor as well. I only had to push twice to get her out. She was my smallest baby at 6lbs 3oz, so that probably helped.
Thank you very much! Now, I do understand better the pro a cons! Very informative and clearly explained!
Thank you Dr Green for the information! 🙏🏻
I want this guy as my doctor. 🙌🙌🙌
Clearly explained the topic...Good job
You make a fantastic doctor for any woman. What a great and informative video, thankyou
This is a extremely helpful video. I’m currently pregnant and can’t find a provider that is vbac supportive anywhere near me.
I really appreciate this video
I am attempting a VBA2C and my midwife and doula is very supportive and I’ve seen hundreds of successful stories! The risk is just as high and dangerous for major abdominal surgery.. but doctors never talk about the risks for repeated cesareans only the risks for vaginal births.. and alot of these cesareans were not medically necessary just was “convenient” for doctors and hospitals.. faster they can clear a bed, the faster they can get a new customer! They don’t want mothers laboring in their beds too long.. there are many documentaries that explain the business of birth in the US and it’s sad 😢 also a lot of Dr do not carry malpractice insurance so whether you are a good candidate or not, they will always say “repeat c section”.
What happened to me …
What is your suggestion for a patient that would like to switch providers during a pregnancy? Could you also address how to handle a situation when your provider is not affiliated with your preferred delivery hospital.
Good point at the end about considering the number of children you are going to have in the future. Doctors like to assume you're going to be done after 2 or 3 kids.
Very informative. Thank you for this video 🙏🏽
Thanks for this video! Three questions: If a woman's first pregnancy resulted in a planned C-section (i.e. she has an "unproven pelvis"), does that have any impact on chance of success with vbac? Given the small risk of uterine rupture and emergent C-section, is it advisable to labor with an epidural in place so that C-section can be performed more quickly without requiring general anesthesia (or would a rupture necessarily result in a need to put the pt under? Does an induction increase the risk of rupture i.e. is there any sense in planning a repeat C-section unless labor occurs spontaneously i.e. avoiding need for an induction?
Very informative. Thank you Dr!
Thank you Dr I’m definitely doing the VBAC🙏
Thank u so much for this video. I got to know alot about VBAC.
So informational!!!
He seems so sweet 💜
Thanks alot dr...you explained everything beautifully and clearly.
That was super informational, this gave me a lot to think about and triggered questions for my doctor. I had my first baby (only one so far) via c section, I went through labor, pushed for 3 hours and could not successfully push him out even with a vacuum attempt. My sons head was much too large (just like his dads haha). I thought for sure I’d be a great candidate for a vbac, I very much enjoyed the challenge and process of laboring (all of it was beautiful) and wanted to go through it again but with a 20% chance of success it makes me feel otherwise. Thanks again!
This number is complete bull*t… sorry… don’t let him fool you. There are so many reasons why it didn’t work out the first time! I had the same situation with my first and my VBAC was absolutely easy. Just used a few techniques and positions from spinningbabies and it worked wonders. Maybe you were in a suboptimal position for delivery the first time? Or Scared? Or had an epidural? Or baby was in a bad position… which all can be completely different this time. Also the risk of uterine rupture does not increase to 5% after two C-sections. It increases from 0,2-0,5% to 1-2%. These are new scientific research results and this video is not at all up to date. In fact, to me it doesn’t seem VBAC friendly at all…
@@xNinchenx1991
The benefits are comfort, ease/ time of recovery, and some emotion related.
The risk his life and death related.
Much heavier.
The longer labor, the more of an indication that there could be problems with the next delivery. Especially for a first time mom. It really needs to be an excellent evaluation of why the first C-section took place before deciding whether someone is a candidate or not.
Trust me, as a surgical technologist for 18 years and the last three years doing solid C-sections every day… You don’t even want the tiniest uterine tear, there are a lot of things that have to be lined up in an order to save moms and babies life if this happens.
I would say that you should put a little more weight on your urging moms to be educated and a lot less weight on criticizing professionals who are just trying to keep mom and baby safe.
Also, it is completely untrue that a C-section is just as much of a risk VBAC. 100% wrong information. Ridiculous.
I am pro VBACK back , but only for an accurately evaluated, excellent candidate.
regarding this subject, going conservative is directly related to life and death.
@@brendametube There is an additional factor missing from your list. There is increased risk of complications during pregnancy and birth with each subsequent c-section. The choice of surgery does not occur in a vacuum; future pregnancies are impacted. If a woman can have a successful VBAC and wants many more children, in a healthy mother and pregnancy this could be the better choice in spite of the risks.
You seem like such a lovely Doc!
Thank you for sharing your knowledge🙏
Very informative! 👍🏻
Very good video and so informative!
Very informative and reassuring. :) I might just consider a VBAC for my second baby.
Also consider a homebirth with a midwife. Its so much safer.
Wish we had you in our country to explain to these doctors we have here
Great information
Very informative. Thank s
Very good and informative video
I am having my second baby after having a c section 7 years ago because my daughter was breach, never had labor. Trying for VBAC this time round 🥰
You're a strong mom.
I wish you good luck
Really good one informative
Super helpful. Thank you Dr
Uterine rupture is scary especially talking about it
As an OB/L&D RN, there is no easy way to get them here. There are major risks with a C-section, in most cases more risk than a vaginal birth, which is what he is saying.
Thank you for this information
A cheerful doc. too.
What an informative video👍👍👍👍👍👍👍👍👍👍👍👍👍
Dr. Green please make more videos
I'm pregnant with twins and my old OB instantly wanted another csection (I've only had one previous pregnancy/ birth via csection) I switched OBs and I'm now being given the chance to attempt a vbac and I'm very thankful for being given the chance instead of instant surgery.
How did it go
@The Real Amanda Ade I ended up getting a csection. I didn't want to labor to get one baby out vaginally to end up needing a csection along side that. This csection recovery was amazingly fast and thank goodness for that since I have a 2 year old and twins. My girls are going to be 4 months this month and thinking back about their birth, it doesn't really matter now that they are here and healthy. Thanks for asking! 👋
@@tearfromtheRed7 very happy to hear that you and you babies are doing well. All the best 🙏🏾
@@tearfromtheRed7oh bless you, probs a good choice. My friend had twins, gave birth naturally to one, then the other was a t cut c section!
I will love to have him as my doctor too.
Not sure if it’s been asked but is maternal age and weight also risks factors as well?
Thankyou so much. God bless you
Thank you for ensuring me a bit no one is on my side but my first child was born by c-section almost 6 years ago i'm currently 34 weeks pregnant and they want to give me another c-section however, i only had the surgery because i went in at 40 weeks with my child that's now 6 and i wasn't dilating so i was given pitocin and still nothing so after a while her heart rate started to drop so that's why i had the c-section. Now with this baby i'm due June 3rd 2022 and i want to push! I'm sure i can do it!
I’m almost 27 weeks pregnant. My oldest, who will be 10 (years) in July, was born by c section due to distress; the cord was around his neck twice.
I think this time around, I’m going to try to have a VBAC. 🤞🏻
it’s funny because I was terrified of a vaginal birth the first time around; but this time around I’m terrified of a c section. I didn’t even have a bad experience. 🤷🏻♀️
Ps. I would LOVE to have you as my doctor.
Charlotte please give me an update! I have an 11 year old and just found out I’m pregnant with baby number 2! I had a c section as well and REALLY want to have the baby vaginally this time. I hope you and baby are doing well 🥰.
Same thing happens with me!! Hope you your birth went well!!
Same with me but my son is 17months and I'm almost 6 months pregnant currently. How did your Vbac went?
Did you do natural birth?
Me too my son is 21 months today and I’m almost 37weeks. I pray I can have vbac at this time Cessation before was so scary to me and was sick for a year .
You seem like such an amazing DR. So well spoken, calm and seem very kind. I'm here because I had a Csection 8 years ago and I am currently pregnant and being advised from my OB that he will NOT do a VBAC, he doesnt want to take the risk also states that becuase i'm African American my pelvis is shaped differently which can make it difficult..... My baby was breeched and I would like to have the opportunity to do a VBAC because I also do want to have 1 more child. Unfortunately, My OB has not given me any of the info you have provided in this video. My OB is great and he performed by csection for my last pregnancy but I am hurt that he wont even allow me to try to deliver vaginally and so quick to slice me up through a csection. I want to have the opportunity to deliver without a csection....do you recommend women switching providers do to a situation like this? I would've loved to be one of your patients.
Have you had your baby already ?
I am now switching ob, you honestly have to find a dr who is willing to do the TOLAC
I love your videos! I recently had a baby boy and watched your video on circumcisions and it was very informative! Could you do a video about the after care of a circumcision?
If you’re attempting a Vbac, when should you go to the hospital once contractions have started ? Are uterine ruptures more likely to happen nearer delivery or anytime once you start contracting? Thank you!
I also want to know
Wouldn't risk it with vbacs
I went to the hospital once the contractions were going pretty steady for my vbac. I didn't get any special instructions except just go when baby was coming.
I’ve only just seen this video as I’m pregnant 2 years on after my first child and I’m just wondering if you can have a VBAC if you didn’t dilate properly and had an infection in your waters?
Thank you Dr
Hi where can I find Dr. Michael Green . I can’t find him through google.
Thanks!
Had a vertical cut because of cord coil 5/ baby did not descend. Thats 5 yrs ago. Is vbac still okay? Hope i can get a reply as they are waiting for me to decide :)
I watched a few other videos but none said how long it would be advisable to wait to get pregnant again. Thank you so much for all the valuable information!
He explains at 12:30
All doctors are not like u, doctors want money so they choose to have c section always
I have a suggestion; can you please discuss the use of antidepressants during pregnancy? The risks and benefits, and the odds of baby being born addicted to them? Please and thank you!
I had a c-section with my 1st and 2nd child a VBac and I just gave birth to my 3 child a few days ago and also had a VBac
Pls tell me the age gap
My daughter was 3 when I had my son for my 1 Vbac and my second Vbac 6 years apart
I am 27 yrs now and had an emergency c section 2 yrs 7 months ago for my first baby boy, the c section was performed bcoz I was post due date and syntocin didn't work for me. Now I am pregnant for my second baby (38 weeks) want to have a vbac. My fluid was reducing from 29 weeks (9.9cm)to 36 weeks 7.8 cm) but now it's increased 11.5cm. Myp previous scar in the uterus measures 3.5cm in the thinnest point of the uterus at 37 weeks. So am I a good candidate for a vbac?
Is it possible to have a normal delivery after unilateral salpingo oophorectomy? Thanks
I have a natural birth 12 years ago labor for 4 hours, she came early. 4 1/2 years later I got pregnant again this time they notice at 28 weeks she wasn't growing, they did an emergency c section at 31 weeks and she came out breathing on her on! 4 years later I got pregnant again & because in Florida it's hard to get vbac they did the c section she was also early but was fine after labor. Here I am 4 years later pregnant again 😩😩 I really want to do a v bac .. what are my options
i had a c section transversly with my first baby because of single nuchal chord around her neck i didnt had labour pain can i have vbac
Dr Green, you have some other medical links?
I just had and emergency C-section with my first born after laboring and getting to 7cm, the complication for us was a uterine fibroid near the birth canal that blocked him and stalled My labor. What about those cases? Until the fibroid made itself a problem we we’re going along very nicely.
Same here sis
Hello dr, I had c-section 8 years ago when i was 27 weeks pregnant. Baby was still birth. I have no idea about how the incision was made during c-sec. I am now 31 weeks and I would like to try Vbac this time. Please tell me if it is possible to have vback this time?
What are the chances of VBAC if the reason for the first C-section was asynclitism?
hi dr..would like to ask if how about vertical incision for ceasarian section.. I'm having my baby number 2 next month, and planning to VBAC..my eldest is 6 y.o..is it have a low risk for uterine rupture and is it safe?thanks
Crying as I watch this. I want a vbac so bad… but I’ve had 2 c-sections already. I feel like a part of my womanhood is being ripped away from me and it just hurts so bad. 😢
GOD is still in control dont worry u will have a vbac in Jesus name
this is my third vbac im 39 weeks im waiting and ready to have my baby now the new dr i go to does not want to induce me that sucks my last vbac i was induced
Can you do a video or answer the question about doing a VBAC with pre-eclampsia? I had pre-eclampsia and GD with my pregnancy and was scheduled for induction at 38 weeks. But my baby had a PAC so was unable to be monitored and resulted in a c-section. Do pre-eclampsia and GD make your risk higher for a failed VBAC?
Yes, having preeclampsia or pregnancy induced hypertension lowers your chances of success.
Can you answer I had to have a c-section after not going into labor on my own they induce me with cervix because I can’t do it on my own I was told if I don’t go into labor on my own this time I will have no choice but to have a c-section my one child is 13yrs old now this is my Second child 4 pregnancy
I had 2 csections due to low heart rates. My last c section was over 6 years ago but my hospital is automatically wanting me to have another c section. For some reason I’m more terrified of a 3rd c section and would really want to try for vbac. There’s risks with both and at this point I’m nervous either way. I don’t know if I should try to push my hospital to let me try for vbac or just go through with the scheduled c section.
Hi how far along are u im in the same boat as u i really would love a vbac after 2 c cestions and they want me to try it . From the Netherlands
I was so terrified of trying a vacation after a traumatic labor and emergency c section with my first daughter in 1997. I chose c sections for my other three children. I was terrified of a normal labor and delivery.
I live in Gambia, and listening to you I have a low risk for Vbac, how can I get your services???
My doctors are pressuring me into vbac they told me it’s more safer for me and that a c section has way more risks then trying for a successful vbac but I made the decision and I will be trying tolac and try to go for a successful vbac
I've only had one child so far, and unfortunately resulted in a c section because her head was stuck in a crooked position in my pelvis, and labor would not progress. I'm almost 34, what are my chances for having a safe successful vbac with my next child?
How long should you labour at home before going into hospital when attempting a vbac. Obviously during COVID hospitals don’t want you in too early...what’s your opinion on that?
I’m thinking the same I’m due in late October and attempting a VBAC after 7 years of having a caesarean with my son....
@@iamhunnib so what happened
@@kyipasbeautyminati4172 Hey 👋🏽 I had to have an emergency cesarean due to complications unfortunately. Me and baby girl are doing well we just celebrated her first birthday yesterday ☺️
Thank you so much. Finally got some answers i was looking for a whole year. So getting pregnant with 2nd child after 2-3 years of first c section is safe right?
The second time that i was pregnant was 3 years after my first c section and the doctor said that it was to early and i had to have another c section. :(
@@DaninaPetroskova so sorry to hear that. 😔
I had twins my first pregnancy and my Dr at the time recommended that I have a c section because they were both breach and she said I could try to turn them but usually will.end up having a c section anyway a d didn't wa t me to be put under all the stress. My husband and I were fine with the decision and agreed. She is no longer available this go around... But this Dr with my singlton pregnancy is open to VBAC and I am terrified. I have a low incision sight and a barely visible scar. But I'm so scared...
Thanks for this video. My first child was a vaginal delivery and the second was a C-section due to placenta previa. It will be nearly 10 years since my second kid when I give birth to this one and I am hoping for a vbac.
Just had a c-section for my second baby due to placenta previa aswell. I. Doing research to see if it will be safe to have vaginal births for future babies, God willing.
@@shaz4709 update: we tried the vbac however I did have a uterine rupture. My daughter went into distress but luckily they were able to save her via emergency c-section. They had to do major repair work on me as well because she tore a hole in me.
Where did you get those numbers from?
His nether regions
How could doct asses pelvis size? I was told mine is small but other doct said it wasnt as small as others
On copper iud do you getting heavier painful perioods
Ok so I was pumped to having a VBAC but now unsure after watching that... My story is that when I was 15 I laboured for 8 hours and tried pushing her out for 2 hours being unable and they gave me a emergency csection! 21 years later lol I am due to have my 2nd baby in May and I reallllllly wanted to try vbac but the dr in this video said I’m only 20% chance because of my first labouring story. I am a right candidate except for that and even my hospital is all for me to try but I don’t want to try if it’s only going to be 20% success and then after all that have a csection anyway
:( also I had a tummy tuck over 5 years ago cut over my csection scar.. does that count as 2 or would still only count as 1? I’m so confused cos I would love to vbac but any risk at all to baby I would never try :(
111LisA111 I don’t think when you do tummy tuck they recut your uterus..?? Only the skin/fat..when they do csection they cut muscle and uterus wall.. but you should talk to your OB :)
Change doctor. Also did the tummy tack have to do with your uterus. If not, it doesn t matter.
I previous had a cesarean 8years ago due to Hemorrhage, it was my 1st time I Hemorrhage and never experienced it before, I than after 2/3weeks after birth had DVT. Can I consider a VBac with this history??
I didnt her him say to avoid induction including pitocin artificial hormones is the leading cause for csection to begin with.
Can you elaborate on that please?
This is not necessary true. I’ve heard of many successful vbac from induction and mamas that used pitocin to help their lador. In fact, pitocin is the most recommend drug.
@@keilamcfadden2433 for women with an unfavorable cervix its downright dangerous to use Pitocin which is not equal to oxytocin and is an oxytocin blocker.
So what if you never experienced labor and had to a c-section because the baby was to big,is it still safe to consider a vbac?
That's NOT a reason for a c section , I'm sorry they did that to you
I have had 3 c sections each 5/6 yrs apart my youngest is 5yrs old and I want to try a vbac. In your opinion would I make a good candidate?
Hi Darrina? Did you get any doctor to support in a vbac after 3 c section.?
In my case it's not clear what caused the c-section, probably several factors, big baby, never really enganged properly, inflammation, interventions, placenta then detached partially due to overstimulation through induction.
Smaller baby this time, engaged etc. I was told my chances are good.