Some things to think about

When "counseling" us on vbacs, OB's usually always reference to uterine rupture. But do they tell you that with 1 c section we have a .24% of developing accreta. Or a .57% chance after 3 c sections...or a 2.33% after 5 c sections. I'm guessing by the time one reaches 3+ sections, the vbac talk is non exsistent. When deciding between a vbac or rcs (repeat c section) we need to ask ourselves "will there be future pg(s)", "is there permanent birth control in place?" Keep in mind, yes there was a study done in this, 49% unplanned pregnancy rate! (Per CDC 2012, Guise 2012)

Women have a 6.4% chance of placenta previa after 1 c section according to a study done by Silver 2006.

And if you have previa your chances dramatically increase for accreta. 3.3% (1 c/s), 11% (2 c/s), 40% (3 c/s) and levels off to 67% with 5 or more sections.

Now if your chances for uterine rupture are .09% to 3.7% which carries a 5% maternal death rate, one would say heck ya sign me up for a section! But if you look at the risks another section carries with it then one may not be so quick to jump on the table. 1 and 533 woman will have accreta...7-10% of them will die. Period. When we talk about uterine rupture and 5% we are talking about 1000's of woman.

Comments

Ant hills to mountains

First I have to share the love and support from all over. Especially to Hope for Accreta Foundation, Gina. She sent me this. Such a beautiful surprise to see the signatures of survivors from all over the world. Very humbling. Probably the biggest and most humbling gifts I've received thus far are cards with words of encouragement. I've received birthday cards, etc but these cards are different...or maybe my perspective is changing. This past week I don't look at my children the same. When I hold my youngest, I inhale his sweet, sticky and sometimes unidentifiable (depends what substance he's sporting) smell. I look at my two youngest and truly look into their deep blue eyes, trying to count the various shades of blue. I watch their movements. I stare in wonder how my 3 yr old knows almost all the words to Frozen, complete with hand gestures and facial expressions. How observant she is...what has she observed from me over the 3 short years of her beautiful life? W...

It's so good to be home!

The past 2.5 weeks home have been great! I'm tired and get sore easily but nothing like snuggling your children and cuddling up in your big, comfy bed. Elias, our 19 month old, didn't remember me when I walked through the door. Actually he didn't warm up to me until a week and half later :( . Poor little guy. About 4 days ago he crawled up on my lap and snuggled with me. Something he used to do before I left. It filled my heart with joy. I've missed him. Gabriel is doing great! Eating every 2-2.5 hrs ...not so great in the middle of the night but he's thriving! His discharge weight was 5lbs 8oz, 4 days later he was 6lbs 2oz! 10 days after that he weighed 7lbs 4oz and 19.25" (he was 18.5"). All from momma's Dairy Queen :) He's doing amazing. So proud of our little guy :) Elias loves giving his little brother kisses and hugs. At first Elias was a bit freaked by his brother's noises. He would observe him from a distances and just stare at him. T...

Reflections from the last 8 weeks

Galveston, TX Pavilion for Women Texas Childrens The day after Easter when I was admitted for preterm labor. My Iron Man Emergency surgery 5/8/14. The team was assembling. PAIN! But alive! First time holding Gabriel First night without the NICU, a hotel on the way home.

Difficult Ending = Beautiful Beginning

Search This Blog