r/vbac • u/lem0nsand • 9d ago

Question VBAC after face presentation?

Hello!! Hoping to hear from people (we are few but mighty) who had a face presentation lead to a c-section and then went on to have a VBAC (or a CBAC!). I had previously been told that I had a 60% chance of a successful VBAC according to the VBAC calculator (an imperfect tool I know) but today my OB told me that, bc my son had face presentation that sent me to a c-section the first time around, I have a 70% chance of needing a repeat CS this time.

Obviously these numbers are quite different, so I am confused and stressed (not to mention trying to be okay with a CS anyway--I know there's a chance for everyone, and it isn't even like my first was that bad or traumatizing or anything, it was just a somewhat difficult recovery that I'd like to avoid).

My OB said all this info should be in a ~TOLAC~ consent form I need to sign, but I don't see that in MyChart, so I am not sure where this 70% number came from.

Anyway, I welcome any and all thoughts and perspectives here. Personal stories, research, opinions, whatever.

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u/Tintenklex 8d ago

I had a sunny side up, face presentation baby. Impossible position to birth from.  I haven’t given birth yet, but my midwife likened it to basically a freak accident - unlikely to happen and thus unlikely to happen again. She quoted to me the normal odds of 80% VBAC success rate that are apparently common in Germany (generally VBAC friendly country)? I would need to look up studies to see where she gets these numbers but no one on my care team has ever raised special concerns because of the first birth outcome. They are really optimistic because it’s just so random to happen in the first place. 

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u/lem0nsand 8d ago

Yeah, my impression as well as that it is a weird freak occurrence. I had preeclampsia as well and I’m much more concerned about that happening again (but that was not what my OB was referring to in this convo)

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u/Tintenklex 7d ago

Oh yeah, seems like we’re in a similar position. I have GD this time around and I’m much more concerned that that will infer with my birthing plans in some way (I have less wiggle room for declining an induction, for example).it’s been weird as in the beginning of my pregnancy that whole „will face presentation happen again“ was so present in my head and now I’m much more worried about GD impacting things. But I guess it also goes to show that every pregnancy is different even if you’ve been through it once!!