Are You a Candidate for a VBAC
Why consider VBAC?
- No surgery; therefore: none of the possible complications of surgery, shorter hospital stay and quicker return to normal daily activities.
- Experience of a vaginal birth.
- 60 to 80 percent of women who attempt a VBAC have a successful vaginal delivery.
- Might help you avoid the risks of multiple cesarean deliveries, such as placental problems.
What are the risks of VBAC?
While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including:
Uterine rupture:
- Rare, happens in less than 1% of women who attempt a trial of labor after cesarean.
- In this scenario, the cesarean scar on the uterus breaks open and an emergency C-section is needed to prevent life-threatening complications.
- Treatment might involve surgical removal of the uterus (hysterectomy). If your uterus is removed, you won't be able to get pregnant again.
Who's eligible for VBAC?
Many factors:
- What type of uterine incision was used for the prior C-section?
- Why did you have a previous C-section?
- Have you ever had a uterine rupture?
- Have you had other surgeries on your uterus?
- Have you had previous vaginal deliveries?
- How many C-sections have you had?
- When did you last give birth?
- Do you have any health concerns that might affect a vaginal delivery?
- Where will you deliver the baby?
- Will you need to be induced?
The answers to these above questions and a candid dialogue with your obstetrician are key to help you decide whether a VBAC is right for you!