Bringing new life into the world is a miraculous experience, and for some mothers, the journey involves overcoming unique challenges. Vaginal Birth After Cesarean Section (VBAC) is a viable option for those who have previously undergone a cesarean section (C-section). In this comprehensive guide, we'll explore the benefits, risks, and considerations surrounding VBAC, shedding light on the empowering choice that it represents for many women.
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VBAC refers to the process of delivering a baby through the vaginal canal after having had a previous cesarean delivery. It is essential to note that not all women are candidates for VBAC, and individual circumstances vary. The decision to attempt a VBAC is typically based on factors such as the reason for the previous C-section, the type of incision made during the surgery, and the overall health of the mother and baby.
VBAC is often more successful and less risky if the previous cesarean incision was a low transverse (horizontal) incision rather than a vertical incision. Classical or T-Shaped Incision: Women with a classical or T-shaped uterine incision are generally not considered good candidates for VBAC due to the increased risk of uterine rupture.
Reason for Previous Cesarean: If the previous cesarean was performed for reasons such as breech presentation, fetal distress or failure to progress, in that case, VBAC may be considered more favorable than if the cesarean was due to issues like a previous uterine surgery or contracted pelvis, etc.
Number of Previous Cesareans: VBAC may be an option for women with one or two previous cesareans. However, the likelihood of success can decrease with each successive cesarean.
Shorter Recovery Time: Compared to a repeat C-section, VBAC generally involves a shorter recovery period, allowing mothers to return to their normal activities sooner. Reduced Risk of Complications: VBAC is associated with a lower risk of infection, blood loss, and other complications commonly associated with C-sections. Bonding and Breastfeeding: Mothers who undergo VBAC often report improved bonding with their newborns and find it easier to initiate breastfeeding. Future Pregnancy Options: Successfully having a VBAC can open the door to more options for future pregnancies, giving women the flexibility to choose their preferred birthing method.
Uterine Rupture: One of the primary concerns with VBAC is the risk of uterine rupture, although it is relatively rare. Proper monitoring during labour can help detect and address this issue promptly. As per the available data, the risk of uterine rupture may range from 0.47% to approximately 0.87% during (TOLAC - Trial of Labour after a Caesarean Delivery)
Failed VBAC Attempt: In some cases, the attempt at a VBAC may not be successful, leading to an unplanned C-section. Discussing potential scenarios with your healthcare provider can help manage expectations.
Medical Supervision: VBAC typically requires careful medical supervision, and having an experienced healthcare team is crucial to ensuring a safe delivery.
Vaginal Birth After Cesarean Section is a viable and empowering option for many women, offering a chance for a more natural birthing experience with potential benefits for both mother and baby. However, it is essential to consult with healthcare professionals to determine individual suitability and make informed decisions based on personal health factors and circumstances.
The typical chances of a VBAC after a C-Section are about 60-80%. If the baby is in position or labour starts naturally, the chances of vaginal delivery are higher. However, if there are health complications or the baby is not in position by the time labour starts, the chances decrease.
It is generally suggested to wait about 18 – 24 months before conceiving after a C-section to increase the chances of a VBAC. This duration gives the uterus enough time to heal the C-section scar, for the mother to recover physically, and for her body to replenish all the lost nutrients, to support the next pregnancy.
"You can increase the chances of a VBAC by – *Managing good health and staying physically active. *Maintaining weight within a healthy range. *Aiming for spontaneous labour rather than inducing it."
VBAC – stands for Vaginal Birth After C-section and refers to successful vaginal delivery after a caesarean delivery. It is now known as TOLAC – Trial Of Labour After C-section and refers to the attempt at vaginal delivery after a caesarean delivery. It does not denote whether the attempt was successful or not. It refers to the entire process and not the outcome.
