What is a vaginal birth after a caesarean (VBAC)?

A vaginal birth after caesarean (VBAC) is a type of childbirth in which a woman who has had a previous caesarean delivery (C-section) gives birth vaginally rather than undergoing another C-section. The goal of VBAC is to allow a woman to have a vaginal birth if possible after having had a previous C-section. The decision to attempt a VBAC depends on several factors, including the reason for the previous C-section, the woman's health, and the baby's health and position. Women who choose to attempt a VBAC should be informed of the risks and benefits and have access to continuous support during labour.

How do you know if having a VBAC is right for you?

VBAC may be safe and suitable for some women, such as:

Those who had a low-transverse incision during their previous caesarean delivery, which is the most typical kind of incision. Keep in mind that the uterine incision differs from the one on the skin.
Those who have had two low-transverse caesareans before
Those expecting twins
Those with an unidentified uterine incision technique

Advantages of VBAC

A VBAC offers some advantages, such as:

Surgery is not required.
Your recovery process is quicker than after a c-section.
There is less bleeding.
Your likelihood of contracting an infection and experiencing other issues, such as placenta previa and placenta accreta, is decreased.
There is a lower chance of complications from several surgeries, such as scarring or injury to the intestines or bladder, if you want to have many children.
You may want to experience a vaginal birth.

Risks of a VBAC

Even if you and your baby were both healthy during pregnancy, VBAC can still include certain risks. These dangers consist of:

You require a C-section anyway since your labour doesn't progress properly.
Injury, infection and blood loss
A uterine rupture occurs. Although uncommon, this has the potential to be fatal.

How should I get ready for a VBAC?

At your first prenatal appointment, bring up the possibility of a VBAC if you've previously undergone a C-section and are now pregnant.
You might be eligible to enrol in a VBAC childbirth class.
Be adaptable and aware that difficulties occasionally arise that necessitate a C-section. Inquire with your doctor about the equipment your delivery hospital has in case of an emergency C-section.

VBAC can be a safe and viable option for women who have had a previous cesarean delivery. However, it is important to consider all factors and discuss the risks and benefits of VBAC with a healthcare provider. Making an informed decision with the support of a knowledgeable care team is the best way to ensure a safe and positive birth experience for both the mother and the baby.

Request an appointment at Apollo Cradle, Hyderabad - Jubilee Hills. Call 1860-500-4424 to book an appointment.

1. What is the likelihood of a uterine rupture if you've already had a C-section?

The rate of uterine rupture is approximately 1% for women with one previous caesarean delivery versus 3.9% for those with more than one previous caesarean delivery.

2. How long of a gap must there be for VBAC?

Everyone should wait at least 18 months between pregnancies, according to general recommendations from the American College of Obstetricians and Gynecologists. The chance of uterine rupture, one of the major consequences of a VBAC, is increased if you get pregnant within six months of your caesarean.

3. How soon after VBAC can I walk?

After giving birth, you can start doing simple abdominal and pelvic floor exercises a few days later. If you feel any pain, stop. When you feel like it, begin with a moderate stroll, perhaps while pulling the baby carriage. Then, proceed at your own pace as you gradually increase the length and speed of your walks. If you can, work your way up to daily walks of 30 minutes.

4. Where can I have a VBAC?

VBAC should take place in a facility that can handle circumstances that endanger the woman's or her baby's life. While most hospitals will have the option, a maternity clinic may not. It is best to speak to your OB-GYN and pick a proper, well-equipped hospital for your VBAC delivery.

5. How can I tell which uterine incision I had from a previous caesarean delivery?

The skin scar is not a reliable indicator of the type of uterine cut that occurred. This information should be found in the preceding delivery's medical records. Get your prior caesarean delivery medical records so your obstetrician-gynaecologist (OB-GYN) or another healthcare provider can review them.