What is VBAC?
Vaginal Birth After Caesarean (VBAC) refers to the process of delivering a baby vaginally after having previously given birth via
caesarean section. This option is considered for women who have had one or more previous caesarean deliveries but wish to attempt a vaginal delivery for their current pregnancy.
Who is a Candidate for VBAC?
Candidates for VBAC typically include women who have had a previous low-transverse uterine incision, which is the most common type of incision made during a caesarean delivery. Other factors that may make a woman a good candidate for VBAC include:
- No additional uterine scars or anomalies
- A clinically adequate pelvis
- No history of uterine rupture
- Women who are in otherwise good health and have no contraindications to vaginal delivery
Benefits of VBAC
The benefits of opting for a VBAC can be numerous and include:
- Shorter recovery time compared to a repeat caesarean
- Lower risk of surgical complications, such as infection or excessive bleeding
- A more immediate bonding experience with the baby
- Higher likelihood of successfully breastfeedingRisks of VBAC
While VBAC can be a safe and viable option for many women, there are risks involved, such as:
- Uterine rupture, which is a rare but serious complication where the previous scar on the uterus tears
- Infection
- Need for emergency caesarean if complications arise during laborSuccess Rates of VBAC
The success rate of VBAC ranges from 60% to 80%, depending on various factors such as:
- Reason for the previous caesarean
- Type of uterine incision
- Overall health and obstetric historyPreparing for VBAC
Preparation for VBAC involves:
- Discussing the option thoroughly with a
gynecologist or obstetrician- Reviewing medical records and previous birth history
- Understanding the risks and benefits
- Ensuring that the delivery will take place in a facility equipped to handle emergency situations
Monitoring During VBAC
Continuous monitoring is essential during a VBAC attempt to ensure the safety of both mother and baby. This typically includes:
- Continuous electronic fetal monitoring
- Availability of immediate surgical intervention if needed
- Regular assessment of labor progressWhen VBAC is Not Recommended
VBAC may not be recommended in certain situations, such as:
- Vertical or T-shaped uterine incision from a previous caesarean
- Multiple previous caesareans without a vaginal delivery
- Medical conditions that contraindicate vaginal delivery
- Placenta previa or other complicationsConclusion
VBAC can be a safe and rewarding option for many women, allowing them to experience a vaginal delivery even after a previous caesarean. It is crucial to discuss this option with a healthcare provider to weigh the risks and benefits and to ensure that the delivery setting is equipped for any potential emergencies. With proper selection and monitoring, many women can successfully and safely have a vaginal birth after caesarean.
