What is VBAC?
Vaginal Birth After Cesarean (VBAC) refers to the process of delivering a baby vaginally after a previous pregnancy was delivered via
cesarean section (C-section). VBAC offers women the possibility of experiencing a vaginal delivery despite having had a prior C-section.
Shorter recovery time compared to a repeat C-section.
Lower risk of surgical complications such as infections and blood loss.
Reduced risk of respiratory problems for the baby.
What are the Risks Associated with VBAC?
While VBAC is generally safe, it does carry some risks. The most significant risk is
uterine rupture, where the previous C-section scar on the uterus tears during delivery. This can lead to serious complications for both the mother and the baby. Other risks include:
Infection.
Hemorrhage.
Emergency C-section if labor does not progress as expected.
A previous low transverse C-section incision.
Absence of contraindications such as placenta previa or a history of uterine rupture.
Having had a previous vaginal delivery.
Adequate spacing between pregnancies.
Consultation with a healthcare provider to assess individual risk factors.
Creating a detailed birth plan that includes the possibility of an emergency C-section.
Ensuring the chosen hospital is equipped to handle VBAC and any potential complications.
Maintaining a healthy lifestyle and following prenatal care guidelines.
What Happens During a VBAC?
During a VBAC, labor is monitored closely to ensure the safety of both mother and baby. The medical team will keep a watchful eye on signs of uterine rupture or fetal distress. If complications arise, an emergency C-section may be performed.
What is the Success Rate of VBAC?
The success rate of VBAC varies but is generally around 60-80%. Factors influencing success include the reason for the previous C-section, maternal health, and the presence of any complications during the current pregnancy.
Postpartum Considerations
After a successful VBAC, recovery tends to be quicker than after a repeat C-section. However, postpartum care is crucial. Women should follow up with their healthcare provider to monitor for any complications and ensure proper healing.
