More than 13% of women choose VBAC (vaginal birth after cesarean), but it’s not right for everyone. There are a few key things to consider before deciding if VBAC is right (or safe) for you. Examples include the type of incision you had last time, why you had a C-section in the first place, how much time has passed since then, and if your hospital is set up for VBACs.
The bottom line is that a VBAC can be a great option for many moms, but it’s a decision that requires a careful discussion with your OB/GYN provider. About 60-80% of women who have undergone previous C-sections can safely give birth vaginally.
See our holistic obstetrics and gynecology experts at Holistic OB/GYN & Midwifery in Spring Valley, New York, to learn more about a VBAC and if it’s right for you.
Here are a few factors we consider for women with VBAC goals:
Not all birthing centers (this includes home births) are appropriate for VBACs. They should take place at a healthcare facility that’s equipped to handle emergency C-sections when necessary (just in case you experience a complication).
If your previous C-section used a transverse incision (low sideways cut) and you have no other risks, chances are you’re a candidate to try a VBAC. But if you’ve previously had a high vertical incision, a VBAC may not be feasible due to an increased risk of complications.
Some women aren’t candidates for VBACs because of a history of uterine rupture, previous uterine surgery, or similar health concerns. Your Holistic OB/GYN & Midwifery specialist reviews your medical history to make an informed decision about your VBAC complication risks.
If you’ve had a successful vaginal delivery before or after a previous C-section, your chance of a successful VBAC is typically higher.
If you’ve had more than one previous C-section, your risk of a successful VBAC decreases. However, you may still be a candidate for trying a VBAC if you don’t have other risk factors.
Your VBAC complication risk increases if you’ve delivered your baby by C-section less than 18 months ago, as it boosts the chance of a uterine rupture.
Other factors that could increase your risk of VBAC complications include a difficult fetal position (such as breech), the need to induce labor, carrying twins or triplets, and problems with your placenta.
It’s helpful to weigh the pros and cons of a VBAC with your Holistic OB/GYN & Midwifery specialist to know if it’s the right decision for you.
The benefits of VBAC are no surgery needed, faster recovery, no additional abdominal scarring, and a shorter hospital stay.
Potential VBAC risks include the chance of uterine rupture, severe bleeding, or other complications that may warrant an emergency C-section.
The Holistic OB/GYN & Midwifery experts have you and your baby’s best interests at heart when determining if you’re a candidate for VBAC. We accommodate your birth plan as best we can, but also ensure utmost safety during midwifery, gynecology, and obstetrics care.
If you’re interested in VBAC, schedule an evaluation at Holistic OB/GYN & Midwifery today by contacting us by phone or online.
