The old thinking has changed and mothers that had cesarean section are no more bound it for their next delivery. That is right, as medical science has developed and modern medicine does not let you down. It is your choice and your medical condition is certainly taken into consideration. Of course, your doctor needs to take a call as well, but rest assured; there is no pre-requisite that would need you to undergo the scalpel once again. Hence, vaginal birth after cesarean (VBAC) plan is an option that you get along with elective surgery for your next delivery.
In case this discussion interests you by any chance, then we would like you to read this post till the end. We have incorporated as much detailed information, as we could in regards to this. Read on to know more.
Who Is A Good Candidate For Vaginal Birth After Cesarean (VBAC) Plan?
As indicated by the American College of Obstetricians and Gynecologists, you’re a decent contender for a vaginal birth after a C-section if you meet all the following criteria:
- Your pelvis appears to be sufficiently extensive to enable your child to go through securely. Well, there’s no real way to know this without a doubt, but your doctor can look at your pelvis and inform you.
- Your past cesarean entry point was a low-transverse uterine cut (which is usually horizontal) as opposed to a vertical cut in your upper uterus (like the classical cut) or a T-shape and that would put you at greater risk for breaking of your uterine. However, you must make a note that the sort of scar on your stomach may not coordinate the one on your uterus.
- Again, you must have no more than 2 low transverse C-sections.
- You’ve never had some other major uterus like, a myomectomy that removes fibroids.
- You have no other obstetric issue or medical condition or, like big fibroid or placenta previa that would make a vaginal conveyance unsafe.
- Never had what is called a uterine rupture.
- There’s a physician at location that can monitor you and conduct out a crisis C-section if need be.
- There’s an anesthesiologist and other medical staff ready to support you or your infant during a crisis.
- Baby’s position also plays an imminent part in this. If your baby is head down, then you can be regarded as a fit candidate without a doubt.
Benefits Of This Plan
If you intend to have more children, then you should realize that each cesarean you have, puts you at the higher for future pregnancies. Bet you have never heard of placenta accreta and placenta previa that makes the placenta embed too profoundly and doesn’t separate during delivery. These conditions may call for a hysterectomy if you want to avoid profuse bleeding or in extreme cases death. With that said, here are a few advantages of vaginal births, including VBACs:
- Lesser intricacies, like contaminations
- Faster recuperation time and healing center remain
- A probability that you can encourage and nestle your child straight after birth
- No more confusions for future pregnancies
- You are all the more physically ready to tend to your infant (and other kids that you may have) not long after delivery and this helps to bond quickly as well
- An effective VBAC enables you to maintain a safe distance from a major surgery and the dangers related to it
- Additionally, cesarean surgery poses a threat of building up specific diseases and can endanger other organs too
- A C-section requires more time to heal facility remain than a vaginal birth and your recuperation is for the most part slower and sometimes uneasy
Did you know that your abdomen gets into the risk of all the potential intricacies of complications with every cesarean? Scarring can make it more troublesome for sure.
What Are The Chances Of VBAC?
In simple words, VBACs are a personal choice and you need discover a doctor that will help you with one. Research on your own and find out what works for you. We have more to say on this and this is the most important segment of this conversation. So, do read it with care.
If you’re a suitable candidate for a vaginal birth after a cesarean or VBAC, there is always a chance of you succeeding at it. Obviously, your odds of achievement are higher, if the explanation behind your past C-section isn’t probably going to be an issue this time around.
All things considered, it’s difficult to anticipate with any conviction that there will be a vaginal delivery and for those that had a C-section. By and large, it has been found that around 60 – 80% of ladies who endeavor a VBAC have delivered vaginally.
If you choose to attempt it, you’ll require a custodian who also holds the same thought. Remember, that not all healing centers meet the criteria for offering a VBAC. Moreover, a few healing facilities basically maintain a strategic distance from the debate and owing to legal issues.
Risks Involved In This Procedure
Regardless of whether you’re a decent possibility for a VBAC, there’s a little risk (may be under 1%) that your uterus will break right at the point of your previous C-section. This may cause acute blood loss and conceivably oxygen hardship for your may also put your infant at stake. We have compiled a list that will help you understand the risks involved in a detailed manner.
- The danger of the scar in your womb (uterus) tearing is quite high and this is why doctors and gynecologists screen VBACs in a legitimately prepared doctor’s facility.
- Women opting for a VBAC have a higher probability of delivering through unexpected cesarean and this could be dangerous, as you may fall prey to contamination and unnecessary blood loss, as opposed to an elective cesarean (because the facility will be prepared for this).
- There are instances of dying, transfusion or even a hysterectomy (evacuation of the uterus) might be required.
- Additionally, if you are unable to deliver vaginally, you may have to wait for hours in labor. Keep in mind that an unsuccessful VBAC requiring after hours of labor can be risky.
Factors That May Go Against VBAC
A Vaginal birth after cesarean (VBAC) plan is not just a plan, as it has more to it. You need to think over it and get advice from your physicians about it, well in advance. Nonetheless, we have recorded a few factors that may go against this, like:
- Your age has to be taken into consideration for sure
- Your pregnancy has gone past 40 weeks
- Your weight plays a major role in this
- Having a child that weighs little more at birth (like 8.8 lbs)
- Short gap between pregnancies, like that of 18 months or less
We request you to have a whole hearted conversation with your doctor about your accomplishment, advantages and the dangers you may have to face.
Plan In Advance
As mentioned you must talk about your delivery alternatives either an obstetrician or your doctor. Get a second opinion in case you need to know more. In the event that you choose to proceed with a VBAC, you can get things done to help your odds of having a positive experience, like:
- Find out about VBAC, read about it and take a VBAC labor class with your partner
- Eat steadily and be active during pregnancy
- Pick a very much prepared facility that offers VBAC
- Let your labor begin normally, because labor inducing drugs can make it worse, as it will putting additional strain on your scar
- Be prepared for the worst because the point is to keep you stable and your baby healthy
Risks Of A Uterine Rupture
Although, there is no surety as to this will be a problem, but studies reveal that there is a high possibility of this during a VBAC. If truth be told, then it has to be admitted that women who have had a past cesarean are in at a constant risk of uterine rupture during a normal delivery. As indicated by the ACOG or the American College of Obstetricians and Gynecologists, in the instance that you had a past C-section with a low transverse cut, the chances of uterine break in a vaginal delivery is .2 to 1.5%. As of late, ACOG expressed that VBAC is more secure than a repeat cesarean and VBAC in excess of one past cesarean does not put you at much of a expanded risk.
Final Thoughts On VBAC
A Vaginal birth after cesarean (VBAC) plan is not an end to a problem because you may constantly have to keep a watch on your baby’s health. Primarily, the heartbeat and you may have to opt for electronic monitoring. Your doctor may ask you to be prepared for a surgery, as the last resort in case things get complicated. So, be ready for anything and embrace what follows suit.