Vaginal Birth After Cesarean

Vaginal Birth After Cesarean (VBAC) for Women in Hawaii

The Basics About VBAC

Many women prefer to have a vaginal birth compared to a cesarean for various reasons. Most of those who have already delivered by C-section can still opt for a vaginal delivery with a later pregnancy, known as a vaginal birth after cesarean, or VBAC. The OBGYNs at Ko'olau Women's Healthcare have extensive experience with VBACs.

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What Are the Advantages of a VBAC?

Some simply prefer to try for a vaginal delivery rather than scheduling a C-section, but there are several other attractive factors to consider about a VBAC, such as:

  • Quicker recovery time.
  • Lowered risk of complications during delivery.
  • Better outlook for future pregnancies.
  • Keeping the baby’s lungs clear as they pass through the birth canal.
  • Being able to avoid potential blood clots in the legs or pelvis.

Who is a Candidate for a VBAC?

Approximately 90% of women who previously had a C-section are candidates for a vaginal birth after a cesarean. The necessary characteristics of such patients include women who:

  • Are carrying a baby of average size who is facing with their head down.
  • Have no serious medical problems.
  • Have had two or fewer low transverse cesarean deliveries.
  • Will have a medical professional available during the delivery to monitor their labor and be able to perform an emergency cesarean if necessary.
  • Do not have uterine scars, previous uterine ruptures, or any other uterine abnormalities.

Who is Not a Candidate for a VBAC?

The other 10% of those who have undergone a cesarean delivery and are not ideal for a VBAC usually include women who:

  • Have a history of two or more prior cesareans and no vaginal deliveries.
  • Experienced a uterine rupture.
  • Need to be induced.
  • Are of a more mature age.
  • Had a prior surgery involving the uterus, such as fibroid removal.
  • Gained an abnormally large amount of weight during their pregnancy.
  • Recently gave birth (up to 18 months ago).
  • Previously experienced preeclampsia.
  • Have had a prior high vertical uterine incision.
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Request an Appointment with a Specialist Today

Childbirth is not the same for everyone. Make sure that you speak with your OBGYN specialist about the possibility of having a VBAC so that they can tell you more about your individual conditions for success with this delivery method.