Vaginal Birth After Cesarean
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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FAQ'S
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.
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.
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.