If you have given birth via C-section or cesarean previously, it is possible you want to experience a vaginal birth for your next child. Are you unsure, however, if you could do it? This is a valid concern as both repeat C-section and vaginal birth after cesarean (VBAC) births pose advantages risks.
Fortunately, some considerations could help you predict if a VBAC is right for you based on your previous pregnancies, current pregnancy, physical traits, and medical history. Wasatch Midwifery and Wellness, VBAC experts from Salt Lake City, tells us more.
Type of incision
A VBAC isn’t usually for women with T-shaped or vertical C-section scars. These kinds of incisions have a high risk of resulting in uterine rupture. That said, a VBAC might be fine for you if you have a horizontal scar above your bikini line or a low transverse uterine scar.
You could do a VBAC if you’ve ever given birth through your vagina. Studies have shown that women who have already had a vaginal birth, even if the birth was before a cesarean one, the chances of doing a VBAC would be higher than 90%.
A VBAC might be riskier if your previous C-section was required due to dystocia, which is difficult or slow labor because there’s a high risk that you might experience the same exact issue once again.
Difficulty of labor
A VBAC might be possible if your labor begins effortlessly and spontaneously because inducing labor doesn’t work well with VBACs since doctors cannot give as many drugs for inducing labor on women with uterine scarring. Inducing labor also heightens the uterine rupture risk.
Sizer of infant
A VBAC might be more dangerous if you have a huge baby since it might increase your risk of sustaining perineal tears and uterine rupture.
In general, obese and overweight women have trouble delivering vaginally, and this applies to women who want to try a VBAC as well.
Research has shown that VBACs among women aged between 21 and 34 are more successful than those in women over the age of 35 due to the higher risk of VBAC- related complications. You could safely try a VBAC if you have had two cesarean births, provided that your scars are low transverse uterine cuts.
Take note however that there are other factors involved when trying to determine if you would be a great candidate for a VBAC or not. To that end, find a midwife or doctor experienced in VBAC deliveries to make certain that you’ll be in capable hands come your due date.
More importantly, if your plan doesn’t pan out, don’t worry about it. After all, what matters is that you managed to deliver your baby safely, even if you had to go through a C-section again.