Author: Dr. Preethika Shetty

MBBS, MRCOG, FRCOG, DGO

Consultant - Obstetrician & Gynaecologist at  Motherhood Hospital, Kharadi, Pune

VBAC (Vaginal Birth After Caesarean): Is It Right for You?

Introduction

Vaginal Birth After Caesarean (VBAC) is a term that has been gaining traction in the realm of childbirth. As per Dr. Preethika Shetty MBBS, MRCOG, FRCOG, DGO, Consultant - Obstetrician & Gynaecologist at  Motherhood Hospital, Kharadi, Pune It refers to the process where women undergo vaginal delivery following a cesarean delivery in a prior pregnancy. The allure of VBAC stems from several potential benefits it holds over opting for a repeat C-section, which include a shorter recovery period, less surgical risk, and the unique experience of vaginal childbirth. This article endeavors to delve deep into the intricacies of VBAC, illuminating the pros, cons, and eligibility criteria to empower expectant mothers with the knowledge needed to make an informed decision.

Understanding VBAC

VBAC is more than just a choice; it represents a shift from the surgical procedure of a C-section to a vaginal delivery. This transition is facilitated by the body’s capability to heal post the initial C-section and the inherent ability to support a vaginal birth. The process of VBAC involves a trial of labor after cesarean section (TOLAC), wherein the mother undergoes labor with the intention of vaginal delivery, closely monitored by healthcare professionals to ensure the safety of both mother and baby​.

Pros of VBAC

Opting for VBAC comes with a plethora of benefits:

• Surgical Avoidance: Unlike a C-section, VBAC involves no abdominal surgery, thereby eliminating the complications associated with surgical procedures.
• Speedier Recovery: The recovery period post-VBAC is significantly shorter compared to a C-section, enabling a quicker return to daily activities.
• Vaginal Childbirth Experience: For many, the experience of vaginal childbirth holds emotional and psychological significance.
• Consideration for Future Pregnancies: VBAC can be a prudent choice for those planning more pregnancies, helping avoid the risks associated with multiple cesarean deliveries, such as placental problems​.

Risks of VBAC

While VBAC has its merits, it’s not devoid of risks:

• Failed Trial of Labor: A failed trial of labor could lead to emergency C-sections, which may carry more complications than a planned C-section.
• Uterine Rupture: Although rare, occurring in less than 1% of cases, uterine rupture is a serious complication where the C-section scar on the uterus breaks open, necessitating an emergency C-section​.

Eligibility for VBAC

VBAC isn’t for everyone; eligibility hinges on several factors:

• Type of Uterine Incision: The type of incision from the previous C-section plays a pivotal role in determining VBAC eligibility.
• Previous Uterine Surgeries: Other uterine surgeries may rule out the possibility of VBAC due to the increased risk of uterine rupture.
• Number of Previous C-Sections: The number of prior C-sections could influence the decision, with many healthcare providers hesitant to recommend VBAC post multiple C-sections.
• Health Concerns: Existing health concerns could sway the decision towards a repeat C-section to ensure the safety of both mother and child.

Preparing for VBAC

Preparation is key:

• Medical Consultations: Engaging in thorough discussions with healthcare providers to understand the risks, benefits, and the process is fundamental.
• Choosing the Right Facility: Opting for a healthcare facility well-equipped to handle emergency situations and VBAC is crucial for a safe childbirth experience​.

During VBAC: What to Expect

The VBAC experience aligns closely with a routine vaginal birth, albeit with continuous monitoring to promptly address any arising complications. The healthcare provider will likely recommend continuous monitoring of the baby’s heart rate and be prepared for a repeat emergency  C-section if necessary​.

Conclusion

VBAC is a nuanced choice with many variables at play. Armed with the right information and guided by professional medical advice, expectant mothers can make an informed decision that aligns with their personal circumstances and aspirations for childbirth. Engage in open discussions with healthcare providers, weigh the pros and cons, and prepare diligently to ensure a safe and fulfilling childbirth experience.

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At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Pune. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries.

Do make an appointment with the best woman care hospital in pune at a center closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

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