88888 22222
What is VBAC?
Vaginal Birth After Cesarean (VBAC) refers to delivering a baby vaginally after having a previous cesarean section. Many mothers who have had a C-section in their first pregnancy wonder if they can opt for a normal delivery the next time. The good news is that, under favorable conditions, VBAC is a safe and viable option.
Who is a Suitable Candidate for VBAC?
VBAC is recommended when:
- The mother has had only one previous C-section.
- There is no history of uterine rupture or fibroid removal surgery.
- The previous cesarean incision was a low-transverse cut rather than a T-shaped one.
- The mother’s overall health and uterine scar strength are assessed to be favorable.
If a mother has had multiple C-sections or other major uterine surgeries, she may not be eligible for VBAC.
Assessing VBAC Readiness
Before attempting VBAC, the doctor evaluates the mother’s pelvic structure to ensure it can support a safe vaginal birth. Additional assessments include:
- Checking the thickness and health of the previous uterine scar.
- Monitoring the mother’s blood pressure, pulse, and overall well-being.
- Ensuring the baby is in a head-down position for a smooth vaginal delivery.
Importance of a Well-Equipped Hospital for VBAC
VBAC should be attempted in a well-equipped hospital with round-the-clock availability of obstetricians and neonatal specialists. This ensures immediate medical intervention if needed. At Momstory by Sahyadri Hospitals, we provide expert care and continuous monitoring to make VBAC a safe and successful experience.
How is VBAC Induced and Managed?
In some cases, labor may need to be induced using medications like oxytocin or prostaglandins to stimulate contractions. However, doctors carefully monitor uterine contractions to avoid excessive strain on the previous C-section scar. If any complications arise, the VBAC attempt may be halted to prevent risks to the mother and baby.
Risks and Success Rate of VBAC
While VBAC has several benefits, including quicker recovery and a lower risk of surgical complications, there are some risks to consider:
- Uterine Rupture: Although rare (0.5% to 1.8% cases), the previous C-section scar may rupture under labor stress.
- Emergency C-section: Around 15-20% of VBAC attempts may require a repeat cesarean if labor does not progress safely.
A well-informed decision and close collaboration with healthcare providers can ensure a safe delivery.
Conclusion
VBAC is a beautiful and empowering experience for mothers seeking a natural birth after a previous cesarean. However, it requires careful assessment, expert medical guidance, and access to emergency facilities. At Momstory by Sahyadri Hospitals, we support mothers in making informed choices for a safe and successful VBAC journey.
For personalized consultation and expert guidance on VBAC, visit Momstory by Sahyadri Hospitals, Hadapsar, Pune. Our specialists are here to help you embrace a confident and safe birthing experience.
