Vbac Versus C Section

We have many people write to us on the vbac link instagram saying that their provider is suggesting they have a repeat c section vs go for a vbac.

Vbac versus c section. While a successful vbac is associated with fewer complications than an elective repeat c section a failed trial of labor after a c section is associated with more complications including a uterine rupture. March 13 2012 planned repeat cesarean section is linked to healthier outcomes among mothers and babies compared to vaginal birth after cesarean or vbac in a new study from australia. A vbac attempt a k a.

In its 2017 document vaginal birth after cesarean delivery acog reiterated the benefits as well as the risks of vbac. This necessitates an emergency c section which is slightly riskier than the scheduled variety. Trial of vaginal birth after caesarean vbac is considered acceptable after one caesarean section cs however women wishing to have trial after two cs are generally not allowed or counselled appropriately of efficacy and complications.

Uterine rupture is rare happening in less than 1 of women who attempt a trial of labor after cesarean. Last birth was a failed assisted operative birth that went to an unplanned c section. If you have a healthy pregnancy have a low horizontal scar on the uterus and go into labor on your own at term you have about a 70 to 75 chance that you and your baby will have a safe normal birth.

During the previous birth the cervix did not progress failure to progress baby didn t descend after hours of pushing or diagnosis of a large baby. Lower risk of hemorrhage and infection likelihood of a shorter hospital stay and a faster recovery and reduction in risk of negative outcomes related to multiple cesareans. There is a very high risk that your scar could rupture burst open or tear when you try to have a vaginal birth which could cause.

Benefits and risks vbac may offer several health advantages over another c section. Diagnosis of cpd small pelvis. In a small number of cases contractions can cause the uterus to tear usually along the scar.

Providers may suggest a c section for some of these reasons. A woman who has a c section typically stays in the hospital longer two to four days on average compared with a woman who has a vaginal delivery. If your c section scar is vertical you cannot attempt vbac.