Although the decision to have a VBAC is a personal one, it should be based on careful and thorough medical advice. The chances of having a successful VBAC are higher if you and your baby are in good health and your pregnancy is progressing normally. A planned caesarean may be a longer and more complicated operation than your previous caesarean because of the scar tissue. There are also risks of having major surgery such as infections and blood clots.
If you have another caesarean, all future births are likely to also be by caesarean. Doctors usually recommend that women choosing a VBAC deliver their baby in a hospital instead of using a birthing centre or having a home birth. This is because close monitoring is needed so that any complications can be addressed quickly.
For this reason, some remote and regional hospitals do not offer VBAC, as they are not properly equipped to handle unplanned emergency caesareans.
The risk of the scar in your womb uterus and abdomen tearing during labour is very low — about 5 to 7 in every VBACs — but this is the main reason doctors and midwives closely monitor VBACs in a properly equipped hospital. A rupture of the scar can result in serious problems for the baby death or brain injury and for you serious bleeding.
For most women, any tear can be repaired, but in very rare situations where there is severe bleeding, a hysterectomy removal of the uterus may be required. Women opting for a VBAC also have a higher likelihood of delivering via an emergency caesarean, which increases the risk of uterine infection and bleeding compared with an elective caesarean.
A VBAC is more likely to be successful if you have previously given birth vaginally, this pregnancy is straightforward, you go into labour spontaneously, you are not overweight or obese, and the previous caesarean was done because of a breech presentation, placenta praevia or fetal distress.
If you decide to go ahead with a VBAC, you can do things to boost your chances of having a successful and positive experience, such as:. Learn more here about the development and quality assurance of healthdirect content.
For many women, vaginal birth after caesarean — VBAC — is a safe and positive way to have a baby. Read more on raisingchildren. Recovery after a caesarean section - whether it's an emergency or planned - will take several weeks. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Overview If you've delivered a baby by C-section and you're pregnant again, you might be able to choose between scheduling a repeat C-section or a vaginal birth after cesarean VBAC. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Metz TD. Choosing the route of delivery after cesarean birth. Accessed Feb. American College of Obstetricians and Gynecologists. Practice Bulletin No. Vaginal birth after cesarean VBAC. Mayo Clinic; Frequently asked questions. Labor, delivery and postpartum care FAQ Our Housecall e-newsletter will keep you up-to-date on the latest health information.
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Something went wrong on our side, please try again. Show references Metz TD. Choosing the route of delivery after cesarean birth. Accessed Feb. American College of Obstetricians and Gynecologists. Practice Bulletin No. Vaginal birth after cesarean VBAC. Mayo Clinic;
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