What is vbac in pregnancy

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Please enter a valid e-mail address. Thank you! Your e-mail was sent. Save to my dashboard Sign in or Sign up to save this page. Saving Just a moment, please. You've saved this page It's been added to your dashboard. In This Topic. How do you know if having a VBAC is right for you? This means the cut was horizontal side-to-side and low on the uterus. British Columbia Specific Information If you are thinking about your options for your next birth after a caesarean, Perinatal Services BC has an online tool called My Next Birth to provide information about repeat C-sections and what the different choices may mean for you, your family, and your health.

Top of the page. This is important if you are planning on a future pregnancy. The more scars you have on your uterus, the greater the chance of problems with a later pregnancy. Less pain after delivery. Fewer days in the hospital and a shorter recovery at home. A lower risk of infection. A more active role for you and your birthing partner in the birth of your child. Your chances of a successful VBAC are best when: footnote 2 Your previous caesarean was not done for stalled labour.

You do not have the same condition that led to a previous caesarean such as a breech , or feet-down, fetus. You have had a vaginal delivery or a successful VBAC before. Your labour starts on its own and your cervix dilates well. You are younger than Your chances of a successful VBAC are lower when: footnote 2 Your previous caesarean was because of difficult labour, which is called dystocia.

This is especially true if you were fully dilated when you had a caesarean section for dystocia. You are obese. You are older than Your fetus is estimated to be very large [bigger than g 9 lb ].

You are beyond 40 weeks of pregnancy. Your last pregnancy was less than 19 months ago. You have pre-eclampsia. Risks of VBAC and Caesarean Deliveries Whether you deliver vaginally or by caesarean section, you are unlikely to have serious complications. This occurs with about 25 out of women who try VBAC. But it doesn't happen with 75 out of women who try VBAC. About 5 out of women have a uterine rupture during a trial of labour. The chance of infection. Women who have a trial of labour and end up having a C-section have a higher risk of infection.

This means that the risk of infection is lower after vaginal births and after planned cesareans. Blood loss that requires a blood transfusion. Genital or urinary problems. Blood clots. Risks from anesthesia. A longer recovery time. Injury to the baby during the delivery. The injury usually isn't serious. Breathing problems respiratory distress syndrome for the baby after birth if the due date has been miscalculated and a caesarean is done before the baby's lungs are fully developed.

Examinations and Tests Besides the usual prenatal tests, your doctor will take measures to assess whether vaginal delivery is likely to be a safe birthing option for you. Assessments done sometime during the pregnancy to help find out whether a trial of labour is a safe option may include: A review of surgery records to verify the type of incision used for a previous caesarean.

A fetal ultrasound. Fetal heart monitoring , which is also used during labour and delivery to watch for fetal distress. Fetal heart monitoring can also help detect a sudden uterine rupture. A rupture is typically followed by a sudden and then ongoing drop in fetal heart rate. The mother might notice bleeding and pain.

Childbirth and VBAC education To prepare for labour, consider taking a childbirth education class at your local hospital or clinic. You and your birthing partner can learn: What to expect during labour and delivery. How to manage the birth using controlled breathing and emotional and physical support. What medical pain control options may be available for a vaginal delivery. Labour Other than requiring closer monitoring, trial of labour after caesarean, or TOLAC labour, is the same as normal labour.

For more information, see: Labour and Delivery. Caesarean Section. What to Think About Any woman in labour—not just one attempting a vaginal birth after caesarean VBAC —might have complications during childbirth that require a caesarean section delivery. If you are considering VBAC, talk with your doctor about: The risks of vaginal and caesarean deliveries in your case. Here are some points to keep in mind: Serious complications with either vaginal or caesarean births are uncommon.

A number of factors risk factors make the chance of a successful vaginal birth less likely. These are when you:. This will be discussed with you. Scar weakening or scar rupture - there is a chance that the scar on your uterus womb will weaken and open. If the scar opens completely scar rupture this may have serious consequences for you and your baby.

This only occurs in two to eight women in about 0. Being induced increases the chance of this happening women in depending on the method used. If there are signs of these complications, your baby will be delivered by emergency caesarean. Risks to your baby - the risk of your baby dying if you undergo VBAC is very small two in women or 0.