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Do You Know about VBAC? (Vaginal Birth after Caesarean)

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Do You Know about VBAC? (Vaginal Birth after Caesarean)
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Nowadays, many women undergo caesarean delivery because of complications and health issues. Some women think that a C-section is better or easier. And once you’ve given birth once by caesarean, you can’t go back. But this isn’t always the case. Let’s clear up some myths, and take a look at how you can give birth naturally after having a C-section. (VBAC)

Caesareans: Myth Vs Fact

Myth:

Caesareans are less painful.

Fact:

Having a caesarean is major abdominal surgery and definitely more painful, with a longer recovery, than a vaginal delivery

Myth:

Some women believe that a C-section saves from problems in the bedroom down the road but the opposite is true.

Fact:

Women who get C-sections have more problems with sex afterward than women who go for a vaginal birth.

Myth:

If your baby is breech you have to go for a C-section.

Fact:

You can also go for an external cephalic version with the help of your doctor and try to turn your baby from breech to head down. If this process is successful and the baby becomes head down, then you can try to have a vaginal delivery.

Myth:

If you’re having twins, you need to have a caesarean.

Fact: 

Some twins can be delivered vaginally with no ill effects for mom or babies.

So, if you’re pregnant, think twice before going for a C-section.

That said, if your health care provider recommends C-section for reasons such as preeclampsia, diabetes, genital herpes, cephalopelvic disproportion, fetal distress, cord prolapse, placental abruption and placenta previa then a C-section may be only option.

VBAC: Giving Birth Naturally

If your first delivery was C-section and you are expecting a second child, you should be aware of VBAC.

VBAC stands for Vaginal Birth after Caesarean. Yes, you read it right. Vaginal birth is possible after a C-section. Every woman should know about this, so mothers can avoid frequent C-sections and opt for a normal and easy delivery.

If you’ve already undergone a C-section, you no doubt have many questions regarding VBAC. Can VBAC be possible? What is the success rate? What are the risks? Is VBAC possible after 2 C-sections? What are the pros and cons? All the questions are answered here.

What are the conditions for delivering vaginally after a C-section?

  • No more than 2 low transverse caesarean deliveries.
  • Not having a vertical incision in the upper uterus
  • No additional uterine scars, anomalies or previous ruptures.
  • No prior extensive uterine surgery.
  • The pelvis size is large enough to allow the baby easily; baby’s head is not too large.
  • No prior uterine rupture.
  • No obstetric problems.
  • Your health care provider should be prepared to monitor labor and perform or refer for a caesarean if necessary.
  • There’s an anesthesiologist, other medical personnel, and equipment available around-the-clock to handle an emergency situation for you or your baby.

If you tick the above points, then VBAC is a great option to deliver your baby naturally without need for surgery or scarring.

What are the benefits of having a VBAC?

The benefits of a VBAC compared to a C-section include:

  • Avoiding another scar on your uterus. 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 and discomfort after delivery.
  • Shorter stay in the hospital and an easier recovery at home.
  • A lower risk of infection.
  • A more active role for you and your birthing partner in the birth of your child.
  • Be more likely to touch and cuddle your baby and have skin-to-skin contact straight after birth
  • Have a better chance of starting and continuing to breastfeed your baby.
  • Building a stronger, more intimate bond with your baby from the very beginning.

What are the possible risks of VBAC?

There is a small chance (less than 1 per cent) of uterine rupture at the site of the incision.

If you are unable to deliver vaginally then you may have to endure hours of labor and an unplanned C-section.

What is the success rate of VBAC?

Most VBACs are successful. A recent study had proved that 80% of VBACs are highly successful, and 3 to 4 women in 5 undergo VBAC and avoid surgery.

So if you’re thinking of having your next child, you have a choice. You can go for a vaginal delivery rather than choosing a painful and stressful surgery once again. Ask your midwife or gynecologist about VBAC.

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