FAQs About Vaginal Birth After Cesarean (VBAC)
If you’ve previously had a cesarean section (C-section) but are now considering a vaginal birth for your next pregnancy, you may have questions about what’s known as Vaginal Birth After Cesarean (VBAC). VBAC can be a safe and viable option for many women, but it’s important to understand the risks, benefits, and how the process works. At North Pointe OB/GYN in Cumming, we often guide patients through this decision, helping them make informed choices for their birth plans.
Here, we answer some of the most frequently asked questions about VBAC to help you better understand whether it might be the right choice for you.
What Is VBAC?
VBAC stands for Vaginal Birth After Cesarean, which means attempting to deliver a baby vaginally after previously having had one or more C-sections. For many women, a successful VBAC can offer a quicker recovery time and a more natural birth experience compared to a repeat cesarean.
Am I a Candidate for VBAC?
Not every woman is a candidate for VBAC, but many are. According to the American College of Obstetricians and Gynecologists (ACOG), 60-80% of women who attempt VBAC have a successful vaginal delivery. The factors that make you a good candidate include:
- Type of uterine incision: The type of incision made during your previous C-section plays a key role. A low transverse incision (horizontal) is more favorable for VBAC, while a vertical incision (often used in emergency C-sections) may increase the risk of complications.
- Reason for previous C-section: If the C-section was due to a non-recurring issue, such as the baby being in a breech position, you may be a strong candidate for VBAC.
- Overall health: Your general health, the health of your pregnancy, and any complications will be considered when determining whether VBAC is safe for you.
What Are the Benefits of VBAC?
Many women consider VBAC because it can offer several benefits over a repeat C-section:
- Faster recovery: A vaginal birth typically involves a shorter hospital stay and quicker recovery compared to a C-section.
- Less risk of surgical complications: VBAC reduces the risk of complications related to surgery, such as infection, bleeding, and reactions to anesthesia.
- Future pregnancies: Opting for VBAC may reduce the risks associated with multiple C-sections in future pregnancies, such as placenta previa and uterine rupture.
What Are the Risks of VBAC?
While VBAC is generally safe for many women, there are some risks to be aware of. The most serious risk is uterine rupture, which occurs when the scar from the previous C-section tears during labor. Uterine rupture is rare, happening in less than 1% of VBAC attempts, but when it does occur, it can be life-threatening for both mother and baby.
This is why it’s critical to attempt VBAC in a hospital setting with immediate access to emergency care, should a repeat C-section become necessary.
How Likely Is a Successful VBAC?
Several factors can impact the likelihood of a successful VBAC, including:
- Reason for previous C-section: Women whose previous C-section was due to non-recurring factors, such as a breech baby, have a higher success rate with VBAC.
- Labor progress: Women who go into labor spontaneously and progress normally have a better chance of having a successful VBAC compared to those who need to be induced.
At North Pointe OB/GYN, we’ll review your medical history, discuss your previous delivery experience, and assess your current pregnancy to determine whether VBAC is a safe and viable option for you.
What Should I Expect During a VBAC Attempt?
The process of attempting a VBAC is similar to any other vaginal delivery. However, because there is a small risk of complications such as uterine rupture, continuous monitoring of both mother and baby is essential. Here’s what you can expect:
- Monitoring: During labor, your care team will closely monitor your contractions and the baby’s heart rate to ensure everything is progressing smoothly.
- Ready for a C-section: If complications arise during labor, a surgical team will be on standby to perform a C-section if needed.
- Pain management: You’ll have the same options for pain relief, such as an epidural, as you would in a regular vaginal delivery.
How Should I Prepare for VBAC?
If you’re considering VBAC, there are a few steps you can take to prepare:
- Consult with your OB/GYN: Have a thorough discussion with your doctor about your options. At North Pointe OB/GYN, we’ll review your medical history and determine whether VBAC is a safe choice for you.
- Stay healthy: Maintaining a healthy pregnancy is key to any delivery plan. Regular prenatal care, a balanced diet, and exercise can improve your chances of a successful VBAC.
- Have a flexible birth plan: While it’s great to aim for a VBAC, it’s important to remain flexible. Sometimes, unexpected complications may arise, and a repeat C-section may be the safest option for you and your baby.
Talk to the Experts at North Pointe OB/GYN
If you’re considering a VBAC, our experienced team at North Pointe OB/GYN in Cumming is here to provide guidance and support every step of the way. We’ll help you make an informed decision that prioritizes both your health and your baby’s well-being.
Contact us today to schedule a consultation and learn more about whether VBAC is the right choice for you.
