If someone has previously undergone cesarean delivery (commonly known as a c-section), they might still be able to deliver their next child vaginally. This procedure is called the vaginal birth after cesarean (VBAC). C-section birth is a surgical procedure in which the baby is delivered through a cut in the belly and uterus by your doctor.

If the pregnancy is normal and the cut or the incision of the previous c-section was low horizontally, you might be able to undergo a VBAC.

About the procedure

A woman delivering the baby vaginally after having a cesarean section earlier is known as vaginal birth after a cesarean section (VBAC). Patients who want a VBAC have a trial of labor (TOL), commonly known as a trial of labor after cesarean section (TOLAC). This method has both advantages and disadvantages. Approximately 7-8 women out of 10 (70-80%) who attempt VBAC successfully deliver their baby vaginally.

It is always advisable to talk to your doctor early in the pregnancy to see if VBAC is a good option for the mother and baby.

Who qualifies for the procedure?

Many factors influence VBAC eligibility. Some of these include:

Kind of uterine incision: A low transverse incision is used in most C-sections. VBAC is frequently performed on women with a low transverse or low vertical incision. VBAC is not suggested if someone has previously had a high vertical (traditional) incision, as this can increase their chances of uterine rupture.
If someone has experienced uterine rupture, you are not eligible for VBAC.
VBAC is not advisable for women who have undergone uterine procedures, such as fibroid removal, as it enhances the risk of complications and rupturing of the uterus.
A woman becomes eligible for a successful VBAC if she has undergone vaginal delivery before or post her previous C-section.
Many doctors would not consider VBAC if the woman has had more than two previous C-sections.
If you try a VBAC in less than 18 months following your prior delivery, there is a greater chance of rupturing the uterus.
If your baby is large, then VBAC is not a possibility.
If there are placental difficulties, the baby is in an aberrant position, or you are carrying three or multiple babies, then a C-section becomes necessary.
Plan to give birth in a facility that can manage C-sections in an emergency. VBAC is not appropriate for home birth.
Inducing labor reduces the chances of a successful VBAC.

Preparations For VBAC

If you've previously had a C-section and are pregnant, discuss VBAC with your specialist during your first prenatal visit. You might be able to join a VBAC childbirth class.

Be adaptable and aware that difficulties may arise that necessitate a C-section. Ask your provider if your delivery hospital has the necessary equipment for an emergency C-section. VBAC is not suitable for home delivery. VBAC should be performed in a hospital.

Benefits

A VBAC has several advantages, including:

Surgery is not essential.
Your recuperation time is less than that of a c-section.
There is less bleeding.
It is less likely that you will contract an infection or experience other difficulties, such as placenta previa and placenta accreta.
If you intend to have many children, there is a lower chance of risks from recurrent surgery, such as scarring or injury to the intestines or bladder.

Risks or Complications

Even if you have a healthy pregnancy with hardly any complications, VBAC may pose certain risks. These risks are:

If your labor is difficult, you will require a C-section anyway.
One may experience the possibility of infections, injuries, and blood loss.
The cesarean scar on the uterus may break open or rupture, a rare but significant risk with VBAC. Although uterine rupture is uncommon, it is hazardous and can injure you and your fetus. VBAC should not be attempted if you are at high risk of uterine rupture.

Conclusion

When you choose VBAC, you will go through the same process as with any other vaginal delivery. However, your doctor will most likely propose continually monitoring the baby's heart rate and being ready to do a repeat C-section if necessary.

Request an appointment at Apollo Cradle, Amritsar - Abadi Court Road. Call 1860-500-4424 to book an appointment.

1. How much gap is essential for normal delivery post-C-section?

The timeframe between two deliveries is critical when planning a vaginal birth after a c-section. A minimum of 18 months must pass before having a vaginal birth after a cesarean. If the gap is less than this, then you cannot try a vaginal birth.

2. Is vaginal birth after a cesarean safer than a repeat C-sec?

You should consult with your doctor about the potential consequences of induction. However, as per the studies, VBAC is safer than a repeat C-sec, and VBAC with more than one earlier cesarean is not risky.

3. How long does VBAC labor take?

First-time vaginal deliveries typically take 12 hours.