Why have vbac

As a result, women in many smaller communities either are unable to have VBACs or need to travel long distances to be at medical facilities capable of providing safe care for VBACs. When performed in an appropriate hospital setting, the medical opinion has always been that a VBAC is a reasonable option for women who have been informed of the risks.

A: The biggest concern is the risk that the previous C-section incision opens up also known as uterine rupture. But if it occurs, both the mother and baby will have internal bleeding. It is a true emergency. For a repeat C-section patient, there are both short- and long-term risks to consider.

In the short term, C-sections carry the same risks of any abdominal surgery, such as risks of bleeding and infection, with minimal risks to the baby. The long-term risks for a C-section depend on how many C-sections a woman has had. The more C-sections a woman has, the more risks there are for future pregnancies. This can cause severe bleeding and injury to other organs at the time of delivery.

It also can prompt the need for early delivery and, potentially, require a hysterectomy. The decision will depend on several factors, such as whether the patient is planning for future pregnancies, the reason for her previous C-section and how she plans her birth experience.

Genital Herpes : For many years, because of the risk of passing herpes to the baby during delivery, women with a history of herpes almost always delivered by cesarean. Physicians would examine cultures in the last weeks of pregnancy and if they found an active virus, would schedule a cesarean. Today, ACOG has determined and recommended that unless there is a visible lesion at the time of birth, vaginal birth is acceptable. Fetal Distress : If the life of the baby is at risk from fetal distress or other complication, there is little doubt that most mothers will consider a cesarean delivery.

Fetal heart rate monitoring to detect fetal distress can be a routine part of the VBAC procedure. Mode of delivery and risk of respiratory diseases in newborns. Obstet Gynecol ;97 3 Vaginal birth after cesarean and the risk of uterine rupture The greatest concern for women who have had a previous cesarean is the risk of uterine rupture during vaginal birth.

What criteria must I meet to be considered for vaginal birth after cesarean? No more than 2 low transverse cesarean deliveries. No additional uterine scars, anomalies or previous ruptures. Here's insight on how to make the decision. Compared with having another C-section, a vaginal delivery involves no surgery, none of the possible complications of surgery, a shorter hospital stay and a quicker return to normal daily activities.

VBAC might also be appealing if you want to experience vaginal childbirth. It's important to consider future pregnancies, too. If you're planning for more pregnancies, VBAC might help you avoid the risks of multiple cesarean deliveries, such as placental problems. While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture.

However, uterine rupture is life-threatening for you and your baby. During a uterine rupture, the cesarean scar on the uterus breaks open.

An emergency C-section is needed to prevent life-threatening complications. Treatment might involve surgical removal of the uterus hysterectomy. If your uterus is removed, you won't be able to get pregnant again. VBAC eligibility depends on many factors. For example:. If you choose VBAC , when you go into labor you'll follow a process similar to that used for any vaginal delivery.

However, your health care provider will likely recommend continuous monitoring of your baby's heart rate and be prepared to do a repeat C-section if needed. If you're considering VBAC , discuss the option, your concerns and your expectations with your health care provider early in pregnancy. Make sure he or she has your complete medical history, including records of your previous C-section and any other uterine procedures. You will be advised to labour in hospital so that an emergency caesarean birth can be carried out if it becomes necessary.

There should also be facilities for immediate blood transfusion and neonatal resuscitation if required. These are the reasons why a home birth or birth centre birth are not recommended for a woman planning a VBAC.

Contact the hospital as soon as you think you have gone into labour or if your waters break. You can have an epidural if you choose. You can opt to have a pool birth if available on Central Delivery Suite CDS with telemetry, which is wireless fetal heart monitoring enabling you to be more active in labour. It will be recommended that you have a cannula small plastic tube inserted into your arm vein.