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VAGINAL BIRTH AFTER CESAREAN (VBAC) !! EVERYTHING YOU NEEDS TO KNOW

 Vaginal Birth After Cesarean

If someone already had a cesarean birth (its also called c-section) first, she may be able to have her next baby vaginally. This is called a vaginal birth after cesarean (it's also called VBAC). 

vaginal birth after cesarean, vbac, vaginal birth,

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C- section birth
is a surgery in which your little one is born through a cut that your doctor makes in your belly and uterus also.

More than that number (6 to 8) out of 10 women (more than 60% to 80% ) who try VBAC. And they are successful in having their baby vaginally. Talk to your doctor early during in your pregnancy to find out if VBAC may be a good option for you and your baby.


How do you know if having a VBAC is right for you?


Talk to your gynecologist or doctor if you’re thinking about having a VBAC. Your doctor or medical providers can help you look at the risks and benefits. If your risks are low and your chances of having a successful VBAC are high, then you may decide that VBAC is right for you.


Your chances of having a successful VBAC are better if:


You had a vaginal birth also before It,

You have had just one c-section in the past with a low and small transverse incision ( it's also called a bikini cut).

Its means the incision cut was horizontal (side-to-side) and low on the uterus. This type of incision is the most common kind of c-section incision. This kind of incision usually bleeds less than other incisions. It also makes a more stronger scar on the uterus, which makes it less likely to tear. 

You and your little one both are in good health during the pregnancy


Your labor had started on its own just before your due date or on your due date.


Your chances of having a successful VBAC are worse if:


You have the same condition in this pregnancy that made your direction birth necessary in a past pregnancy too.
For example, your baby has heart problems or problems with his heart rate or he is lying sideways in the womb. 

Your past due date or your labor is induced.  

You are obese or you gained excessive weight during pregnancy. If you're obese, you have an excess amount of body fat and your BMI  (also called body mass index) is 30 or higher than that.

You have preeclampsia. Preeclampsia is a condition that can happen to you after the 20th week of pregnancy or right after pregnancy.
When a pregnant woman has high blood pressure and some of her organs, like her kidneys and liver, may not be working properly. The Signs of preeclampsia during pregnancy include having protein in the urine, changes in vision and severe headache.

You have short inter pregnancy interval, less than 18 to 19 months between your last pregnancy and your current pregnancy.

Your baby is very large and over weight. 

Your doctor, hospital or birthing center isn’t prepared to handle an emergency c-section if you need that one. You should talk to your doctor about the level of medical care that’s available in the hospital or birthing center where you plan to have your birth 

You’re aged or older than 35

Some medical providers may not offer VBAC if you’ve had more than two past C-sections delivery, or if you are pregnant with twins or triplets or a higher number of multiples 

It is not safe to have a Vaginal Birth After Cesarean (VBAC) if:


You had a c-section in the past Pregnancy and your incision cut was not a low transverse,instead was high vertical.  The high vertical incision cuts is up and down through muscles in the upper part of the uterus that is strongly contract during the labor.  This can lead to a uterine rupture or tear in the uterine muscle.

You had a uterine rupture or tear in the uterine muscle. in a previous pregnancy. This is when the uterus or womb tears during labor. It happens very rarely.

You’ve had certain types of medical surgery on your uterus. 

You have certain types of health conditions or complications during your pregnancy, like diabetes melitus,   heart disease,  placenta previa, that makes your  c-section necessary.


What are the benefits of having a VBAC?


Having a VBAC has some benefits too,  its including:

Firstly There’s no need for any surgery.

Recovery time is shorter than after having a c-section birth

There’s less blood loss.

Your risk is lower for complications, and other infection , like problems with the placenta called placenta previa and placent acreta.

If you’re planning to have a lot of baby,then there’s a less risk of complications from repeated surgeries, including scarring or injuries to the bowel or bladder too

You may want to have the experience of a vaginal delivery. 


What are the risks of natural birth after C section?


The VBAC can have some risks also, even if you and your baby both are healthy during pregnancy some risk factor are also include:

Your labor doesn’t go well and you need a immediate c-section anyway. 

Infection, injury and blood loss

Your uterus may ruptures (tears).  This is a rare case, but it can be life-threatening also


FAQ -


How does a VBAC work?


If the patient and the doctor agree to try a VBAC, they will have what is called a "trial of labor after cesarean," or TOLAC.

This means that the patient plan to go into labor with the goal to deliver vaginally. But it's also true that, as in any labor, it is hard to know if a VBAC will work or not. You still may need a C-section too.


Is VBAC safer than repeat cesarean?


A successful VBAC is associated with less or fewer complications comparatively,than an elective repeat C-section. A painful failed trial of labor after a C-section birth is associated with more complications too. It's including a uterine rupture. Uterine rupture is rare, it's only happening in less than 1% of women who attempt a trial of labor after their cesarean birth.


How do I prepare for a VBAC?


If you previously had a C-section delivery and you’re pregnant again, talk to your doctor about VBAC at your first prenatal visit.


You should be very flexible and know that sometimes complications can happen that require needing a C-section again. You should ask your doctor  if your hospital of delivery has what it needs in case of an emergency C-section.
  

Home delivery is not appropriate for VBAC.  VBAC should take place only in a hospital.


How soon can you have a VBAC after C section?


It is totally depending on the number of C-sections you had. But according to the medical experts, you should wait between 6 to 15 months before getting pregnant again. It's means that the suggested period to have a VBAC after a C-section is 15 to 24 months. Waiting for that long period ,its minimizes the risks of complications.


How can I increase my chances of successful VBAC?


You had your last baby via c-section birth. Now you’re pregnant again and you wondering that whether you can have a VBAC (vaginal birth after cesarean) this time or not. Maybe you have heard stories of people getting pushed into cesarean birth, but they didn’t want or being told their hospital won’t support VBACs at all.
But now the thing is, what can you do if you really want that VBAC? Here are some tips to increase your chances of successful VBAC

Hire a doula


Doula is a professional, who trained in childbirth who provides you emotional, physical, and educational support . Doula support to a mother who is expecting, is experiencing labor, or has recently given birth.......


All the Research shows that doula support results in a decreased risk of c-section birth. It also interventions such as pitocin, pain medications, forceps, and vacuum.  Doula as well as increase in satisfaction with the birth experience too.

Doula can help you throughout your pregnancy as well too. It's helps you locate supportive providers, educating you on options at your chosen birthplace. Doula helping you maintain a healthy pregnancy, and it's also supporting you with great education, resources, planning. Doula  support so you feel empowered and prepared to navigate your birth and control your medical decisions.


Your doula will help you feel prepared, whether you have a vaginal birth or a cesarean birth,  supported, and more satisfied with your birth experience.


You should Connect with your local ICAN Chapter if available


Full name of ICAN is the International Cesarean Awareness Network. International Cesarean Awareness Network is a valuable resource to find information, support, and advice about VBAC in general and your local providers too,birth places, doulas, etc. who are the most supportive of VBAC and will help you increase your chances of VBAC success.

You can Find a VBAC supportive provider and birthplace. 


Its can’t be said enough. Your VBAC chances are greatly influenced by the practices of your medical provider and birthplace.now the question is  How can you find out the real scoop on their practices, experience, and willingness ,
that really support your goals?


Your haired doula can share questions to you that can get past generalities to find out how well they fit your needs.


And if you are seeking a supportive medical provider, they can help point you in the way of great options in your area. Your local International Cesarean Awareness Network can also help share experiences of local parents who have had or tried for VBAC with the providers in your local area.


Get educated


A lot of information out there about VBAC, but the bad news is not all of the information is accurate or up-to-date. Doula can provide you with current news, they can provide you evidence-based resources to learn the real facts about VBAC. Doula can help you find a great fit for a childbirth class that can best support for your VBAC goals. They can help you prepare for how to navigate your decisions on the big day and how to support for your goals.

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