Vaginal Birth After Cesarean (VBAC) Possibilities, Risks & Preparation |Dr Astha | CK Birla Hospital

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Vaginal Birth After Cesarean (VBAC) is a topic of significant interest and importance for many expectant mothers who have previously undergone a caesarean delivery. It offers the possibility of a vaginal birth for women who have had a previous caesarean section, providing them with an alternative to repeat caesarean deliveries.

However, VBAC also comes with certain risks and requires careful consideration and preparation. Let's delve into the possibilities, risks, and preparation associated with VBAC.

Possibilities:
VBAC offers several potential benefits for women who have had a previous caesarean delivery. It allows them to experience childbirth vaginally, which can lead to a quicker recovery, shorter hospital stay, and reduced risk of surgical complications compared to repeat caesarean deliveries. Additionally, VBAC may promote a sense of empowerment and fulfilment for women who desire a vaginal birth experience.


For many women, VBAC is a safe and feasible option, particularly if certain criteria are met. Factors such as the reason for the previous caesarean, the type of uterine incision, and the presence of any medical conditions or complications can influence the likelihood of a successful VBAC. Women who have had a low-transverse uterine incision in their previous caesarean delivery and have no other contraindications may have a higher chance of achieving a successful VBAC.

Risks:
One of the primary concerns associated with VBAC is the risk of uterine rupture, which occurs when the scar from the previous caesarean tears during labour. Uterine rupture can lead to serious complications for both the mother and baby, including excessive bleeding, fetal distress, and the need for emergency caesarean delivery.


Other potential risks of VBAC include failed trial of labour, which may result in the need for emergency caesarean delivery, as well as complications such as infection, haemorrhage, and injury to the bladder or bowel. It is essential for women considering VBAC to discuss these risks with their healthcare provider and weigh them against the potential benefits.

Preparation:
Preparation for VBAC involves thorough evaluation, counselling, and planning to ensure the safety of both the mother and baby. Your doctor will assess your medical history, including the details of previous caesarean delivery, to determine eligibility for VBAC. This evaluation may include a review of the reason for the previous caesarean, the type of uterine incision, and any other relevant factors.


Women who are deemed suitable candidates for VBAC will receive comprehensive counselling regarding the risks and benefits of VBAC compared to repeat caesarean delivery. They will also be informed about the likelihood of success based on their individual circumstances. Healthcare providers will work closely with women to develop a personalised birth plan that aligns with their preferences and medical needs.


Throughout pregnancy, women planning for VBAC will receive ongoing prenatal care and monitoring to assess the progress of labour and the well-being of both the mother and baby. Continuous fetal monitoring during labour is typically recommended to detect signs of fetal distress promptly.

Additionally, women planning for VBAC should be prepared for the possibility of caesarean delivery if complications arise during labour.
With this video, Women’s health specialist Dr. Astha Dayal, Lead Consultant Gynaecologist at the CK Birla Hospital Gurgaon, helps us understand how to plan for VBAC.

VBAC offers the possibility of a vaginal birth for women who have had a previous cesarean delivery, providing them with an alternative to repeat caesarean deliveries. While VBAC can be a safe option for many women, it is essential to carefully consider the risks and benefits and engage in thorough preparation and planning.
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