There is no need to give up the warm, caring attention of midwifery management just because you previously gave birth via c-section. For these women, we offer the chance to have a combined physician/midwife team to manage prenatal care and delivery at the hospital. This program has achieved an extraordinarily high rate of successful vaginal deliveries.
VBAC means you may be able to deliver your next baby vaginally even if you have previously had a cesarean section.
If you are cleared to try a Vaginal Birth After Cesarean (VBAC), you will have what is called a "trial of labor" which means go into labor with the goal to deliver vaginally. But as in any labor, you still may need a C-section.
The benefits of a VBAC compared to a C-section include:
you can avoiding another scar on your uterus. This is important if you are planning on a future pregnancy-the more scars on the uterus, the greater the chance of problems with a later pregnancy. Less pain after delivery. Fewer days in the hospital and a shorter recovery at home.A lower risk of infection.A more active role for you and your birthing partner in the birth of your child.
You may be a candidate for a VBAC trial of labor if:
You have had low transfer C-section; or you don't have a reason for a cesareans such as abnormal presentation, hypertension or other medical conditions.
The benefits of a VBAC compared to a C-section include:
You may avoid another scar on your uterus, which is important if you are planning on a future pregnancy, you will experience less pain after delivery, have fewer days in the hospital and a shorter recovery at home. Also, a vaginal birth willA lower risk of infection.A more active role for you and your birthing partner in the birth of your child.
What are the risks of VBAC?
The most serious risk of a VBAC is that a C-section scar could come open during labor. Although very rare, it can be very serious for both the mother and the baby. The risk that a scar will open is very low during VBAC and that is why it is offered only in hospitals that can do a rapid emergency C-section.
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