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If you have given birth to a baby by C-section and you are pregnant, you may be able to choose between re-scheduling a C-section or vaginal birth after cesarean (VBAC).
For many women, VBAC is an option. In fact, research on women who attempt a trial of labor after cesarean (TOLAC) showed that about 60 to 80 percent had normal deliveries successful.
VBAC is not right for everyone, though. Certain factors, such as high risk of uterine scar, can lower your chances of VBAC and make inappropriate choices. Some hospitals do not offer VBAC because they do not have the staff or resources to deal with an emergency C-section. If you are considering VBAC, your health care provider can help you understand if you are a candidate and what is involved
Women consider a VBAC because of various reasons, including :.
You may be a candidate for a VBAC if you:
you're not a candidate for VBAC if you have:
Some doctors will not offer VBAC if you have more than two before C-section. VBAC is also generally not an option if you are pregnant with triplets or higher multiples
Factors that reduce the chances of VBAC include :.
Meanwhile, VBAC is associated with fewer complications than an elective repeat C-section, the experiment failed to work after cesarean (failed TOLAC) is associated with complications, including, rarely, uterine rupture. If your uterus tears open during labor, an emergency C-section is necessary to prevent life-threatening complications, such as severe bleeding for the mother. If the rupture is complex or to stop the bleeding, the uterus may need to be removed (hysterectomy). If your uterus is removed, you will not be able to get pregnant again.
If you previously had a C-section and you are pregnant, you may start talking about VBAC at your first prenatal visit. Discuss your concerns and expectations with your health care provider. Make sure he has a complete medical history, including the record of the previous C-section and other uterine procedure. Your health care provider may use your medical history to calculate the likelihood that you will have a successful VBAC. It's important to continue to discuss the risks and benefits of VBAC during pregnancy, especially if certain risk factors arising
If you choose VBAC, increasing your chances for a positive experience.
If you choose VBAC, when you go into labor you will follow the same process used for vaginal delivery. Your doctor may recommend continuous monitoring of your baby's heart rate and be prepared to do the repetition of C-section if necessary.
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