VBAC is the acronym for Vaginal Birth After Cesarean. It refers to delivering the baby vaginally after previously having a C-section (Cesarean Section). Though difficult at times, VBAC can occur. There is no surety that someone who has had a cesarean delivery can have a VBAC safely. The patient should consult with her doctor as each is an individual case. In most cases, VBAC is not normally endorsed for pregnant women who have had two or more cesarean births.

Why Consider VBAC?

Quicker Recovery: Vaginal birth usually leads to quicker recovery time than C-sections.
Lower Risk for Subsequent Pregnancies: Not doing multiple C-sections can decrease subsequent pregnancy risks.
Lower Chances of Infection: VBACs are usually associated with fewer chances of infection and blood loss than repeat C-sections.
Empowered Birth Experience: A few women enjoy the experience and empowerment provided by vaginal birth.

Risks with VBAC

Uterine Rupture: The greatest danger is a rupture of the uterus at the site of the old C-section scar. Though this is not common, it can be dangerous to both mother and child.
Emergency C-Section: You might still need an emergency C-section if you have complications, which could bring extra risks.
Increased Bleeding: There is more risk of bleeding with a VBAC than with a scheduled C-section.
Infection: While less than with repeat C-sections, there is also a risk of infection with vaginal delivery.

Factors That Influence VBAC Success

Type of Incision in Prior C-Section: Women with a low transverse incision usually have a greater chance of VBAC success compared to those with a vertical incision.
Mother and Baby Health: Complications such as high blood pressure or diabetes may influence the safety of VBAC.
Number of C-Sections: The less number of C-sections you've had, the better the possibility of a successful VBAC.
Labour Progress: Your labour needs to be monitored carefully, as there can be complications.

Benefits of Vaginal Birth After C-Section

Vaginal Birth After C- Section does have its benefits: both for the mother and the child

For the Mother

Quicker Postpartum Recovery: With mothers having a VBAC, there is less postpartum pain and a faster recovery time.
Lessened Risk of Surgical Complications: A VBAC does not involve surgery, reducing the risks of excessive bleeding, infections, and any possible complications arising from anaesthesia.
Future Vaginal Births: With VBAC being a success, it opens up the likelihood of future vaginal births.
Future Pregnancy Complications Reduced: With the occurrence of VBAC, it means avoiding C-Sections leading to lower risks of certain medical conditions in future pregnancies like placenta accreta, uterine rupture, and placenta previa.

For the Baby

Immediate Breastfeeding and Bonding: A faster recovery time in VBAC leads to effortless and facile breastfeeding initiation.
Reduced Respiratory Issues: When babies are born vaginally, they tend to have a reduced risk of respiratory issues as compared to babies born via C-Section.
Bacterial Bacteria Exposure Advantages: When the baby passes through the birth canal in a vaginal birth, they also pass along the bacteria that has advantages like supporting and improving immunity and gut health.

How to Prepare for a Successful VBAC

VBAC is a suitable and preferable option for women who would consider it. There is a need for some preparation for a successful VBAC. They are:

Choose the right hospital with experienced healthcare providers. Do your research on hospital policies. The right hospital will allow labour to proceed naturally without any compulsion to prepare for the C-section.
VBAC does have its pros and cons. Hence, update yourself well about it. Go through the reading materials, watch relevant videos from verified sources, and take a call on VBAC.
Maintain a healthy lifestyle consisting of a proper diet and exercises during your pregnancy. Work on staying on the permissible weight limits as prescribed by your doctor. Adding yoga and/or medication to your daily activities will bring positive results.
If you are considering VBAC, prepare your body with exercises that strengthen muscles, such as pelvic floor exercises. Also, read about and be aware of spinning baby techniques that aid the baby in the necessary position.
Try to resist undergoing any inducing procedure as it may lead to risking certain medical conditions like uterine rupture. It should be noted that natural and spontaneous labour increases the success rate of having a VBAC.
A backup plan is essential with the mindset to fully accept the option of undergoing another C-Section if the need arises. It is also necessary to support yourselves with loved ones during this time.

CTA: Ready to Learn More About VBAC?

Talk to our expert healthcare professionals at Apollo Hospitals to discuss whether VBAC is appropriate for your subsequent birth. Our staff will walk you through the process, review your case, and deliver the optimal care for a healthy and positive delivery experience. Call us today to schedule a consultation!

What is the probability of a successful VBAC?

The success rate differs based on your medical history, past C-section experience, and current pregnancy status. The majority of women who have had one prior C-section with no complications stand a good chance of success.

Can I attempt a VBAC after more than one C-section?

You might be able to, but the risk of complications can rise with every C-section. It's best to check with your healthcare provider for an individualised risk evaluation.

Is VBAC safe for me and my baby?

Most women can have a safe VBAC, but VBAC carries some risks, like a rupture of the uterus. Your healthcare team must be very attentive during labour to protect you and your baby.

What if I try a VBAC, and complications arise?

If there are complications during labour, like uterine rupture, an emergency C-section might be required. It's always best to have a birth plan that anticipates any situation.

Can I attempt VBAC if my last C-section was because of a non-recurrent complication?

Yes, most women who had a C-section because of a non-recurring complication (such as a breech fetus or placenta previa) are VBAC candidates. Yet it's extremely important to tell your history to your doctor.