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As an expectant mother, you do what is right for your child. Maybe you are wondering if a natural (vaginal) birth is right for you. Unfortunately, you may have heard negative information about VBACs (vaginal births after cesarean), and are unsure about them.. Before you rule it out completely, learn the facts about VBAC and what obstetrics and gynecology experts have to say:
What Are The Risks?
The primary risk of attempting a vaginal birth after a cesarean is the risk of what is known as a uterine rupture. In the case of VBAC, a uterine rupture would stem from the scar tissue that formed following your cesarean surgery.
A uterine rupture occurs when that scar tissue tears during labor or child birth. It is a very serious complication and can be life-threatening to both you and your unborn child.
How Likely Is A Uterine Rupture?
When discussing the possibility of VBAC with your healthcare provider, they will assess your individual pregnancy using guidelines set out for them by the American College of Obstetricians and Gynecologists (ACOG). These include analyzing the surgical technique used in your cesarean, any other complications experienced in your previous pregnancies, your overall health during this pregnancy, and your body mass index.
The chances of a uterine rupture occurring are extremely low in most cases. In fact, according to research, less than one percent of mothers attempting a VBAC delivery experience this complication.
Taking all of these factors into consideration will help your healthcare provider determine whether or not you are more or less likely than average to experience a uterine rupture if you attempt a VBAC procedure.
How Often Are VBACs Successful?
Statistics and testimonials vary regarding the success rate of vaginal birth after cesarean. However, official studies published in medical journals put the success rate at around two-thirds. This means that the majority of VBAC procedures are successful.
What this does not mean is that the remaining third result in uterine rupture or similarly dangerous complications. Sometimes attempts at natural childbirth are just not successful. This can occur if the baby is breach, labor doesn't progress as it should, the mother changes her mind, or other, unrelated complications occur.
In these cases an emergency cesarean is performed. This is why healthcare providers prefer that women who attempt VBAC do so in a hospital setting rather than attempting a home birth, and do so with the consultation of a physician trained in obstetrics rather than (or in addition to) a doula or midwife. In case of complication, having a surgeon readily available can make all the difference in the world.
While the choice for VBAC is ultimately yours to make, be sure to consult with a medical professional in the decision making process. Consider all of the risk factors, and make an informed, educated decision. And, of course, know that if you try VBAC and it doesn't work, you can still have a healthy delivery by cesarean.
Share11 December 2014
