VBAC, or Vaginal Birth After Caesarean, is the case where a woman has undergone C-section (Caesarean) delivery previously and hence becomes eligible for Vaginal Delivery.
Some of the conditions where a woman is considered a good candidate for VBAC are:
• The size of the pelvis seems enough to allow the baby safely pass through
• The pregnancy is progressing in normal fashion and the woman and her baby are healthy
• The woman is not suffering from any major medical problems
• The candidate has never suffered from uterine rupture
• The reason for the woman’s prior C-section is not repeated this time
• A doctor is there to monitor the labour and if necessary, do an emergency C-section
• The size of the baby is normal
• The woman is not suffering from any obstetric or medical problem that would result in the vaginal delivery becoming risky
The following are a few of the steps to be taken before the procedure:
• The doctor should have the patient’s medical history, which definitely includes the details of the woman’s previous C-section and other uterine procedures.
• The patient and her loved ones should learn as much about VBAC as possible, including talking to people who have experienced it before.
• The hospital must be one that has the provision for emergency C-section.
• The patient’s body should be physically prepared, should be in good physical condition.
• The patient should avoid taking drugs for inducing labour, and instead should allow the labour to begin naturally if possible.
• The patient should maintain a positive outlook.
• VBAC is just like a normal vaginal delivery, the difference being that in VBAC the mother and the baby are monitored more closely during labour.
• Another difference is that in the case of VBAC, prior preparations for an emergency C-section will have been made, in case there is a need.
In case of a successful VBAC, the following are some of the things the patient might experience after the procedure:
• A successful VBAC means more chances of successful VBAC in future
• Less pain
• Shorter time period of stay in the hospital
Risk and Complications
Amongst the risks and complications are the following:
• Failed attempt at labour, which results in unplanned C-section, which in turn is more risky than a planned C-section.
• Uterine rupture, leading to oxygen deprivation for the baby and severe blood loss for the mother
• Infection in uterus
VBAC costs roughly Rs. 60,000.
A few of the benefits of VBAC are as follows:
• Neonatal breathing problems are fewer
• Prevention of mother’s death from surgery
• Breastfeeding is better after vaginal birth
• The cost of VBAC is lesser than C-section.
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