Vaginal Birth After Caesarean (VBAC)

Vaginal Birth After Cesarean (VBAC) is a delivery option available to women who have previously undergone a cesarean section (C-section) but desire to have a vaginal birth for subsequent pregnancies. Understanding the benefits, risks, eligibility criteria, and factors influencing the success of VBAC is essential for women and healthcare providers when considering this delivery option.
Benefits of VBAC

  • Shorter Recovery Time:VBAC typically involves a shorter recovery period compared to a repeat C-section, allowing women to resume normal activities sooner after childbirth.
  • Lower Risk of Complications:Vaginal birth is associated with a lower risk of complications such as infection, blood loss, and injury to abdominal organs compared to C-section.
    Reduced Risk of Surgical Complications:
  • VBAC avoids the potential risks and complications associated with abdominal surgery, including adhesions, incisional hernias, and anesthesia-related complications.
  • Emotional Satisfaction: For many women, achieving a successful vaginal birth after a previous C-section can be emotionally empowering and satisfying.
    Risks and Considerations
  • Uterine Rupture:One of the most significant risks associated with VBAC is uterine rupture, which is the tearing of the scar from a previous C-section. Although rare, uterine rupture can lead to life-threatening complications for both the mother and baby.
  • Failed VBAC:There is a possibility that a planned VBAC may not be successful, leading to the need for an emergency C-section. Factors influencing the success of VBAC include the reason for the previous C-section, the type of uterine incision, and obstetric factors during labor.


Maternal and Fetal Monitoring:

During a VBAC attempt, continuous monitoring of both the mother and baby is essential to promptly identify any signs of complications, such as uterine rupture or fetal distress.
Eligibility Criteria

Previous C-Section Incision
:

  • Women with a low transverse incision from a previous C-section have a higher likelihood of being eligible for VBAC due to lower risk of uterine rupture compared to other types of incisions (e.g., classical or T-shaped incisions).
    Maternal Health:
  • Women with certain medical conditions or pregnancy complications may not be suitable candidates for VBAC. Factors such as maternal age, BMI, gestational age, and the presence of comorbidities may influence eligibility.