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A 30-year-old member asked:

what are complications of vbac?

3 doctor answers4 doctors weighed in
Dr. Miguel Cano
Obstetrics and Gynecology 30 years experience
Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Death, injury.: Maternal and/or fetal death or injury (including permanent brain injury) can occur if the prior uterine scar ruptures.
Dr. Michael Hulse
Gynecology 27 years experience
Uterine rupture: Failed vbac with repeat c-section is most common problem. Uterine rupture in the area of the previous incision is the most serious. This occurs in less than 1% of pt. But is very dangerous to mother and baby if it happens. Results may include severe bleeding, hysterectomy, fetal death and maternal death.

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A 38-year-old member asked:

What are the risks associated with vbacs?

2 doctor answers2 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Uterine rupture: There is a small but extremely serious risk of uterine rupture (the incision on the uterus opening). This is why it is recommended that women vbac in hospitals where there is 24 hour a day in-house capablities to perform an emergency c-section rapidly.
TX
A 29-year-old member asked:

Why is a vbac so controversial?

2 doctor answers4 doctors weighed in
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Uterine Rupture: Vaginal delivery after C-section is controversial because of a complication that occurs in approximately 1/200 cases where the scar from the previous surgery opens up. This is called a uterine rupture. Strict guidelines in hospitals as well as the medical legal climate have made it difficult for some doctors to offer this service.
A 37-year-old member asked:

What is a VBAC?

4 doctor answers5 doctors weighed in
Dr. Miguel Cano
Obstetrics and Gynecology 30 years experience
VBAC: Vaginal birth after c-section. There are pros & cons with vbacs that are addressed in other healthtap topics.
A 29-year-old member asked:

What is the most serious complication during a vbac?

1 doctor answer1 doctor weighed in
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Uterine rupture.: Catastrophic uterine rupture is the most serious complication of attempted vbac (vaginal birth after cesarean section): it can prove lethal for the fetus, the mother or both! if you do not want anymore children, this is too great a risk to take - you may be better off with a prelabor scheduled repeat c-section and bilateral tubal ligation. Talk to your obstetrician!
A 39-year-old member asked:

What are the consequences of trying vbac?

1 doctor answer1 doctor weighed in
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Risky proposition.: Vbac (vaginal birth after cesarean section) sounds like a worthwhile goal, but given the risks associated with it (uterine rupture, maternal-fetal hemorrhage/death) only consider it with one prior kerr c-section, normal weight for height, prompt access to a large maternity hospital, and desire for at least 1 more pregnancy after this current one. Fetal death/injury is ~10 times increased in tolac.

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Last updated Jul 6, 2016

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