Top
20
Doctor insights on: How Long Does Planning Vbac Associated With Pregnancy Last

Share
Dr. Lois Freisleben-Cook
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


2

2
Planning another pregnancy, want to have a vbac but worried about uterine rupture?

Approx 1% chance,low: In terms of absolute risk for the woman undergoing TOLAC, 1 in 100 trials of labor will result in uterine rupture, and 1 in 10 uterine ruptures will result in neonatal death or neurological injury, thus 1 in 1000 TOLACs will result in neonatal death or significant neurological injury ...Read more

3

3
I am 5'11 and 278lbs what is the likely hood that i could do a vbac with my next pregnancy?

I am 5'11 and 278lbs what is the likely hood that i could do a vbac with my next pregnancy?

VBAC: The risk of uterine rupture with one prior low-transverse uterine scar is low, 0.5% to 0.9%. About 60 to 80 percent of women who labor after a prior cesarean have a vbac. Most women with one prior cesarean with a low-transverse uterine scar should be counseled about vbac and offered a trial of labor obesity decreases the chances of succesful vbac. ...Read more

4

4
Is the scar thickness after ceserean section hat decides that in second time pregnancy we may go for vbac or not?

Is the scar thickness after ceserean section hat decides that in second time pregnancy we may go for vbac or not?

Sometimes.: A scar thickness <4.7 mm should prompt your doctor to recommend a repeat c-section. Frequently, though, that is not the main consideration; other factors determine your likelihood to achieve vaginal delivery after a single prior c-section, such as your weight for height, prior vaginal deliveries, number of fetuses, fibroids, gestational age, labor onset, polyhydramnios, version, presentation etc. ...Read more

5

5
Im a diabetic, my first pregnancy i didn't dilate pass 5cm i'm pregnant again can I try a vbac ?

Maybe : Vbac is a complicated topic . You will have to find a doctor who is willing to do them. Many who do offer vbacs don't offer them in an already high risk pregnancy with diabetes. ...Read more

6

6
I had a C-section because my labor failed to progress. Would like a vbac with my current pregnancy. Would vbac be an option?

I had a C-section because my labor failed to progress. Would like a vbac with my current pregnancy. Would vbac be an option?

Long discussion: This requires a long discussion between you and your doctor. Vbacs are options for people who meet certain criteria and who are willing to accept the risks. Your doctor will need to review your previous surgery and review the reasons for your first c section. He or she will evaluate your current pregnancy, your pelvis and estimated fetal weight and then counsel your regarding the risks. ...Read more

7

7
With my first pregnancy i had a placental ubruption at 6 months. Will this happen again ? Will i need to be on injections, or bed rest ? Vbac ?

With my first pregnancy i had a placental ubruption at 6 months. Will this happen again ? Will i need to be on injections, or bed rest ? Vbac ?

Previous placental: abruptio will definitely increase your risk of that happening again. Talk to your OB GYN about what the risks are and what you can do to help maintain a healthy pregnancy. You can certainly have another baby, just have to know the risks before hand. Thanks for trusting in HealthTap. ...Read more

8

8
What is the percentage of having a successful VBAC after 1 c-sec no complications with 1st pregnancy. C-sec due to non reassuring fetal heart rate?

What is the percentage of having a successful VBAC after 1 c-sec no complications with 1st pregnancy. C-sec due to non reassuring fetal heart rate?

Almost: the same as before. Since the first cs was for heart tones and not failure to progress, you should have a 80 +\- percent chance of having a successful vaginal delivery. Find an OB who has a low CS rate. Not total CS but For a woman's first CS. My primary rate is 14 percent. That means for a woman with no prior CS, she has an 86 percent chance of a vag delivery. Good luck. ...Read more

9

9
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.

High risk pregnancy: Your physician there will know your specifics and if you are even advised to get pregnant again. Many women in your situation are advised against future pregnancies! ...Read more

See 1 more doctor answer
10

10
I've had 2csections 4.11.12 & 5.7.13 . How long would it be before i can try a vbac?

18 year old: I would like to try to redirect your thought process a little. At 18 with two small children maybe a better approach to life would be to start birth control and focus on your future as well as raising your two very small children. Being a teen mother is very hard and going to get harder as your kids grow up. Focus on them instead at the moment instead of the route of delivery of your next. ...Read more

11

11
Would I ever be allowed to do a VBAC after 3 c-sections if my last c-section was over 6 years ago?

Would I ever be allowed to do a VBAC after 3 c-sections if my last c-section was over 6 years ago?

Very risky: The uterine rupture risk of a VBAC after 3 c sections would be extremely high. It is not likely that an Obgyn would be willing to support this decision. ...Read more

12

12
Is it possible for my wife to have a vbac after two c-sections she had previously. The last c- section she had in 2004. ?

Is it possible for my wife to have a vbac after two c-sections she had previously. The last c- section she had in 2004. ?

Possible/advisable??: If your wife has never had a vaginal delivery before, is overweight or obese and has no desire for further childbearing, my strong advice would be to have a pre-labor repeat c-section and bilateral tubal ligation. Trial of labor after more than one cesarean section has not been studied adequately due to physicians' reluctance to place undue risks on maternal-fetal life/health. Talk to your ob! ...Read more

See 2 more doctor answers
13

13
I had a csection last year 5/30th, and just last year august i found out i was pregnant. Can I have a vbac?

Depends.: Vbac is a reasonable goal and should be discussed with the OB team early in course of pregnancy so things can be planned and managed. You should discuss this with your providers asap to ensure your team can support a vbac. ...Read more

See 2 more doctor answers
14

14
What's the percentile of succesful vbac after 2 csections. Last csection 2/25/09 I'm due Jan 30th?

VBAC: I don't recommend you consider a VBAC after two c sections. Your risk of uterine rupture, which is now much higher than VBAC after one c section. Your success for VBAC in general is however dependent upon why your first c section was done for. You need to discuss this with your OB, who may not even do VBACs. ...Read more

See 1 more doctor answer
15

15
How long after a C-section can I be considered for a vbac?I had my son 11-25-11! and im now due 8-28-14

How long after a C-section  can I be considered  for a vbac?I had my son 11-25-11! and im now due            8-28-14

Depends on variables: Depending on the reason for your first c/section and your subsequent health, you could be ready for a vbac a year or so later. Your doc is the best source for individual assessment. This is usually done in a facility that can easily move you to a surgical suite if any problems are encountered during labor. ...Read more

16

16
Section with first/breech. This is last baby. No complications this preg. Which is riskier to baby--section or vbac? Which is riskier to mother?

Section with first/breech. This is last baby. No complications this preg. Which is riskier to baby--section or vbac? Which is riskier to mother?

Baby prefers C/S.: In broad terms, a repeat cesarean delivery without labor is the safest for the baby. Both options are extremely safe for the mother in the U.S. - slightly increased risk with cesarean. If you are planning to have your tubes tied for permanent sterilization you are better off scheduling your repeat cesarean delivery at 39 weeks with btl to be done at the same time. Talk to your obstetrician! ...Read more

17

17
Is a vbac really safer than a c section. I have had 4 kids all vaginal except last one 20 months ago.He was breech..Im 6 months pregnant now..

Safer for whom: Vbac's are very controversial in medicine. At one point almost no one was delivering vaginally after c/s. Now more are performed. For mom clearly the risks are greater for vbac. C/s generally safe. However emergent research is showing benefits for babies born vaginally including reduced asthma and allergies. The decision should really be made with OB based on your personal risks. ...Read more

18

18
Why are some obs ardent supporters of vbac and others completely against them? I don't understand how there can be such a big discrepancy in opinion.

Comfort level: Opinions are variable due to physicians comfort level and training but also practice location. Most hospitals require in house coverage 24/7 if a patient is attempting vbac. Some physicians can not accomodate this. Also, patient history on why they needed a c-section plays a big part in supporting vbac attempt or not. ...Read more

19

19
Which would be safer? Vbac or repeat c-section?

Vaginal births are: As there are risks and benefits to VBAC and risks and benefits to repeat Cesarian births, your obstetrical team needs to evaluate your personal reproductive history, offer you an educated advice/counseling to assist you in making a "shared informed decision". ...Read more

20

20
Is it safer to have a VBAC or a repeat C-section?

Safer for whom?: Some VBACs are safer for mothers but not for babies and some VBACs are riskier for mothers and for babies. Others are not. Some repeat Cesareans are riskier for mothers and for babies and other Cesareans are safer for mothers and for babies. Others are not. ...Read more

Dr. Roger Sherman
84 doctors shared insights

Vbac (Definition)

Vbac stands for vaginal birth after cesarean. Because the uterine muscle has a scar from the prior surgery, and scar tissue isn't as strong as unscarred tissue, there are some additional risks to attempting a vaginal delivery after a cesarean. <1% of patients attempting vbac will have a complication ...Read more