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Doctor insights on: Vaginal Birth C Section Vbac

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What is a vaginal birth after c-section (vbac)?

What is a vaginal birth after c-section (vbac)?

Risky for baby.: Vbac is what you get if your gamble pays off - and you avoid a second cesarean section. Keep in mind that this gamble involves an ~10-fold higher risk of fetal/neonatal death compared to a scheduled prelabor second c-section and may only be justified if you plan to have more pregnancies and do not wish the risks of multiple c-sections. Discuss these issues with your obstetrician. ...Read more

Dr. Roger Sherman
87 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


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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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26 y/o 2 natural vaginal births, >2hrs of labor, 3rd was csection due to baby being 4wks past due. Transverse incision. Should I think about a vbac?

26 y/o 2 natural vaginal births, >2hrs of labor, 3rd was csection due to baby being 4wks past due. Transverse incision. Should I think about a vbac?

Maybe: This is a question better answered by your ob. Hopefully, s/he would know if there were any findings on your last delivery that might suggest problems with a vbac. Most women in good health with prior successful vaginal deliveries can successfully deliver vbac. ...Read more

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What is a better option, vaginal birth orna csection? Does the vagina go back to normal after birth? What are the changes that happen?

What is a better option, vaginal birth orna csection? Does the vagina go back to normal after birth? What are the changes that happen?

It depends: In an uncomplicated pregnancy (healthy mother with normal anatomy and well developed stable fetus), vaginal delivery is ideal (this is how nature intended it to be!!). C-sections are necessary in some cases to preserve the health of both mother and baby, but this is still a significant surgery which should not be taken lightly. ...Read more

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What are the risks and benefits of a vaginal birth and a c-section?

What are the risks and benefits of a vaginal birth and a c-section?

Vaginal vs. C-S: Vaginal births are the preferred method of delivery (this is how our bodies were designed to deliver). It is (usually) non-invasive with a shorter recovery period and MUCH better for newborn transition. Surgical deliveries should be reserved for situations which put mother or baby at risk for injury or death by vaginal delivery. Surgical delivery has increased risks, longer recovery, etc. Etc. ...Read more

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Is it possible to have a vaginal birth after a myomectomy and a c-section?

Is it possible to have a vaginal birth after a myomectomy and a c-section?

Consultation time: You should discuss this with your present obgyn or whoever did the surgeries involved. There are variations in the extent of work required to do a myomectomy & the type of surgical incision for the c-section. All will factor into the ability of your uterus to go through a regular labor without a risk of rupture. ...Read more

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Previous post partum haemorrage and c section, is vaginal birth an option instead?

Previous post partum haemorrage and c section, is vaginal birth an option instead?

Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes). Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more

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Which one is better vaginal birth or a c section?

Which one is better vaginal birth or a c section?

Depends: Most people hope to have a normal vaginal birth. This is generally best for the mother and for the baby. However, there are sometimes complications and/or circumstances that require a c-section. When this happens, the medical professionals will explain the risks and benefits and you all will decide together. Sometimes there is an emergency that requires immediate action. I hope the best for you. ...Read more

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How do c-section and vaginal birth differ in feel?

C-section v.birthing: C-sections are surgical procedures and require surgical recuperation. Vaginal births are a painful process at the time, but recuperation is limited. ...Read more

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What are the risks in having a vaginal birth after c section?

Baby with some risk: If the labour is prolonged and not progressing well, the baby may develop respiratory distress, will have low oxygen level and it may affect the brain of the baby. But if labour process progressing well as expected, then there is no risk in having vaginal birth. Your doctor will explain to you wether you should have vaginal delivery or not. ...Read more

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Can you tell me for women who have given vaginal birth (s) (not c-section), is it possible without pain meds?

Can you tell me for women who have given vaginal birth (s) (not c-section), is it possible without pain meds?

Yes: Absolutely. Many women experience natural childbirth. Others prefer to use medications. Hypnobirthing, breathing and meditation are strategies that women who give natural birth use. ...Read more

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Do I have to try a vaginal birth if I am expecting twins? Can I choose a c-section even if first one is head down?

Great question: Most ob's I work with consider vaginal birth for twins only with women who are delivering early and with all favorable indicators. They rather deliver them c-section than worry about the second twin hanging up in delivery. Discuss this with your OB and have a game plan ahead of time. Coming in during early labor may give you the most options. ...Read more

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What are the chances of having a vaginal birth after a c section. I have only had one child via c section 4 years ago. After only dilation wasn't happening after 17 hours?

Pretty good: Vaginal birth after c/section (VBAC) has a pretty good success according to current research. You must work closely with your OB. Research shows 4/10 women with VBAC may still have to have a c/section. These labors need to be monitored carefully in a hospital equipped to respond to an emergency during the labor and have experience monitoring VBAC patients. Talk to your OB for more advice ...Read more

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What ais the probability of a vaginal birth after one c-section?

Birth: This is a decision that you and your doctor will decide at the time of delivery ...Read more

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Can I have a vaginal birth after having a c-section after 5 years?

Can I have a vaginal birth after having a c-section after 5 years?

Yes: Called a vbac (vaginal birth after cesarean) or a tolac (trial of labor after cesarean), it is certainly possible. However, you face a slightly increased risk of uterine rupture, which is why most experts would discourage it, and most hospitals forbid it, unless your doctor is "immediately available", i.e., in house and ready to do an emergency cesarean on a moment's notice. ...Read more

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What happens if I had a C-section 12 yrs ago can I attempt a vaginal birth?

Discuss with your OB: There is a procedure known as VBAC, vaginal delivery after C-section. Many women have done this successfully. It would depend on the reason for the C-section. If you had a recurring problem, (cephalic-pelvic disproportion) it might not be such a good idea. If it was a non-recurrent problem, (fetal distress), it would be more reasonable to attempt a VBAC. Discuss this with you OB. ...Read more

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If my last child was delivered by c-section. Why is that important for them to know if I plan vaginal birth?

If my last child was delivered by c-section. Why is that important for them to know if I plan vaginal birth?

Pre-planning: The routine delivery will anticipate a need to shift to a C-section if progress stops or the baby shows signs of distress. It takes some time to switch but they do it. With a prior C-section, they often staff the delivery unit with extra personnel & a surgical suite already prepared (nearby) because there is an increased risk that a repeat may be needed more acutely. ...Read more

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Why do doctors fear vaginal birth after a previous c-section?

Why do doctors fear vaginal birth after a previous c-section?

Uterine rupture: Not necessarily fear but a healthy respect for how quickly a normal labor can turn into a catastrophic uterine rupture with hemorrhage, emergent surgery, & potential maternal or infant loss. Uterine rupture can happen in the best of candidates for vbac and are often unpredictable. In today's legal climate, many obs will not risk any complications that can be avoided. Some hospitals forbid vbac. ...Read more

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What birth method is safer for a women with a benign heart arriyhmia. C section or vaginal birth?

What birth method is safer for a women with a benign heart arriyhmia. C section or vaginal birth?

Depends: It depends on what type of arrhythmia you have. Most arrhythmias are okay for vaginal delivery, but you need the advice of your ob/gyn or a maternal fetal medicine specialist to give you advice on your specific case. Most women do better with vaginal delivery because cesarean is major surgery and has it's own risks for heart problems following delivery of the baby and venous return to the heart. ...Read more

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Can I request a c-section instead of having a vaginal birth? I’m scared of giving birth and would prefer to have a c-section. Is this something I can request of my doctor?

Can I request a c-section instead of having a vaginal birth? I’m scared of giving birth and would prefer to have a c-section. Is this something I can request of my doctor?

While: While fear of childbirth is a totally understandable response to an unpredictable, new, and potentially pain-inducing life event, there are healthier ways to face and overcome your fear of childbirth than elective c-section. Ironically, requests for elective c-section (meaning that it’s not medically necessary) are becoming increasingly popular, at a time when natural childbirth is also experiencing a renaissance. Reasons your might request an elective c-section include:

1. Wishing to avoid a long, painful labor
2. Scheduling birth in your busy day planner
3. Being delivered by the doctor of your choice
4. Avoiding going too far past your due date, which can increase the risk of complications with the baby
5. Lowering the risk of postpartum hemorrhage when compared to either planned vaginal delivery or unplanned c-section
6. Fear of sexual dysfunction or urinary incontinence (although elective c-section has not actually been shown to reduce these risks)

what many don’t realize, however, is that elective c-section is much riskier than vaginal birth. Risks include:

1. Greater pain postpartum
2. Longer recovery
3. Higher risk of postpartum infection, surgical wound complications, hysterectomy, anesthetic complication, blood clots, and other postpartum complications
4. Greater risk that the baby will have respiratory problems at birth, especially if c-section is done before 39 weeks gestation without first doing an amniocentesis to make sure the baby’s lungs are mature
5. Increased neonatal death rate
6. More risk in future pregnancies, including the risk of placenta previa and accreta, uterine rupture which may result in death of the baby, and surgical complications such as bladder injury, bowel injury, and scar tissue.

If you understand these risks and wish to request an elective c-section anyway, go ahead and bring it up with your doctor, but understand that some doctors might say no, and your insurance might refuse to cover it. It’s your body and your choice, but although elective c-section is becoming increasingly popular in countries like brazil, it’s still far from the norm in most countries. Instead of seeking ways to avoid your fear of childbirth, consider leaning into your fear, using it as an opportunity to be present with fear, learn from it, and realize you need not let fear keep you from living the vital, joyful, fully-expressed life that is your birthright. ...Read more

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Office hysteroscopy and biopsy. 2 full-term csection preg. But first dilated only to 5cm and 2nd emergency section. Never had vaginal birth. No issues with pap smears etc. Worried about pain issues?

Office hysteroscopy and biopsy. 2 full-term csection preg. But first dilated only to 5cm and 2nd emergency section. Never had vaginal birth. No issues with pap smears etc. Worried about pain issues?

Worried: I do not know what type of anesthesia is planed. Best discusse it with your gynecologist. Usually office procedure of that type is done under local (paracervical block) anesthesia and sedation, and that does not cause discomfort. ...Read more

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If a mother has a history of genital herpes, what are the odds of a baby having birth defects both for c-section and vaginal birth?

If a mother has a history of genital herpes, what are the odds of a baby having birth defects both for c-section and vaginal birth?

Varies: Birth defects are not an issue with maternal herpes. The baby is at risk of a severe infection from the germ. The risk period begins with the opening of the bag of waters if mom is actively shedding the virus during a recognized or silent outbreak. The germ can travel into babies system & lay dormant for a while or immediately cause infection. A c-section before labor starts can avoid the risk. ...Read more

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How long after a csection can you have vaginal birth.

The next birth: It is possible that the next birth may be possible for you to have a vaginal delivery. Discuss with your ob, best wishes. ...Read more

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I've had 1 csection almost 4 years ago. I think I have genital herpes. Can I have vaginal birth without baby getting it or stick to csection?

I've had 1 csection almost 4 years ago. I think I have genital herpes. Can I have vaginal birth without baby getting it or stick to csection?

Yes: The issue is how to handle the herpes. Can be useful to go on preventative therapy in pregnancy. Very important to have an exam near delivery to make sure there are no active lesions. But most women are able to have a vaginal birth in this case from a herpes standpoint. ...Read more

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I had to have a c-section with my first child due to failure to progress, is there any hope for a vbac or is my body just not made to deliver a baby vaginally?

Check with OB: If you went through labor before your first, your OB must have thought you could have a regular delivery. Your health & status with subsequent pregnancies & the projected size of baby may allow a vbac, but I would only do so in a facility capable of immediately taking you to surgery if problems arose during your attempt. Many try & are successful. Good luck. ...Read more

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Hi. Is it normal to have vaginal brownish colored discharge after 50 days from C-section birth...

Hi. Is it normal to have vaginal brownish colored discharge after 50 days from C-section birth...

Yes: Are you breastfeeding? Have you resumed normal periods? What are you using for birth control?

Likely perfectly normal - check with your obgyn if you prefer.

Good luck! ...Read more

Vaginal Birth (Definition)

A vaginal birth is one in which the baby passes thru the cervical opening into the vagina and out the vaginal opening. Sometimes naturally, or sometimes with assistance with forceps or vacuum extraction to assist moving the baby's head thru a vaginal area ...Read more