Doctor insights on:
Vbac Repeat C Section
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
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
Infection, bleeding.: An urgent or emergent repeat cesarean section after failed trial of labor in women with a prior cesarean section can be a very morbid procedure with high risk for infection, fever, bleeding, transfusion, injury to the bladder, ureters, bowel, possible hysterectomy and infertility. A prelabor repeat c-section is infinitely safer and more controlled - and is a much preferable choice. ...Read moreSee 2 more doctor answers
Depends: It depends on a number of factors which mode of delivery to choose after a previous c/section. First and foremost, the reason for the first c/section needs to be taken into account. Next, is the hospital equipped to allow for a safe VBAC. This is a question that needs to be discussed with your obstetrician. If you have your prenatal care in a "staff clinic", ask to talk to the attending physician. ...Read more
Depends on you: A vbac carries the risk of uterine rupture, which is very serious. Many people, however, do have successful vbacs. Some hospitals or doctors do not have the insurance to do vbacs, so check with them. If you have had a successful vaginal delivery, the chances of vbac success are great. You will need to talk to your doc about all of the risks and benefits of attempted vbac in your own situation. ...Read more
Maybe...depends...: You are at higher risk when you have an old incision on the uterus whether it be from prior removal of a fibroid or a c-section. The fear is that it may open up causing uterine rupture. With that said, the risk of uterine rupture depends on the location and number of the previous old incision(s). At the same time, there are risks to repeat c-sections as well. Discuss all options with your md. ...Read moreSee 1 more doctor answer
Would I ever be allowed to do a VBAC after 3 c-sections if my last c-section was over 6 years ago?
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 moreSee 2 more doctor answers
Is there anything i can do to increase my chances of having a vbac? Is it normal for women to report an emotional loss following a c-section?
Yes, common: Yes, it is very common to experience emotional difficulties around the delivery by c-section. Many women are committed to a normal vaginal birth, and in the absence of this success feel a sense of loss. While there is no physiological reason to be concerned, we often set ourselves up for such difficulty. Limiting weight gain and exercising during pregnancy can help increase the success for vbac. ...Read more
Usual practice: By most authorities would be to proceed with a VBAC under these circumstances unless an issue has come up requiring c section although this varies from country to country and the VBAC would need to be done in hospital so a c section can be done rapidly if complications/fails. For specifics for your situation and risks please consult an obstetrician or maternity carer. ...Read more
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
Does a hocky stick cut (emergency csection) 8 years ago, followed by 2 normal repeat csections void my chances for VBAC?
No VBAC: It is too risky to attempt VBAC in this situations. Per ACOG guidlines, two normal cesareans already voids your chances for VBAC. The hocky stick cut really increases you chances for uterine rupture as well. Uterine rupture is a very serious thing. Please do not attempt a VBAC. ...Read more
I'm 40weeks and 2 days. Trying for a vbac. Currently baby is down but not engaged. Any tips to help move baby downwards so I can try and avoid a c section?
This is one issue: that will need to be discussed with the obstetrician who knows more about your prior c-section and your hip issues. Can't help too much using this format. Take care. ...Read more
Is it possible for a person that had a c-section a year ago and that is pregnant looking to getting a VBAC ?
Can you tell me in maybe 4 or 5 years down the road. should I consider vbac or stick with a scheduled c-section for a second child?
Depends on lots: First, the type of C-section you had has bearing. Only your operating physician or your op report can answer that. Some types cannot have subsequent vaginal attempts. Next, why did you need a C-section - is that same thing likely to happen again ,like a really big baby or a small pelvis on your part. Finally, you have to consider the risk of uterine rupture with VBAC - are you willing to risk it? ...Read more
Ive had two normal deliverys in 2013 and 2014 ,my 3rd was a c section due to breech.what are my chances of a vbac?how long should i wait.
Hard to say: Factors like baby size/position/type of last c-section /problems in labor all come into play when dealing with VBAC. Many docs will coordinate a trial of labor with an operating room on standby to shift into CS plan if any problem arises. Your doc decides on how long to wait based on his/her assessment of the risks to you both at the time. ...Read more
I had a c section 11 months ago and I am currently pregnant and due December 22 I had a total of two c section and want to have a vbac is it possible?
VBAC after 2 C/S's: Caesarean operations weaken the uterine wall and labor can rupture the wall, leading to very serious effects on mother and infant. If you contemplate a "VBAC" , your OB should discuss the risks with you. Careful monitoring , and a planned induction at 37 weeks may be possible, but remember, a healthy baby is more important than the way he/she may enter the world. ...Read more
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 moreSee 1 more doctor answer