If the reason was anything else baby's heart rate didn't tolerate labor, breech position, etc. If a woman has ever had a previous vaginal birth, this also significantly increases her chances of a successful VBAC. Certain types of C-sections also pose significantly more risks, so it is important for your doctor to know the details of previous C-sections.
A: Women with a previous C-section need to discuss their goals and history with their obstetric provider to come to a joint decision. Are you a candidate? Doctors say vaginal birth after C-section can be a safe and appropriate option for many women - p.
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Other Programs and Training. Keep in mind that your course of labor can change at any time, especially if you need to be induced , which can reduce your chances of a vaginal delivery and up the risk of complications. But the opposite can also happen: If you go into labor before your scheduled C-section, your surgery date may be tossed out the window and a VBAC could occur if labor goes well and the baby is healthy.
Flexibility is the key here, as is learning as much as you can about the VBAC process. Other benefits to having a VBAC include the following:. The biggest risk of a VBAC is that it ultimately won't be successful and you'll be forced to give birth via emergency C-section; an emergency cesarean after a VBAC is considered one of the riskiest ways to deliver a baby. That scenario can happen for many reasons — your labor doesn't progress, perhaps, or there's evidence of fetal distress.
One of most problematic causes of a failed VBAC is uterine rupture , which is when the scar on your uterus from your previous C-section re-opens during labor, putting you and your baby at serious risk.
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Medically Reviewed by Andrei Rebarber, M. Medical Review Policy All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals. Sadie Wild Photography. Treatment might involve surgical removal of the uterus hysterectomy. If your uterus is removed, you won't be able to get pregnant again. VBAC eligibility depends on many factors. For example:. If you choose VBAC , when you go into labor you'll follow a process similar to that used for any vaginal delivery.
However, your health care provider will likely recommend continuous monitoring of your baby's heart rate and be prepared to do a repeat C-section if needed. If you're considering VBAC , discuss the option, your concerns and your expectations with your health care provider early in pregnancy.
Make sure he or she has your complete medical history, including records of your previous C-section and any other uterine procedures. Your health care provider might calculate the likelihood that you'll have a successful VBAC. Also, plan to deliver your baby at a facility that's equipped to handle an emergency C-section.
Continue discussing the risks and benefits of VBAC throughout pregnancy, especially if certain risk factors arise. Above all, try to stay flexible. The circumstances of your labor could make VBAC a clear choice or, after counseling, you and your health care provider might decide that a repeat C-section would be best after all.
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