Story by: Norton Healthcare on February 2, 2022
If you are pregnant again and delivered your last baby via cesarean delivery (C-section), it still might be possible to have a vaginal birth.
While patients who attempt to have a vaginal birth after C-section (VBAC) have about a 60% to 80% success rate, your safety and the safety of your baby are the most important thing to keep in mind.
“Vaginal birth isn’t right for everyone,” said Kimberly S. Barnes, APRN, CNM, a midwife with Norton Women’s Care. “The main thing is to weigh all the risks to determine what is best for you and your baby.”
Some patients will be better candidates for a vaginal birth after C-section than others. If you and your doctor agree to try, you will have what is called a “trial of labor after cesarean,” or TOLAC. This means you will prepare for a vaginal birth and go into labor with the goal of delivering vaginally.
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There are many reasons to consider vaginal birth. Some of the benefits include:
The primary risk is rupture of the uterine scar from a prior cesarean delivery. However, a rupture occurs in only about 1 in 500 patients who choose to deliver vaginally.
Even though ruptures happen in only about 1 in 500 pregnant patients, it can be very dangerous. You and your provider will need to weigh your options and evaluate your health status before deciding.
Being in good health and having had a prior vaginal birth make a patient a good candidate for VBAC.
Other factors include:
Having a birth plan can help make sure everyone involved in delivering your baby knows what you want to happen, whether it’s a VBAC or another option.
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