VBAC (obviously) not for everyone

I’m not so dumb to think that VBAC is 100% safe 100% of the time. I also don’t mean to imply at any time on my blog that VBAC is for everyone. I found this helpful information about increased risk factors for VBAC. It is taken from an article entitled “Risks of VBAC and RCS”: http://www.hippiedippiebebe.com/childbirth/risks-vbac-repeat-c-section/

Increased Risk Factors for Vaginal Birth after C-Section

In this article, I will present evidence and opinions that suggest that vaginal birth after cesarean represents an overall decreased risk compared to elective repeat cesarean. These statistics refer to the majority of women have chosen to attempt VBAC deliveries.

However, there are certain cases where VBAC may carry a reduced chance of success. If these cases do apply to you, you should certainly do your own additional research. And, whether or not you fit these categories, always consult with your qualified health provider for direct medical advice.

Circumstances which may carry a reduced chance of VBAC success include:

  • Women whose placenta overlies a previous uterine scar
  • Women who have had more than one previous cesarean with no previous successful VBAC since (successful VBAC increases the chance of additional future successful VBACs)
  • Previous classical incisions, as opposed to transverse lower-uterine incisions
  • Maternal diabetes
  • Use of hormones such as oxytocin for induction of labor

Factors that do not appear to increase risk of successful VBAC include:

  • Large estimated birth weight  ((HA! My crazy doctor told me I need to have a small baby! He’s WRONG!))
  • Premature rupture of membranes (water breaking early)
  • Post-date pregnancy (laboring after estimated due date) ((HA AGAIN! My doctor told me I have a deadline of 41 weeks. I guess he thinks the longer we wait the bigger the baby will get? ))

Ina May Gaskin said in her book “Ina May’s Guide to Childbirth”, “The medical evidence about VBAC is actually clearer than some recent medical and media interpretations of it would suggest. Cesarean surgery is just as risky as any other major abdominal surgery for the mother — a considerably higher risk for her than vaginal birth. With repeat cesarean she has three times the chance of dying and roughly five to ten times the risk of suffering complications.”


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