I want a VBAC: What are my chances?

This is also taken from a babycenter.com article. It’s very encouraging to those of us who are dreaming about having a VBAC. Read:

What are my chances of giving birth vaginally after having a c-section?

As long as you’re an appropriate candidate for a vaginal birth after a cesarean, also known as a VBAC, there’s a good chance you’ll succeed. Of course, your chances of success are higher if the reason for your prior c-section isn’t likely to be an issue this time around.

For example, a woman who has already had an easy vaginal delivery and then had a c-section when her next baby was breech is much more likely to have a successful VBAC than one who had a c-section after being fully dilated and pushing for three hours with her first baby who was small and properly positioned. (Having given birth vaginally boosts your odds dramatically.)

That said, it’s impossible to predict with any certainty which women will achieve a vaginal delivery and which will end up with a repeat c-section. Overall, about 60 to 80 percent of women who attempt a VBAC deliver vaginally.

If you decide to try it, you’ll need a caregiver who supports the idea. Your caregiver must also have admitting privileges at a hospital that allows VBACs and where appropriate coverage is available around-the-clock.

An increasing number of hospitals have strict criteria regarding who will be allowed to attempt a VBAC because of controversy about their safety, specifically the potential for uterine rupture — a rare injury, but one that can be catastrophic for mother and baby.


1 Comment (+add yours?)

  1. erinmidwife
    Aug 03, 2010 @ 04:31:44

    Have you been to the ICAN forums? Great support and info there. There is so much being discussed right now about the recent ACOG VBAC revision. Here is an excellent post: http://itinerantlabor.blogspot.com/2010/07/why-acogs-new-vbac-guidelines-dont.html

    A lot of docs bait and switch — they will pay lip service to VBACs, then at 38 weeks shower their patients with reasons why they ‘can’t’ have one. The best odds for having a VBAC happen with a care provider who not only believes in normal birth, but who has actual experience attending them. Choosing a homebirth midwife or hospital-based midwife is the best place to start. If you choose to birth in the hospital, avoid induction unless there is a warranted medical reason (there usually isn’t) and be prepared to advocate for your autonomy at every step of the way!


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