In this article:
How to Be an Eligible Candidate for VBAC
Not every individual who's had a caesarean delivery earlier is eligible for a vaginal delivery. Ask your doctor to examine whether your body and medical history make you an eligible candidate. You're generally considered eligible if:- Previously, you had one low transverse incision in your uterus.
- You have no record of complicated labour or uterine rupture.
- You've had no major pregnancy complications, like severe hypertension or placenta previa.
How Safe Is VBAC Compared to a Repeat C-section
This is one of the most important and natural queries. In most cases, the success rate of VBAC ranges between 60% to 80%, meaning the majority of individuals who opt for a vaginal birth.The uterine rupture is the main risk associated with VBAC, which happens in 1% of cases, but can become an emergency if not handled properly. By delivering in a hospital well-equipped for emergency care, these risks are significantly minimised.
Your doctor can explain how safety measures, such as continuous fetal monitoring and having a surgical team ready, help make VBAC a safer choice now.
What Are the Benefits of VBAC
Knowing the positive sides can make you feel better about your choice. So, here’s what’s likely if your VBAC goes smoothly:- You’ll probably be discharged earlier and get back to normal faster than after a C-section.
- It’s less painful, and you won’t have any surgical scar.
- A vaginal delivery has fewer postoperative complications than a caesarean delivery.
- VBAC can lower the chances of issues like uterine scarring or placenta accreta, which could cause problems later on.
What Risks Should You Know About
You’re allowed to feel worried or stressed thinking of the situation. However, understanding them can help you prepare more effectively. Here’s something your doctor might talk about:- Tearing of the uterus is a rare but serious problem.
- Emergency C-section if foetal distress occurs or labour stalls.
- Infection or bleeding, which are less common with repeat surgeries.
Can I Be Induced If I Opt for VBAC
Sometimes labour doesn't start on its own. If you want VBAC, but need to be induced, it requires extra care. Some medicines that cause contractions can make your uterus more likely to rupture. Ask your doctor:- When is induction not advised?
- Which are the safest induction methods for VBAC?
- Can natural methods, such as membrane sweeping, be tried first?
How to Prepare Myself Physically for a Successful VBAC
Preparation plays a crucial role in the success of VBAC. Discuss practical steps like:- Maintaining a healthy weight can help you boost labour progress.
- Staying active through simple prenatal exercises can help you build stronger muscles and increase energy.
- Remaining safe by maintaining an 18-24 month gap between two pregnancies following a C-section.
What If My VBAC Doesn’t Go as Planned
Even with careful planning, things don't always work as expected. You must ask your doctor about the backup plan if you need an emergency C-section. You can also ask:- How quickly can surgery be done if required?
- Will you be able to hold your newborn soon after birth?
- For a repeat C-section, what will recovery look like?
What to Do Further
- Review your C-section history with your doctor.
- Verify whether the hospital is prepared for a VBAC and what its emergency protocols are.
- Work on breathing and relaxation methods.
- Talk about your health problems and how long it might take to get better.
- Have your birth companion with you.
Emotional & Social Considerations
Choosing a VBAC can bring up all kinds of feelings, whether it’s fear, hope, or excitement. Talking about how you feel with your birth companion, physician, or even support groups can really help take the pressure off. Many mothers say that openly discussing labour expectations helped them feel more prepared.Remember, whether you end up having a vaginal birth or a C-section, the most important thing is that you and your baby are healthy and safe.
Going for a VBAC is really entirely personal, so make sure you plan carefully and clear your doubts with your doctor. Thoroughly know what could go wrong or right, ask the right questions, and get yourself ready physically and mentally. That way, you’re setting yourself up for a successful labour. Trust your instincts, know what’s going on, and most importantly, choose the safest way for you and your baby.
Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.
FAQs on Questions to Ask Your Doctor Before Trying for a VBAC
- How long is the best wait time for VBAC following a C-section?
Generally, the wait time before getting pregnant following a C-section is 18 to 24 months in case you’re planning for a VBAC. This gives your uterus time to heal and may prevent the likelihood of tearing later on. - Can I have an epidural during a VBAC?
Yes. Epidurals don’t usually cause any harm during VBAC. Your doctor will likely want to monitor your condition closely to ensure everything is going well. - What if I go past my due date while planning VBAC?
If you go past your due date, your doctor will check on the baby and assess the condition of your cervix. Sometimes, they might also plan to use induction to start labour or schedule another caesarean delivery.
