VBAC, or Vaginal Birth After Caesarean, is the case where a woman has undergone C-section (Caesarean) delivery previously and hence becomes eligible for Vaginal Delivery.
Some of the conditions where a woman is considered a good candidate for VBAC are: • The size of the pelvis seems enough to allow the baby safely pass through • The pregnancy is progressing in normal fashion and the woman and her baby are healthy • The woman is not suffering from any major medical problems • The candidate has never suffered from uterine rupture • The reason for the woman’s prior C-section is not repeated this time • A doctor is there to monitor the labour and if necessary, do an emergency C-section • The size of the baby is normal • The woman is not suffering from any obstetric or medical problem that would result in the vaginal delivery becoming risky
The following are a few of the steps to be taken before the procedure: • The doctor should have the patient’s medical history, which definitely includes the details of the woman’s previous C-section and other uterine procedures. • The patient and her loved ones should learn as much about VBAC as possible, including talking to people who have experienced it before. • The hospital must be one that has the provision for emergency C-section. • The patient’s body should be physically prepared, should be in good physical condition. • The patient should avoid taking drugs for inducing labour, and instead should allow the labour to begin naturally if possible. • The patient should maintain a positive outlook.
• VBAC is just like a normal vaginal delivery, the difference being that in VBAC the mother and the baby are monitored more closely during labour. • Another difference is that in the case of VBAC, prior preparations for an emergency C-section will have been made, in case there is a need.
In case of a successful VBAC, the following are some of the things the patient might experience after the procedure: • A successful VBAC means more chances of successful VBAC in future • Less pain • Shorter time period of stay in the hospital
Risk and Complication
Amongst the risks and complications are the following: • Failed attempt at labour, which results in unplanned C-section, which in turn is more risky than a planned C-section. • Uterine rupture, leading to oxygen deprivation for the baby and severe blood loss for the mother • Infection in uterus
Cost: VBAC costs roughly Rs. 60,000.
A few of the benefits of VBAC are as follows: • Neonatal breathing problems are fewer • Prevention of mother’s death from surgery • Breastfeeding is better after vaginal birth • The cost of VBAC is lesser than C-section.
Credihealth is a medical assistance company that gives guidance to a patient from the first consultation through the entire hospitalization process. A team of in-house Credihealth doctors helps the patient find the right doctor, book appointment, request cost estimate for procedures and manage admission & discharge processes.