What is a VBAC?
The worldwide rate of caesarean section (CS) is increasing. In Australia, approximately 1/3 of babies are now born by either elective or emergency CS. As such, there are many women who required a CS in a previous pregnancy but who now wish to try for a vaginal delivery in this pregnancy (Vaginal Birth After Caesarean – VBAC). Dr. Colin Walsh is very happy to support this decision if it is your choice and there are no medical reasons which would make this choice unsafe.
Am I suitable to try for a VBAC?
The overall rate of successful VBAC is 70-75%. It is not 100% because there is always the risk of an unexpected problem in labour (unfortunately no woman can be guaranteed a vaginal delivery). Women considering VBAC should meet the following safety criteria:
What are the benefits of a successful VBAC?
What are the risks of attempting a VBAC?
I am worried about the risk of uterine rupture
Uterine rupture is the most feared complication with VBAC but is thankfully rare. It refers to a situation where the scar on the woman’s uterus opens up during labour. The risk in spontaneous labour is 1-in-200 and in labour requiring oxytocin is 1-in-100.
How will a VBAC affect my labour?
Help!! I don’t know what to choose!
Don’t worry – you have lots of time. Although the option of VBAC is usually discussed early in pregnancy, this is to give you and your partner plenty of time to weigh up your options. You do not need to make a final decision until 36 weeks or so and an ultrasound scan to determine the baby’s weight and position at that time can be very helpful.