Remember that you have options, and no one can make you do anything you do not consent to. We encourage you to learn about the best methods for VBAC Induction and discuss these options with your provider.
I also love this video that Julie made breaking down VBAC Induction, when to do it, and what a safe induction should look like. VBAC rates are different all over the world.
In the US success rate was shown at The chances may be higher for certain situations than others. For example, if you had a vaginal birth prior to your Cesarean Section, your chance of having a VBAC is considered higher. I remember people asking me why I felt I could have a vaginal birth, after a provider told me I would never get a baby out of my pelvis.
The simple answer to that question is that my body was made to do it this way, and I just had the wrong support team. VBAC rates across the United States and in other countries as well can be fairly low even though success rates are high, meaning that the percentage of people who actually achieve a VBAC when they plan one are high.
It hurts my heart to know that there are so many people out there that qualify for a VBAC, but are simply not given the opportunity to try. It makes me wonder just how high that Now that we know VBAC is a safe and reasonable option for most, and induction is not a contraindication, how long past that due date should you really go?
ACOG states that 41 weeks plus 6 or 7 days is considered late-term pregnancy. Anything after 42 weeks is considered post-term, and induction after that point should be considered. Typically, no matter where you are planning to give birth, if you have reached 41 weeks gestation, your provider will suggest a non stress test NST to check on the baby. You may need to transfer care. Be sure to discuss what protocols your provider has in place for parents who have reached their 41st or 42nd week of pregnancy.
With VBAC, there is worry that waiting too long is unsafe. People will say it raises your chances of rupture, that your baby is growing and may become too big to get out vaginally, or the risk of stillbirth goes up.
So how do you really know? Your health care provider should be prepared to monitor labor and perform or refer for a cesarean if necessary. Your birth location should have personnel available on weekends and evenings in case a cesarean is necessary.
What other criteria would make me a good candidate for a VBAC? A fourth or fifth cesarean has more risk than the first or second. Can I get pregnant if…?
Share this post:. Share on facebook Facebook. Share on twitter Twitter. Share on linkedin LinkedIn. Share on email Email. Similar Post. If you're planning for more pregnancies, VBAC might help you avoid the risks of multiple cesarean deliveries, such as placental problems. While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture.
However, uterine rupture is life-threatening for you and your baby. During a uterine rupture, the cesarean scar on the uterus breaks open. An emergency C-section is needed to prevent life-threatening complications. Treatment might involve surgical removal of the uterus hysterectomy. If your uterus is removed, you won't be able to get pregnant again. VBAC eligibility depends on many factors. For example:. If you choose VBAC , when you go into labor you'll follow a process similar to that used for any vaginal delivery.
However, your health care provider will likely recommend continuous monitoring of your baby's heart rate and be prepared to do a repeat C-section if needed. If you're considering VBAC , discuss the option, your concerns and your expectations with your health care provider early in pregnancy.
Make sure he or she has your complete medical history, including records of your previous C-section and any other uterine procedures. Your health care provider might calculate the likelihood that you'll have a successful VBAC. Also, plan to deliver your baby at a facility that's equipped to handle an emergency C-section. Continue discussing the risks and benefits of VBAC throughout pregnancy, especially if certain risk factors arise.
Above all, try to stay flexible. Know that epidurals do not affect the chances for a successful VBAC. In fact, many doctors recommend epidurals early on during labor to eliminate the need for general anesthesia in the event that an emergency C-section becomes necessary general anesthesia is riskier for pregnant women than an epidural is.
Keep in mind that your course of labor can change at any time, especially if you need to be induced , which can reduce your chances of a vaginal delivery and up the risk of complications.
But the opposite can also happen: If you go into labor before your scheduled C-section, your surgery date may be tossed out the window and a VBAC could occur if labor goes well and the baby is healthy.
Flexibility is the key here, as is learning as much as you can about the VBAC process. Other benefits to having a VBAC include the following:. The biggest risk of a VBAC is that it ultimately won't be successful and you'll be forced to give birth via emergency C-section; an emergency cesarean after a VBAC is considered one of the riskiest ways to deliver a baby.
That scenario can happen for many reasons — your labor doesn't progress, perhaps, or there's evidence of fetal distress. One of most problematic causes of a failed VBAC is uterine rupture , which is when the scar on your uterus from your previous C-section re-opens during labor, putting you and your baby at serious risk.
What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff.
0コメント