Many women have delivered their babies vaginally, even with more than one prior cesarean. A vaginal birth after multiple cesareans, for many woman, may be a low risk option. It is important that a woman is well-educated and informed before making the choice to VBAC after multiple cesareans. You should discuss this risks, benefits, and alternatives with your healthcare practitioner.
Help! My hospital has a VBAC ban. What can I do?
Many hospitals have bans on laboring after one cesarean, or laboring after multiple cesareans. These bans can make it harder to have a VBAC, however, it does not mean that a repeat cesarean is required. Every patient has the right to informed decision making, which includes the right to accept or decline procedures or medications. You may find the hospital complaint system to be a good starting point in determining birth options.
Who is a good candidate for a VBAC?
Every pregnancy is different and it is important to evaluate your situation carefully with a trusted healthcare provider. Although there are some specific definitions set in place by organizations such as ACOG defining who is and isn’t considered a “good candidate” for a trial of labor after cesarean, they also recommend evaluating individual circumstances with your healthcare provider.
What are the risks of laboring after cesarean?
When discussing a VBAC, uterine rupture is a specific risk that is typically mentioned. Uterine rupture occurs with a separation of the uterine wall. Uterine rupture can be life-threatening and serious, however, the risk of uterine rupture occurring is very rare, affecting less than 1% of those laboring after cesarean with a low transverse incision. Studies show the risk of uterine rupture decreases with each VBAC.
What is a VBAC?
As the meaning behind the acronym implies, a VBAC is a vaginal birth after a prior cesarean. Many people that labor after cesarean will go on to have their babies vaginally (VBAC).
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