Vbac what does it mean

But it doesn't happen with 75 out of women who try VBAC. About 5 out of women have a uterine rupture during a trial of labor. The chance of infection. Women who have a trial of labor and end up having a C-section have a higher risk of infection.

This means that the risk of infection is lower after vaginal births and after planned cesareans. Blood loss that requires a blood transfusion. Genital or urinary problems. Blood clots. Risks from anesthesia. A longer recovery time. Injury to the baby during the delivery. The injury usually isn't serious. Breathing problems respiratory distress syndrome for the baby after birth if the due date has been miscalculated and a cesarean is done before the baby's lungs are fully developed.

Exams and Tests Besides the usual prenatal tests, your doctor will take measures to assess whether vaginal delivery is likely to be a safe birthing option for you.

Assessments done sometime during the pregnancy to help find out whether a trial of labor is a safe option may include: A review of surgery records to verify the type of incision used for a previous cesarean. A fetal ultrasound. Fetal heart monitoring , which is also used during labor and delivery to watch for fetal distress. Fetal heart monitoring can also help detect a sudden uterine rupture.

A rupture is typically followed by a sudden and then ongoing drop in fetal heart rate. The mother might notice bleeding and pain. Childbirth and VBAC education To prepare for labor, consider taking a childbirth education class at your local hospital or clinic.

You and your birthing partner can learn: What to expect during labor and delivery. How to manage the birth using controlled breathing and emotional and physical support. What medical pain-control options may be available for a vaginal delivery. Labor Other than requiring closer monitoring, trial of labor after cesarean, or TOLAC labor, is the same as normal labor. For more information, see: Labor and Delivery. Cesarean Section.

What to Think About Any woman in labor—not just one attempting a vaginal birth after cesarean VBAC —might have complications during childbirth that require a cesarean section delivery. If you are considering VBAC, talk with your doctor about: The risks of vaginal and cesarean deliveries in your case. Here are some points to keep in mind: Serious complications with either vaginal or cesarean births are uncommon.

A cesarean section is a surgical procedure and requires the use of anesthesia. Any surgery carries a risk of infection, excessive blood loss, and problems caused by the anesthesia.

Women who need a cesarean after a trial of labor have a higher rate of infection than those who have a cesarean without a trial of labor. Whether your doctor will be available in the hospital throughout your labor and whether the hospital has facilities for an emergency cesarean delivery. The possibility that a trial of labor may end in cesarean delivery. How and at what point during labor the decision is made to do a repeat cesarean.

Which types of pain medicine or anesthesia you may use during labor and delivery or during a cesarean. Your specific risk factors for uterine rupture during VBAC and the possible complications of a rupture, such as removal of the uterus hysterectomy. References Citations Guise JM, et al. Vaginal birth after cesarean: New insights. Evidence Report Publication No. American College of Obstetricians and Gynecologists Vaginal birth after cesarean delivery.

Obstetrics and Gynecology , 5 : e—e DOI: Accessed May 25, Guise JM, et al. Cunningham FG, et al. Prior cesarean delivery. In Williams Obstetrics , 23rd ed. New York: McGraw-Hill. Health care guideline: Management of labor, 4th edition.

National Institutes of Health consensus development conference statement: Vaginal birth after cesarean: New insights March 8—10, Obstetrics and Gynecology, 6 : — Credits Current as of: October 8, Your health care provider might use your medical history to 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.

If you choose VBAC , when you go into labor you'll follow the same process that's used for any vaginal delivery. 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.

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Overview If you've delivered a baby by C-section and you're pregnant again, you might be able to choose between scheduling a repeat C-section or a vaginal birth after cesarean VBAC. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Metz TD. Choosing the route of delivery after cesarean birth. Accessed Feb. This might happen if the monitoring shows that your baby is in distress or if your labour is very long, which puts more strain on your scar.

And an unplanned caesarean can have more problems than a planned elective caesarean. These problems include infection and increased bleeding. Your chances of having a successful VBAC depend on a few things, including your health and the reason why you had a caesarean birth previously. A comfortable and positive birth setting, caregivers and support people can increase your chances of having a vaginal birth. Continuous support during labour might help you to feel more comfortable and relaxed.

This might be support from a familiar midwife, a close support person or a doula. Going to special VBAC classes is also a good idea, so you know what to expect. You might be able to do some VBAC classes online.

Eating healthy food and keeping active during pregnancy can keep you fit and well, which also boosts your chances. My doula was fantastic in reminding me of my rights and reinforcing them to my husband who could then talk with the staff. My husband demanded a doctor who would support my decision to try to VBA2C vaginal birth after two caesareans.

Doctors and midwives will usually say that a hospital birthing suite is a safer choice. Skip to content Skip to navigation.