For the baby, the advantages of a successful VBAC include a lower likelihood of breathing problems these are usually temporary, but may require a short stay in the NICU. And C-section may possibly increase the odds of immune-related problems, such as allergies and asthma, and possibly even type 1 diabetes, later in life. So much for the benefits — what about the risks? A VBAC attempt a. In a small number of cases, contractions can cause the uterus to tear, usually along the scar.
This necessitates an emergency C-section, which is slightly riskier than the scheduled variety. For a woman who goes into spontaneous labour after one low transverse C-section the most common type , the odds of this happening are about one in , according to Andrew Kotaska, clinical director of obstetrics and gynaecology at Stanton Territorial Hospital in Yellowknife.
Mind you, in a modern obstetrical unit, the risk of something truly dire happening is much lower than that. That means that the chance of a baby suffering brain damage or death during a trial of labour is approximately one in 2,, though some doctors, like Barrett, place that number slightly higher, at one in 1, To put those statistics in perspective, the SIDS rate is about one in 2, live births.
To minimize the risk, many caregivers recommend only trying a VBAC in a hospital that has anaesthetists and surgeons available around the clock. What about an elective C-section? They may also, understandably, want to avoid a repeat performance of a long, gruelling labour that ultimately ended in a C-section. Risks to your baby - the risk of your baby dying if you undergo VBAC is very small two in women or 0.
This is no higher than if you were labouring for the first time, but it is higher than if you have an elective repeat caesarean birth nine in 10, or 0. However, this has to be balanced against the risks to you if you have a caesarean birth. These are when:. You will be advised to labour in hospital so that an emergency caesarean birth can be carried out if it becomes necessary. There should also be facilities for immediate blood transfusion and neonatal resuscitation if required.
These are the reasons why a home birth or birth centre birth are not recommended for a woman planning a VBAC. Contact the hospital as soon as you think you have gone into labour or if your waters break.
You can have an epidural if you choose. After the cesarean, when it comes time to have her next child, the mother still has the option to deliver vaginally. A vaginal birth after cesarean, or VBAC, is a viable option for many pregnant moms, and something that UVA obstetricians will offer to the right candidates.
In appropriate candidates, I would absolutely encourage a trial of labor or TOL after cesarean if the patient is fully informed on the risks and benefits.
A trial of labor is an attempt to have a vaginal birth after a cesarean. If the TOL is successful, the mother will have a successful vaginal birth. If unsuccessful, the labor will result in another c-section. Having a successful VBAC can help reduce recovery time for mom and baby.
Babies who enter the world through the birth canal are exposed to additional bacteria that may help protect them from health issues as they grow. But not everyone is a good VBAC candidate.
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