> Natural birth after a c-section, how to decide

What are my choices for a natural birth after a caesarean section?


  • Introduction
  • What does it mean to VBAC?
  • What are the advantages of a VBAC success?
  • What are the disadvantages of a VBAC?
  • the

  • When &is not recommended for a VBAC?


more Than one woman in every five (20%) in the United Kingdom delivers, with a caesarean section (a surgical intervention during which it is carried out a cut in the abdomen and the baby is extracted from that cut).

If you have had one or more caesarean sections you can think of to have a natural birth (VBAC) on the occasion of the next pregnancy.

Whether you choose to have a vaginal birth than a caesarean section, in any case, the choice is safe with different risks and benefits.

Considering your choice, the doctor will beà of the questions on your health history and about your previous pregnancies. Will takeà to know:

  • The reason you have had a caesarean section and what è happened. It was an emergency?
  • the

  • The type of cutting that has been done.
  • What you feel for your earlier parts, and that any doubts you have. If the current pregnancy is a physiological or there were complications or problems. The gynaecologist or midwife will take into account the possibilityà of a vaginal birth, your personal wishes and programs reproductive future.

Cosa vuol dire VBAC?

VBAC stands for “vaginal birth after cesarean”. Is the term used when a woman gives birth vaginally, having had a caesarean section in the past. Giving birth vaginally includes birth assisted by forceps or suction.

cos’è  an elective cesarean delivery?

caesarean section elective means a caesarean section scheduled. The date is usually scheduled during the prenatal visit at the hospital. Cesarean delivery is usually scheduled seven days prior to the expiration date, unless there is a reason why you or your child you need an earlier delivery.

What are the advantages of a VBAC success?

The advantages of a VBAC include:


  • a vaginal birth (which might include an assisted delivery);
  • the

  • with a greater probability; a normal delivery without complications in future pregnancies.
  • the

  • a più short recovery and a short stay in the hospital;
  • the

  • less abdominal pain after birth;
  • the

  • not surgery.

When &is  likely that the VBAC is a success?

On the whole, about three women out of four (75%) with a pregnancy physiological have a vaginal birth after having had a caesarean section.

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If you è had a vaginal birth, either before or after the caesarean section, in this case, about nine in ten women (90%) have a vaginal birth.

most of The women with two previous caesarean sections to have their next baby by caesarean delivery. However, you should go into labor and the probability; of a vaginal birth were only slightly lower  (between 70% and 75%).

What are my possibilitiesà of a VBAC success?

A number of factors (risk factors) which makes the probability; of a vaginal delivery success less likely.  These occur when:


  • non c’è never was a vaginal birth;
  • the

  • should make an induction
  • the

  • in the previous birth, the labor was not progressing and this has made a caesarean delivery (usually due to the location of the child);
  • c’è overweight –  body mass index (BMI) more than 30 at the time of booking.

What are the disadvantages of a VBAC?

The disadvantages of VBAC include:


  • the caesarean section emergency. C’è chanceà sarà need to do an emergency caesarean section during the labor. This happens in 25 women out of 100 (25%). The figure is only slightly higher than what you può be sure to check if you were to give birth for the first time, when the probability; of a cesarean section an emergency is 20%. The usual reasons for a caesarean section emergency are the slowdown of labor, or if there is a concern for the welfare of the child.
  • the

  • the blood Transfusion and infections uterine. Women who choose VBAC have a 1% greater probabilityà you need a blood transfusion or having an infection in the uterus compared to women who choose a caesarean birth.
  • the

  • the Weakening or rupture of the scar. C’è chanceà that the scar on the uterus will weaken and open. If the scar opens completely (broken scar) this può have serious consequences for you and your child. Thereò occurs in 0.5% of cases. Receive an induction increases the chanceàò happen. If there are signs of these complications, the child will be extracted with a birth emergency c-section.
  • the

  • the risks to the child. The risk for the child to die or to be damaged at the level of the brain during a VBAC is very small (two women out of 1000 (0,2%). This finding is higher if you are travagliando for the first time, but is higher if the woman has received the più caesarean sections elective. However, the data must be balanced with the risks of maternal in the case of cesarean delivery (see below). These disadvantages are more likely in women who attempt a VBAC without success.

When &is not recommended for a VBAC?

There are few occasions where you can make a VBAC not is advisable and repeat caesarean section is the choice più safe. These are when:

  • you have had three or more; previous  c-sections;
  • the uterus is broken in the course of a labor previous;
  • the

  • è was made an incision of the uterus high (cesareo classic);
  • the

  • do you have other pregnancy complications that require a caesarean section.

What are the advantages of repeat caesarean section elective?

The advantages of the repetition of a caesarean section are:


  • Virtually no risk of rupture of the uterine scar;
  • the

  • to Avoid the risks of labour and particularly the risk of possible brain damage or stillbirth from lack of oxygen during labour (one in 1000 or 0.1%);
  • the

  • knowledge of The date of delivery. However, since caesarean delivery is planned for seven days prior to the expiration date, c’è chanceà andrà in labor before the date of your caesarean delivery. One in ten women (10%) goes into labor before this date.

What are the disadvantages of repeat cesarean delivery?


  • the A surgical operation più long and perhaps moreù difficult. A cesarean section repeated usually requires more time than the first operation because of scar tissue. This last può also make the operation more difficult, and può damage to the intestines or the bladder. There are rare reports of cutting accidental of the child at the time of caesarean section.
  • the

  • the Possibilityà of a blood clot (thrombosis). A blood clot that occurs in the lung is called a pulmonary embolism. A pulmonary embolism can be life-threatening.
  • the

  • the recovery Period più long. You may need extra help at home and you will not be able to drive for six weeks after delivery.
  • the

  • the breathing Problems for your child. The breathing problems are quite common after caesarean delivery and usually do not last long. Sometimes the child avrà need to be admitted to neonatal intensive care. Between three or four out of every 100 children (3-4%) born by elective cesarean delivery have breathing problems compared with 2-3% following a VBAC. Wait until seven days before the due date minimises this problem.
  • The needà of elective cesarean delivery in future pregnancies. With every cesarean section increases the scar tissue. This increases the possibilityà that  the placenta develops in the scar making its removal difficult. Thereò può cause blood loss and può to require the intervention of hysterectomy. All risks increase with every caesarean section.

What happens if within into labor while I’m planning a VBAC?

You will be invited to enter the hospital so that a caesarean section of emergency may be made if necessary. You will need to contact the hospital as soon as you think you have started labour or if your waters break. Once you are in labor, you and the baby’s heartbeat will be monitored continuously. You canò have the epidural if you want.

What happens if I don’t go in labor  when planning a VBAC?

If the labor does not occur until 41 weeks, and will be discussed several options. These are:


  • Continue to wait
  • the

  • Induction of labor. This increases the risk of weakening of the scar and reduces the possibilityà of a VBAC;
  • the

  • Repeat elective cesarean delivery. Some women choose to focus on a VBAC if labor occurs spontaneously but opt for a repeat elective cesarean delivery rather than do the induction of labor.

What happens if I have a caesarean, elective planned and I go into labor?

Call the hospital to let them know what is going on. It is likely that a caesarean section emergency willà performed once labour is confirmed. If labor is in an advanced stage, or if it is early (before 37 weeks), a VBAC può be più suitable. Your doctor to discussà with you.

Source: the Royal College of Obstetricians and Gynaecologists (RCOG) publication, 2007, review of 2015

may 20, 2016


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