Yes, it is possible to have a vaginal birth after a caesarean section (VBAC), but it depends on various factors. Here are key considerations:
1- Type of Previous Incision: The type of incision made during the previous caesarean section plays a crucial role. A low transverse incision (horizontal) is generally associated with a higher likelihood of success for VBAC compared to a vertical incision.
2- Reason for Previous C-Section: The reason for the previous caesarean section is important. If the c-section was due to a non-recurring issue, such as breech presentation, there might be a greater chance for VBAC.
3- Number of Previous C-Sections: VBAC success rates tend to be higher for women with one previous c-section compared to those with multiple c-sections.
4- Uterine Rupture Risk: VBAC is associated with a small risk of uterine rupture, where the scar from the previous c-section tears. This risk is typically low but is an important consideration.
5- Medical Monitoring: During a VBAC, continuous monitoring of the mother and baby is often required to detect any signs of complications promptly.
6- Availability of Emergency Services: Given the slight risk of complications, it’s important that the hospital has the capability to provide emergency services, including an immediate c-section if needed.
7- Patient’s Preferences and Comfort Level: Some women may prefer attempting VBAC for various reasons, while others may choose a repeat c-section. Personal preferences and comfort level play a significant role in the decision-making process.
It’s crucial for women considering VBAC to have open and thorough discussions with their healthcare provider. The decision should be based on an individualized assessment of the woman’s medical history, the specific circumstances of the previous c-section, and her preferences. Healthcare providers carefully weigh the potential benefits of VBAC against the associated risks to make informed decisions that prioritize the safety of both the mother and the baby.
For more information, consult Dr. Deepika Doshi one of the renowned Gynecologist in Dahisar practicing in Dhanvantari Hospital or you Can contact us on 9324263464.