The fact that women who previously gave a birth by cesarean section become pregnant again brings with new questions about mode of delivery.
Contrary to what is feared or believed, vaginal birth can be performed in the next pregnancy when appropriate conditions develop after cesarean. Vaginal birth after cesarean (VBAC) is assessed as an alternative for most women who previously gave a birth by cesarean section. However, this mode of delivery is possible provided that women are willing and only gynecologists approve it after they carry out detailed controls.
Who Is Not Eligible For VBAC?
Regardless of mode of delivery, the priority is always to provide the health and safety of the mother and the baby. Thus, all the tests must be performed before making a decision about VBAC, because VBAC is not a sufficiently safe mode of delivery for every woman.
- For women whose body mass index is 30 and above,
- Those who have hypertension problem during pregnancy,
- Those over the age of 35,
- Those who have not passed 18 months after cesarean section,
- Those whose pelvic width is not enough or who expect a huge baby,
- Those who has any abnormality of the uterine shape and a rupture in the uterus,
- Those whose cesarean incision is longitudinal and
- The expectant mothers who do not want natural birth after cesarean, VBAC is not a correct option.
Effect of Cesarean Section Before Vaginal Birth After Cesarean
One of the most critical details that needs to be taken into consideration when making a decision about VBAC is that the uterine incision is longitudinal or transverse in the previous cesarean section. If the uterine incision is longitudinal, VBAC is not performed. Otherwise, the incision can be ruptured and this can pose a risk to the health of the mother and the baby.
Advantages of Vaginal Birth After Cesarean
Women who are determined to have appropriate conditions for vaginal birth after cesarean can give a birth by vaginal delivery. VBAC can be performed successfully after the approval of gynecologists and the psychological preparation of the expectant mother during the process of pregnancy follow-up. During VBAC, as a result of non-invasive delivery, less blood is lost, the risk of infection is decreased, the possibility of internal organ injuries is lowered and the hospitalization time after delivery is reduced and the mother can recover in a shorter time.
We, as KADOMER, analyze the expectations and general health status of all the expectant mothers and the risks to which they have been faced during their previous pregnancies. If our expectant mother consents VBAC, we control closely both her and her baby’s health through our processes of pregnancy follow-up; we assess all the variables and try her to be able to give a healthy birth.