You may be a good candidate for a VBAC if:. Bottom line: check with your doctor. If you do push for pushing and your doctor agrees, make sure you discuss the use of prostaglandins not using them or other hormones to stimulate labor, which can affect the risk of uterine rupture , along with labor pain medication. Know that epidurals do not affect the chances for a successful VBAC.
In fact, many doctors recommend epidurals early on during labor to eliminate the need for general anesthesia in the event that an emergency C-section becomes necessary general anesthesia is riskier for pregnant women than an epidural is. Keep in mind that your course of labor can change at any time, especially if you need to be induced , which can reduce your chances of a vaginal delivery and up the risk of complications.
But the opposite can also happen: If you go into labor before your scheduled C-section, your surgery date may be tossed out the window and a VBAC could occur if labor goes well and the baby is healthy. Flexibility is the key here, as is learning as much as you can about the VBAC process. Other benefits to having a VBAC include the following:. The biggest risk of a VBAC is that it ultimately won't be successful and you'll be forced to give birth via emergency C-section; an emergency cesarean after a VBAC is considered one of the riskiest ways to deliver a baby.
That scenario can happen for many reasons — your labor doesn't progress, perhaps, or there's evidence of fetal distress.
One of most problematic causes of a failed VBAC is uterine rupture , which is when the scar on your uterus from your previous C-section re-opens during labor, putting you and your baby at serious risk.
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Please try again. Something went wrong on our side, please try again. Show references Metz TD. Choosing the route of delivery after cesarean birth. Accessed Feb. American College of Obstetricians and Gynecologists. Practice Bulletin No. Vaginal birth after cesarean VBAC. Mayo Clinic; Frequently asked questions.
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