VBAC, or Vaginal Birth After Cesarean, is unfortunately something American women often have to fight for! But about 90% of women who had a previous C-section qualify, and you have a right to attempt the kind of delivery you want. I hope the the following links – and the support of a doula – will help you to achieve that.
*10 Common C-section “Scare Tactics” and whether there’s anything to them
*5 Ways to Avoid Having a cesarean (CNN.com)
*Medical Reasons for a C-section (Birth-Smart)
*The Gentle Cesarean (making your birth a special, positive experience when a cesarean is truly necessary)
The following criteria is considered when determining if a mother is a good candidate for a VBAC.
- If the previous caesarean(s) involved a low transverse incision there is less risk of uterine rupture than if there was a low vertical incision, classical incision, T-shaped, inverted T-shaped, or J-shaped incision.
- A previous successful vaginal delivery (before or after the caesarean section) increases the chances of a successful VBAC.
- The reason for the previous caesarean section should not be present in the current pregnancy.
- The more caesarean sections that a woman has had, the less likely she will be eligible for VBAC.
- The presence of twins will decrease the likelihood of VBAC. Some doctors will still allow VBAC if the twins are positioned properly for birth.
- VBAC may be ruled out if there are other medical complications (such as diabetes), if the mother is over 40, if she is past her due date, if the baby is in the wrong position, etc.
- For women planning to have many children, VBAC may be a better option because repeat caesarean sections get increasingly complicated with each subsequent caesarean section operation.