The Midwives of New Jersey have a heart for women who desire natural childbirth after cesarean section. We are pleased to offer Vaginal Birth After Cesarean Section (VBAC) as an option to our clients.
In most published studies, 60-80% or roughly 3 to 4 out of 5 women who have previously undergone cesarean birth can successfully give birth vaginally (American Pregnancy Association ).
Statistically, the highest rate of VBAC involves women who have experienced both vaginal and cesarean births and given the choice, have decided to deliver vaginally.
Who Can have a VBAC?
Over 95% of women with a prior cesarean can labor safely for a VBAC with the exception of those with:
- More than 2 low, transverse cesarean deliveries.
- Any additional uterine scars, anomalies or previous ruptures.
What are the risks associated with VBAC?
- Less than 1% chance of uterine rupture
- Risk of infection doubles if vaginal delivery is attempted but results in cesarean
- Possibility of tearing or episiotomy.
What are the risks associated with Repeat C-Sections?
- Weakened Uterine Wall. Each incision leaves a weak spot in the uterine wall, which may interfere with future pregnancies
- Problems with the Placenta. The greater the number of cesarean surgeries, the greater the risk of placenta issues (ie.- placenta previa and placenta accrete)
- Bladder Injuries. Likely with initial cesarean but are more common with repeat cesarean.
- Heavy Bleeding. Possible after any cesarean but increases with number of cesareans
Is VBAC safe with the Midwives of New Jersey?
Our clients choosing to have a vaginal birth after cesarean section will be offered a detailed plan of care that will address their emotional, physical, dietary and medical needs in order to give them their best chance at a healthy vaginal birth.
We will spend time discussing the previous labor, what might be done to avoid the same situation and any fears the woman might have in order to overcome them prior to labor.
Once in the hospital in labor, we continually monitor our VBAC clients and the normalcy of their labor. Our clients can walk around in labor, eat and drink, and labor and birth in the water. Although the hospital requires continuous fetal monitoring and Intravenous access, the monitoring can be done with telemetry that allows the woman freedom to move about or soak in the tub.
If in the event that a repeat cesarean section is necessary, we will stay on with the client to ensure the birth is as family friendly as possible. For instance, we will work to keep the baby with the parents in the operating and recovery room to initiate breastfeeding as soon as the baby is ready.