#asktheexpert Whether VBAC is possible within 2years of time from the 1st delivery as C-sec

Question

Accepted Answer

The possibility of having a normal vaginal delivery (also known as vaginal birth after cesarean or VBAC) after a first C-section depends on various factors. While VBAC is a viable option for many women, it is essential to consider individual circumstances and consult with healthcare professionals for personalized advice. Here are some key factors influencing the possibility of VBAC:

1. **Reason for Previous C-Section:**
   - The reason for the first C-section plays a significant role. Some conditions that led to the initial C-section may not be present in subsequent pregnancies, making VBAC more likely.

2. **Type of C-Section Incision:**
   - The type of incision made during the previous C-section can impact VBAC. A low transverse (horizontal) incision is associated with a higher likelihood of success compared to a vertical incision.

3. **Number of Previous C-Sections:**
   - The likelihood of VBAC may decrease with each successive C-section. However, many women have successfully had VBACs even after more than one previous C-section.

4. **Uterine Rupture Risk:**
   - The risk of uterine rupture during VBAC is a concern. Healthcare providers assess this risk based on factors such as the type of incision, time since the previous C-section, and individual medical history.

5. **Maternal Health:**
   - The overall health of the mother is important. Conditions such as diabetes, high blood pressure, or other medical issues may influence the decision for VBAC.

6. **Monitoring During Labor:**
   - Continuous monitoring during labor is often recommended during a VBAC to detect any signs of complications promptly.

7. **Hospital Policies:**
   - Hospital policies and the availability of resources, including emergency facilities for C-section if needed, can impact the decision for VBAC.

8. **Provider's Experience:**
   - The experience and comfort level of the healthcare provider with VBAC can influence the decision.

It's crucial to discuss the possibility of VBAC with your healthcare provider early in pregnancy. They will assess your individual situation, consider your medical history, and provide guidance on the most suitable delivery option for you and your baby.

While VBAC is a consideration for many women, the decision should be made collaboratively between the woman and her healthcare provider after careful evaluation of the risks and benefits. Always consult with your healthcare team to make informed decisions based on your unique circumstances.

Answer

If you had previous ceasarean section it is recommended not to go for normal delivery even after a long gap as there are risk factors of uterine rupture,  which May cause severe complications to mother as well as baby

Only if in case your doctor is very confident about the scar thickness of your previous C-section and if all the conditions are good enough , ,you can go For a trial for normal delivery. so check