A look at the Risks associated with having a Vbac Vaginal Birth after Caesarean

Many women who have undergone a C-section yearn for a vaginal delivery of her next baby.  Reasons why many women want to go with the VBAC, or Vaginal Birth After Cesarean, is because the hospital stay will be shorter, less time will be needed to recover and it will be less money coming out of the pocket book for the bill.  Even though these are great reasons to go with a VBAC, there are major risks involved with having a VBAC.

Repeat C-Section- According to the Mayo Clinic, 20-40% of women who have attempted a VBAC, labor ends in a repeat c-section.  If a repeat c-section needs to be done, it is usually an emergency c-section after long hours of labor. This could result in infections in the uterus or incision area.  Other complications include bladder or urinary problems.

Uterine Rupture-  Uterine rupture can occur when the incision on the uterus splits from the pressure of pushing.  When this happens there is a risk of heavy bleeding and brain damage to the baby. An emergency c-section is a must when uterine rupture occurs to stop the bleeding and to save the baby from further harm. In some cases a woman will have to have a hysterectomy, to get the heavy bleeding to stop.

Previous Health Conditions-  Different health conditions could have a negative effect on the decision to have a VBAC. History of sexual transmitted diseases such as HPV, Human Papillomavirus, could result in a shortened cervix due to the procedure to treat the STD. History of preeclampsia is a definite reason to think about a repeat c-section. High blood pressure could cause a lot of problems for mom and baby, such as brain damage or death for both mom and baby.

Large Babies- If other pregnancies resulted in large babies, having a repeat c-section would be the best choice.  More than likely attempting a VBAC will result in a c-section due to the baby not being able to fit through the birth canal, which can lead to other complications stated above.

These are big risks to consider before having a VBAC, but it is very possible to have one with no complications at all.  These risks are major risks and talking to your obstetrician is important to weigh the factors on if a VBAC or a repeat c-section is best. Other factors contribute to the decision of having a repeat cesarean and talking with your provider who knows you best is a good starting point in deciding if a VBAC is right for you.