Safe Vaginal Birth After C-Section (VBAC) in Delhi
VBAC (Vaginal Birth After Cesarean) – Safe and Supported Natural Birth
Successful VBAC delivery with expert care at Maccure Hospital for you.
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About VBAC (Vaginal Birth After Cesarean)
Vaginal Birth After Caesarean is the term used to describe a vaginal delivery in a woman who has undergone Caesarean section (C-section) in a previous pregnancy.
What is VBAC?
VBAC refers to a delivery by a woman who has had a C-section in a prior pregnancy to give birth vaginally in her current pregnancy. It includes a Trial Of Labour (TOL) to determine whether a VBAC is possible. It is safer than a repeat C-section and has many types.
Who Can Opt for VBAC?
Many choose VBAC to avoid major surgery during delivery. Essentially, a woman may be able to opt for VBAC if she:
- Has a low-transverse (horizontal) uterine incision from a prior C-section.
- Does not have a history of uterine rupture.
- Has access to a hospital with emergency C-section facilities.
- Has an uncomplicated pregnancy.
- Has a normally progressing labour.
- Is in otherwise good health.
Benefits of VBAC
VBAC has several benefits to both the mother and the baby.
Benefits to the mother include:
- Reduced risk of infection
- Reduced risk of hemorrhage
- Faster recovery and healing
- Avoids major surgery
- Reduced risk of complications associated with multiple C-section such as bowel/bladder injury, hysterectomy
- Potential benefits for future pregnancies.
Meet your Dedicated Doctors
Our team of passionate doctors and staff are there for you.
Dr Geeta jain
MBBS, MD, Dip. ART (Kiel Germany)
HOD – Obstetrics, Gynaecology & IVF, Co-founder Maccure Hospital
Dr Sanjay Kumar Jain
MBBS, DNB – Paediatrics
Director Co-founder Maccure Hospital
Dr Jagriti Thapliyal
MBBS & DNB - Obs & Gynae
Senior Consultant – Obstetrics & Gynaecology
Dr Neelam Kumari Ela
MBBS MD - Obs & Gynae
Senior Consultant – Obstetrics & Gynaecology
Dr Richa Gupta
MBBS DGO - Obs & Gynae
Senior Consultant – Obstetrics & Gynaecology
Dr Vikas Kumar
MBBS, DCH & DNB - Paediatrics, FNNF
Senior Consultant – Paediatrics & Neonatology
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Yes, VBAC can be safe for majority of the cases. It is particularly safer for those with a low-transverse scar, uncomplicated pregnancy and those who are physically healthy, but carries a small risk of uterine rupture. Consultation with the doctor and availability of hospital emergency services are essential prior to performing VBAC.
VBAC's main risk is a uterine rupture (0.5-1% chances) and the possibility of a needed emergency C-section after a uterine rupture. Other risks include perineal tears, higher chances of blood transfusion being needed, endometritis (inflammuof the lining of the uterus), and hypoxic ischemic encephalopathy (HIE).
VBAC success rates generally fall between 61-82%, but this is highly variable. Factors like having a previous vaginal birth, a low-transverse uterine incision, spontaneous labour and favourable cervix significantly increase the likelihood of success. Conversely, factors such as multiple C-sections, maternal obesity, large babies, advanced maternal age, induction of labour, gestational diabetes and a short inter-pregnancy interval decrease the chances.
VBAC after multiple C-sections is significantly riskier due to the weakening of the uterine wall after each C-section, thereby increasing the chance of rupture. Each prior cesarean adds scar tissue, elevating the risk of complications during both labor and a potential emergency C-section. After two or more cesareans, there is reduced possibility of VBAC being safely done.
Pregnancy spacing is important when considering a VBAC. At least 18-24 months between C-section and VBAC is generally advisable for proper uterine healing and recovery to take place. The risk of uterine rupture is higher in those that have a gap of less than 18 months between the C-section and VBAC.
Maccure has an unmatched compassion of professionals and availability of facilities and equipment to handle the different VBAC options. Safety is our utmost priority, therefore Maccure has the experience and expertise to handle complicated VBAC and emergencies.
Here are a few questions to ask your doctor to help you make a decision on whether you should opt for VBAC:
- Am I a right VBAC candidate?
- What is your experience and training for conducting VBAC?
- How can I improve my chances at a successful VBAC?
- What are my risks if I opt for a VBAC?
- What are the different options of VBAC available?
- Can I undergo VBAC if I am overweight or have diabetes?
- Will you be attending my VBAC when the time comes?
- How soon after labour do I have to come to the hospital for the VBAC?
- Can induction of labour be done during a VBAC?
- How will fetal monitoring be done during the VBAC?
- What are your hospital's VBAC procedure and facilities?
- What happens if the VBAC fails?
- Is the hospital equipped to handle any complications or emergencies during the VBAC?
- Is it possible to have a VBAC after a previous uterine rupture?
- Is the VBAC covered by the hospital with my insurance policy?
Many women opt for a VBAC (Vaginal Birth After Cesarean) over a repeat C-section due to several reasons. Firstly, it often means a quicker recovery and healing with a shorter hospital stay, allowing for a faster return to daily life. VBAC also avoids the risks associated with major abdominal surgery, such as infections, hemorrhage and complications from scar tissue. For women planning more children, VBAC can reduce the likelihood of placenta problems in future pregnancies. Furthermore, many women feel a greater sense of empowerment and satisfaction from experiencing a vaginal birth. While VBAC does carry its own risks, for many, the benefits outweigh those risks compared to a scheduled repeat C-section.
The primary risk of a VBAC is uterine rupture, a rare but serious complication where the previous C-section scar tears. This can lead to severe bleeding, infection, and fetal distress, potentially endangering both mother and baby. An emergency C-section, which carries higher risks than a planned one, is often required in such cases. Additionally, if the VBAC attempt fails, an unplanned emergency C-section becomes necessary, increasing the risks of infection, blood loss, and injury to surrounding organs compared to a scheduled procedure. While successful VBACs offer benefits, these potential complications must be carefully weighed. These risks can be minimised by careful monitoring.
Unlike other hospitals where patients often feel lost, our care Navigators are here to:
- Explain each step of the process
- Coordinate with doctors and support teams
- Answer questions and ease concerns for both mother and her families
Our expert team will reach out within 24 hours to guide your journey.
Speak to our Patient Counsellor