Can a Woman Have a Natural Birth After C-Section?

Childbirth is a momentous journey for women, and the choice of delivery method is a significant decision.

For many women who have previously undergone a Caesarean section (C-section), the possibility of experiencing a natural birth later, also known as ‘Vaginal Birth After C-Section (VBAC)’, is a topic of great interest and concern.

What Is a Vaginal Birth After a C-Section (VBAC)?

VBAC, or Vaginal Birth After C-Section, refers to the process of giving birth vaginally after previously delivering a baby through a Caesarean section.

It is a choice that many women consider when planning for their subsequent pregnancies. To understand VBAC better, let us delve into key aspects of this childbirth option.

What Are the Chances of Normal Delivery After a C-Section?

The National Institute of Child Health and Human Development’s (NICHD) research shows that among appropriate candidates, about 75% of VBAC attempts are successful.

The chances of a successful VBAC, vary depending on several factors, including a woman’s individual circumstances and the reason for the previous C-section.

It is important to note that these statistics may vary from person to person, and consulting with your doctor is essential to determine your likelihood of a successful VBAC.

What Are the Risks of Natural Birth After a C-section?

VBAC, like any medical procedure, carries risks. One of the most significant concerns is uterine rupture, a rare but severe complication.

Uterine rupture is a medical emergency due to its potential life-threatening implications for both the mother and the unborn child. It results in a breach or tear in the uterine and abdominal walls, posing a significant risk of severe blood loss and may harm you and your foetus.

It is important to discuss this risk thoroughly with your healthcare provider to make an informed decision.

What Are the Benefits of VBAC?

Several advantages of VBAC include:

• Shorter recovery time: Recovering from a vaginal birth is generally faster and less painful compared to recovering from a C-section which is a surgical procedure of an incision in the mother’s abdomen.
• Lower risk of infection: Vaginal births are associated with a reduced risk of infection compared to a c-section.
• Facilitated bonding: VBAC can facilitate early skin-to-skin contact and breastfeeding, promoting bonding between the mother and baby.
• Reduced risk of surgical complications: Avoiding surgery minimises the risk of complications such as surgical site infections, bleeding, and anaesthesia-related issues.

What Are the Risks of a Caesarean Delivery?

While VBAC has its risks, it is essential to acknowledge the risks associated with C-sections. Some potential risks of having multiple C-sections include:

• Infection: C-sections carry a higher risk of infection than vaginal births. For example, it may lead to a risk of developing infection at the incision site, or on the lining of the uterus (endometritis).
• Increased recovery time: Recovery after a C-section is typically longer and may involve more pain and discomfort.
• Scarring: Multiple C-sections can lead to increased scarring and may pose risks in future pregnancies.
• Adverse effects on future pregnancies: Having multiple C-sections can increase the risk of placental problems in future pregnancies also known as placenta praevia, or placenta accreta (the placenta becomes attached to the wall of the uterus).

Who Can Have a VBAC?

Determining whether VBAC is a suitable option for you requires careful consideration and consultation with your doctor.

Several factors influence VBAC eligibility:

• Reason for the previous C-section: The reason for your previous C-section plays a significant role in determining your eligibility for VBAC. Various issues in your first pregnancy that led to a C-section choice may not occur during the second pregnancy, for example, multiple pregnancies, breech presentation, etc. If these conditions appear normal, it may increase the likelihood of a successful VBAC.
• Type of previous C-section incision: The type of incision made during your previous C-section, whether it was a low transverse incision or a vertical incision, can impact your eligibility for VBAC. Low transverse incisions are generally considered safer for VBAC.
• Maternal health considerations: A woman’s overall health and any pre-existing medical conditions are considered when deciding on VBAC. Women with underlying medical conditions like diabetes, heart issues, etc., are usually not suitable candidates for VBAC.
• Consultation with an obstetrician: Obstetricians and healthcare providers play a crucial role in assessing VBAC suitability. They will carefully evaluate, discuss the risks and benefits, and provide guidance accordingly.

How to Increase Chances for a VBAC?

For women considering VBAC, here are some essential tips to enhance the chances of a successful vaginal birth:

• Consult with your doctor: Start by discussing your desire for VBAC with your obstetrician. They can assess your specific situation and provide guidance.
• Monitor your health: Maintain a healthy lifestyle during pregnancy, including eating a balanced diet, regular exercise, and proper prenatal care.
• Educate yourself: Understand the VBAC process, risks, and benefits. Being informed will help you make confident decisions.

Schedule an Appointment at Pantai Hospitals

Choosing between a VBAC and a repeat C-section is a crucial decision that requires consulting with your doctor for informed choices. Although VBAC has its advantages, it is vital to carefully consider the risks and benefits before deciding.

It is important to have open and honest conversations with your doctor. Share your desires and concerns and let them be your partners in this transformative journey. They will guide and support you every step of the way, ensuring that your birthing experience aligns with your vision and prioritises the safety and well-being of both you and your baby.

For optimal maternal and child health, get in touch with us to schedule an appointment with our team of O&G specialists today or learn more about our Obstetrics and Gynaecology Services at your nearest Pantai Hospital.

Pantai Hospitals have been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.