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The delivery of a baby is most critical moment for every woman. In 70% cases, most women will have a normal first delivery but if a woman has C-Section for first delivery then VABC becomes difficult after the first delivery and in most scenario. It has been suggested that in 50% of cases VABC will not be possible after the C-Section.

Vaginal birth after C Sections

When a woman has had her first baby through the C-Section ,the chances of her having second baby through the C-Section increases exponentially. Having said that it is possible to have Vaginal birth after C-Section. The common scenarios for VABC after C-Sections according to the gynaecologists are:

- A healthy pregnancy- If the second pregnancy is healthy without any complications. Then it is possible to have VABC after the C-Section.

- If the indication of LSCS in previous pregnancy is non recurrent , then more chances of VBAC

- If labour starts on its own at 9 month, gynaecologist will suggest you to have VABC.

Once you have decided to have VABC it becomes essential to keep certain facts in mind. And these can ensure that VABC will be successful. Hence knowing more about it helps in making the right decision.

• A gynaecologist may ask you to go for childbirth class on VABC. It’s an usual suggestion if a person has not had baby through vagina before.

• It is also good to enquire about complications that may force you to have another C-Section.

And in certain scenarios VABC will not be recommended by Gynaecologists like:

- Vertical C-Section or classical C section - if the baby was delivered through this section one can’t have VABC. The VABC can cause uterine rupture and damage the stitches as well.

- Uterus Surgery- If you have had a surgery on Uterus like myomectomy then VABC is not recommended.

- Health conditions- If a woman suffers from health conditions like Heart Disease and placenta pervia.

- Recurrent cause of LSCS – like contracted pelvis

There are certain risks involved in VABC like scar dehiscence or scar giving way , the elevated risk of Infection, Injury and Blood loss. A doctor will consider all these factors before suggesting the VABC.

The ultimate answer lies with your gynaecologists and its best to consult her before opting for VABC. It is best to consult your gynaecologist’s guidelines for a safe VABC.


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