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So although it is as painful as it is, it’s every mother’s instinct to want to experience every joy of delivering the child with minimal intervention. It is important to have this opportunity as vaginal birth has many physical and physiological benefits for both baby and mother. If they are considering a VBAC (Vaginal Birth after Cesarean), it is better to know all the facts: What it is, how to prepare for it, the risks and complications involved and the rewards. And these memories are your eternal memories for life time for sure without doubt.
If one decides to try it, they would need a caregiver who supports the idea. The caregiver must also have admitting privileges at a hospital that allows VBACs and where appropriate coverage is available around-the-clock. Not all hospitals meet the criteria for offering a VBAC. In addition, some hospitals simply avoid the controversy – and the potential for legal issues – surrounding VBACs by not allowing them.
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Most often, however, it’s up to individual doctors whether they’re willing to provide a VBAC. VBACs are controversial, and it may be challenging to find a practitioner who’s willing to do one. Not only physically but you have to be prepared mentally too as everything starts with your mind so if your mind is not fully accepting the procedure you are choosing for your second child birth it would not be successful. So with your health do prepare your heart and soul as these two factors are the main process handling mechanism in your body without doubt.
Criteria to be a good candidate for a VBAC:
- If the previous cesarean incision was a low-transverse uterine incision (which is horizontal) rather than a vertical incision in the upper uterus (known as a “classical” incision) or T-shaped, which would put them at higher risk for uterine rupture. (Note that the type of scar on the belly may not match the one on the uterus.)
- If the pelvis seems large enough to allow the baby to pass through safely. (The practitioner can examine the pelvis and make an educated guess.)
- If one has never had any other extensive uterine surgery, such as a myomectomy to remove fibroids.
- If one never had a uterine rupture.
- If one has no medical condition or obstetric problem (such as a placenta previa or a large fibroid) that would make a vaginal delivery risky.
- There’s a doctor on site who can monitor the labor and perform an emergency c-section if necessary.
- There’s an anesthesiologist, other medical personnel, and equipment available around-the-clock to handle an emergency situation for mother or the baby.
- Overweight is always a problem in any type of health concern, so a woman who is wanting to have a normal VCAC way of delivery has to check on her weight as obesity would be risky and unhealthy to try for the normal delivery.
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Factors preventing a successful VBAC:
- Being an older mom
- Being overweight
- Having a baby with a high birth weight (over 4,000 grams, about 8.8 pounds)
- Having pregnancy go beyond 40 weeks of gestation
- Having a short time between pregnancies (18 months or less)
One should talk with their practitioner about their individual chance of success and carefully weigh the benefits and the risks. But then also it is not totally a no for women with such symptoms or complications as with the advent of the modern technology and new methods of medical enhancement normal VCAC can be possible only with special medical support and medication.