Although vaginal birth (VBAC) after cesarean section is not preferred for every expectant mother, a healthy birth can be achieved in suitable people and under appropriate medical conditions.
C-section is preferred for expectant mothers who gave birth by cesarean section in their previous pregnancy, as it is risky to give birth normally in their next pregnancy. The most important reason for this is that the incision made in the uterine wall during cesarean section is not like the normal tissue in the uterine wall after healing and is weaker than the old tissue. Accordingly, there is a risk of tearing in the uterine wall during contractions during normal birth. As a result, undesirable consequences may occur, even leading to loss of life for the mother and baby.
The expectant mother and her family need to be informed in detail about the risks of vaginal birth after cesarean section. It should be explained that the risk of uterine rupture during VBAC is around 1-3%, that in case of rupture, maternal loss is 25% and baby loss is around 75%. If the patient has had a normal birth or had a normal birth after cesarean section, the probability of giving birth with VBAC increases. For normal birth after cesarean section, at least 2-2.5 years must pass from the previous cesarean section. In normal births below this period, the risk of rupture, that is, tearing in the uterus, increases.
The expectant mother who will undergo VBAC is 37-38. A gynecological examination should be performed weekly. Uterine dilatation, baby's weight, birth canal and baby's position should be evaluated. If there is no obstacle to birth during the examination, 40-41 days. You can wait for labor contractions by closely monitoring for up to a week. It is not recommended to give artificial pain to pregnant women who will undergo VBAC. Artificial pain increases the risk of uterine rupture. Therefore, it is recommended that labor begin spontaneously for VBAC.
VBAC is not suitable if there is a condition that prevents the expectant mother from giving birth normally, if the previous caesarean section was performed with a vertical incision, or if the birth canal is narrow. If the previous cesarean section was performed due to the cervix not opening, normal birth should not be attempted as there is a high probability of the same situation recurring.
The expectant mother is very worried about VBAC. There should be a center where the environment and team are ready to monitor closely and in case of a problem, a caesarean section can be performed within 10-15 minutes. When these conditions are met, VBAC can be tried.
Read: 0
