VBAC means Vaginal Birth After Caesarean - birth after caesarean section. For many women, VBAC is an option in fact research for women who attempt a trial of labour after caesarean (TOLAC) shows that about 60 to 80 percent can have a successful vaginal delivery. VBAC is not right for everyone, though certain factors, such as a high-risk uterine scar can make VBAC inappropriate.
Benefits Of Vbac:
- Doesn’t require surgery
- Less blood loss
- Reduced chance of infection
- Less likely to suffer injury to your bladder or bowel due to surgery
- You will be likely to have fewer problems with future childbirth
- Decreases maternal mortality rate
- Mother can involve in early child caring
Risks Involved In Caesarean Section:
- Persistent wound and abdominal discomfort in the first few months after surgery
- Increased risk of repeat caesarean section when vaginal delivery attempted in subsequent pregnancies
- Readmission to hospital
- Hemorrhage (blood loss)
- Increased risk of Infection
- Injury to bladder, urethra, bowel etc
- Risk of additional procedures like repair of bladder , bowel or blood vessels.
- Thromboembolic (blood clots &its complications Anaesthesia risks Risks due to medicines used (like allergy)
- Fetal risk includes TTN (transient fast breathing in New born) & laceration
- There is more blood loss in a caesarean delivery than with a vaginal delivery. This can lead to anaemia or blood transfusion (1 to 6 women per 100 required a blood transfusion)
- Possible injury to organs such as the bowel or bladder (2 per 100)
- Adhesions: Scar tissues may form inside the pelvic region causing blockage and pain. Adhesions can also lead to future pregnancy complication and can lead to placenta previa or placental abruption.
- Extended Recovery Time: The amount of time needed for recovery after a caesarean can range from weeks to months. Extended recovery can have a impact on bonding time with your baby (1 in 14 report incision pain six months or more after surgery).
- Risk Of Addition Surgeries: Includes possible hysterectomy, bladder repair or another caesarean.
- Maternal Mortality
- EMOTIONAL REACTION: Some women who have had a caesarean report feeling negativity about their birth experience and may have trouble with intial bonding with their baby.
- Risk Complication For The Baby : Premature birth, Breathing, problems
- Low apgar scores : Low apgar scores can be the result of anesthesia, fetal distress before the delivery
- Fetal injury