Women who have previously given birth with caesarean section may have a normal childbirth at the next birth.
The procedure is called Vbac (i.e. Vaginal Birth After Cesarean). Contrary to the view that prevailed earlier, modern obstetric practice considers such a birth absolutely secure. Since there is no medical reason to require another caesarean section, every woman should know that vaginal delivery is a viable option for both herself and her baby.
Why should a woman choose Vbac instead of yet another caesarean section:
⦁ less pain after childbirth
⦁ shorter recovery period and shorter stay in the maternity ward
⦁ lower risk of infection
⦁ to have the experience of a normal childbirth
⦁ to avoid even a hack in the uterus, which may increase the likelihood of problems in a subsequent pregnancy
It is very rare to “open” a previous caesarean section during a vaginal delivery. Any risk is further removed if the previous cesarean section is performed with a low transverse incision and vaginal delivery is not caused by medication. However, the above complication is considered to be serious and therefore it is necessary for Vbac to be performed by an experienced obstetrician and in a maternity ward with the infrastructure to deal with this situation.
Vbac becomes even easier when:
⦁ there has been a vaginal childbirth in the past
⦁ the pregnant woman is less than 35 years
⦁ the weight of the fetus at birth is expected to be less than 4 kg and the mother is not obese