Mothers delivering naturally after C-section should be reassured that VBAC has been successful for over 2 decades. In the 1980’s and 90’s the success rate was very high (75%) and the complications were rated at 1/1000. A new generation of labor induction agents came into use around year 2000. Soon thereafter, the rate of ruptured uterus increased to 1/100. Numerous hospitals, insurance companies and regulating agencies began to restrict VBAC.
The American College of OBGYN (ACOG) makes the following recommendations in order to minimize risks to the mother and the baby:
- Close monitoring of the mother and baby’s condition
- Delivering at an institution with in-house anesthesia and an Obstetrician available during active labor.
- Limiting the number of previous C-sections to one
- The old scar should be transverse
- Waiting for spontaneous labor to occur
Both Olathe OBGYN and Olathe Medical Center satisfy ACOG’s recommendations for a successful VBAC delivery.
Good candidates for Vaginal delivery:
- Baby’s weight under 8.5 pounds
- Singleton pregnancy, head-down presentation
- Previous vaginal deliveries before or after the C-section
- Normal weight of the mother
The national C-section rate is approaching one-out-of-three women. The need for VBAC will grow over the next few years. Consultation between Doctor and patient with careful consideration, decision-making and flexibility are keys to a successful VBAC delivery. Communication before, during and after the delivery is encouraged.