Introduction to VBAC, Normal Childbirth Procedure After SC

Introduction to VBAC, Normal Childbirth Procedure After SC

If you previously gave birth by saecar surgery and then got pregnant again, you might be wondering, can you give birth normally after cesarean section?

For some women, the experience of giving birth by SC may leave a lasting trauma. The pain suffered after surgery and the recovery period is much longer than normal delivery. Even so, Friends of Hermina may often hear people say that once a cesarean delivery, then you can no longer give birth normally and the next delivery process will also be through with a cesarean section. Calm down, friend Hermina, the reality is not always like that. Some women may have the opportunity to give birth normally smoothly after having had SC surgery. In the medical world, the procedure for normal delivery after cesarean section is known as VBAC (Vaginal Birth After Saesarean). Come on, get to know this procedure further!

What is VBAC?

VBAC or (Vaginal Birth After Saesarean) is a normal delivery procedure after having had a c-section or c-section. Many pregnant women experience VBAC without any problems. VBAC is a very safe choice for women who have had a previous cesarean section and have been identified as being low risk. For women who have been properly screened and considered capable for VBAC, the success rate is between 60 and 80 percent. There are several reasons why a mother may need to give VBAC a try. Some mothers may just want to have a normal delivery. Meanwhile, other mothers choose for the following medical reasons:

  1. Avoiding delivery by caesarean section, which has congenital risks such as postpartum hemorrhage, and anesthesia-related complications.

  2. Reducing the likelihood of blood transfusions to lower the risk of blood-borne diseases.

  3. Reducing the length of stay in the hospital.

  4. Shorter recovery time.

Overall it was found that although the risks were both very small, the maternal mortality rate associated with caesarean section was higher than the VBAC prepared and selected. This means that VBAC can be a safe choice. Well, you can also discuss this with your obstetrician during routine pregnancy checks at the hospital if you still have questions.

Who can do VBAC?

Some pregnant women who are allowed to give birth normally after cesarean section or VBAC are:

  • Mothers who have had a horizontal incision in the uterus.

  • Are pregnant with one baby and only had 1 previous caesarean section (but not with a vertical incision).

  • Are pregnant with twins and had a previous caesarean section, but not with a vertical incision.

  • Labor occurs spontaneously after induction so that contractions are rapid.

  • Your pelvis is large enough to allow the baby to pass easily.

  • Have never performed major surgery on the uterus, such as myomectomy to remove uterine fibroids.

  • Have never had a uterine rupture (uterine rupture) in a previous pregnancy.

  • Do not have any medical conditions that make vaginal delivery a risk, such as placenta previa or fibroids.

Pregnant women who are not advised to give birth normally after cesarean section (VBAC)

The safety of mother and fetus is of course the main thing that must be considered. In order to be able to give birth normally after cesarean section, it is important that the mother and the fetus are healthy and able to undergo the procedure. Although a normal post-cesarean delivery can be done, VBAC is a high-risk procedure so not all women are safe to do it. Therefore, apart from considering the shape of the surgical scar, doctors generally do not recommend that pregnant women undergo the VBAC procedure if they have the following conditions:

  1. Preeclampsia (hypertension during pregnancy)

  2. Obesity (body mass index of 30 or more)

  3. Gemeli Pregnancy (Twins)

  4. The fetus is very large

  5. Are over 35 years of age

  6. Had a cesarean section in the last 19 months

  7. Had two previous cesarean sections without a normal delivery

  8. Are pregnant with triplets or more

  9. Labor jams

  10. Pregnancy that is past 40 weeks

  11. Excess weight gain during pregnancy. 

When is the right time for a normal delivery after cesarean?
The ideal interval recommended by doctors for a mother to be able to give birth normally after cesarean delivery or VBAC is at least 2 years from the initial delivery by caesarean section. This distance is also recommended for the time of return after cesarean delivery and normal delivery. If the woman becomes pregnant after 1 year of cesarean delivery or the pregnancy occurs less than 2 years apart, the risk of complications will be even higher. One of the most fatal VBAC risks is uterine rupture.

Tips for a normal delivery after cesarean section
When declared pregnant again, some mothers may want to try a normal delivery after previously having a cesarean section. Start discussing this with your doctor at your first prenatal visit. Discuss all the concerns and wishes of Friends of Hermina regarding this normal delivery. Make sure the doctor has a complete medical history, especially a record of previous cesarean sections. The doctor will use the medical history to consider the likelihood of a successful vaginal delivery after cesarean section. Always consult your doctor about the risks of doing VBAC. If Friends of Hermina are allowed to have a normal delivery by the doctor, then do the following things as a form of preparation for normal postoperative delivery:

  1. Learn about Vaginal Birth After Cesarean (VBAC). Ask a doctor and find out information about VBAC from various trusted references.

  2. Maintain pregnancy by adopting a healthy lifestyle.

  3. Eating nutritious foods and moderate exercise can help create a healthy pregnancy.

  4. Avoid stress. Stress can lead to problems in pregnancy.

Before deciding to give birth normally after cesarean section, consult your doctor first. Don't let Hermina's friends get it wrong because it can harm both the mother and the fetus. If you want to consult directly with a doctor or want to ask for tips so that you can give birth normally after cesarean section, Friends of Hermina can consult with an obstetrician and gynecologist at Hermina Pandanaran Hospital.

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