Vaginal birth after cesarean (also referred to as VBAC), is the vaginal delivery of your baby after having had a cesarean delivery. Attempting this kind of delivery requires a “trial of labor after cesarean,” or TOLAC. Undergoing this trial means you have the goal of delivering vaginally. There are definitely pros and cons that should be considered when attempting a TOLAC and some women may still need a C-section after undergoing a trial of labor.
However, we believe the option, choice, and attempt is a decision that should be available to patients. Here at Boardwalk OBGYN, we are available to discuss if TOLAC is a safe choice for you.
Many women wish to undergo a VBAC as opposed to another C-section in hopes of several benefits:
While beneficial in many ways, a VBAC harbors several risks that depend on the condition of each woman. The most severe but rare case is a C-section scar that comes open during labor. Naturally, the more C-sections you’ve had and subsequent cesarean scars you have, the higher the risk is that a scar will tear open.
Undergoing TOLAC also puts you at a slightly increased risk for infection if you end up needing a C-section than if you didn’t go through the trial of labor. However if successful, a VBAC delivery is safer than a planned c-section.
The pregnancy, labor, and delivery experience is different for every woman, as is the likelihood of a VBAC. A trial of labor may be most telling of how successful a VBAC might go. Generally speaking, your best chances for a successful VBAC include:
Your chances of a successful VBAC decrease when:
Schedule a consultation online with your OB/GYN at Boardwalk Obstetrics & Gynecology to discuss your options and chances for success.
Specific insurance plans accepted may vary by provider, please contact the office with any questions. We do not accept any Healthcare.gov Marketplace plans.
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