What You Need to Know About VBACs
It is often assumed that if you have previously delivered via C-section, all of your following births will have to be delivered via C-section again. However, trying for a vaginal birth after a cesarean (VBAC) is a very possible option!
When you attempt a VBAC, it is called TOLAC, which means trial of labor after C-section. If the c-section birth is successful it is then termed VBAC. At Minnesota Birth Center, we are happy to cater to clients wanting to attempt TOLAC. In fact, we have a 75% success VBAC success rate! Our incredibly skilled midwives, partnered with our amazing physicians, allow us to have the necessary steps in place to ensure the utmost safety for our clients who wish to have a VBAC.
Candidates for VBAC
While VBAC might have its benefits, it’s not for everyone. At Minnesota Birth Center, we talk to you beforehand and do a risk assessment to check if you’re eligible for TOLAC or not. This is to ensure your own safety and avoid complications later during your labor.
You can have a TOLAC if:
- You have had no more than two Lower section C-sections with a transverse incision, without any complications
- You’re only having one baby and aren’t pregnant with twins or higher multiples
- You have previously had a successful VBAC or vaginal delivery
We advise against VBAC if:
- You have had a high vertical uterine incision
- You have a history of uterine rupture
- You have a history of other uterine surgeries
- You’re pregnant with twins or higher multiples
- Your baby is in a breech position with buttocks downwards
Benefits of VBAC
Some reasons why we encourage VBAC at Minnesota Birth Center are:
- It lowers the risks that come with post-surgical complications such as bleeding, infection, and anesthesia-related complications
- The recovery time for VBAC is shorter compared to C-section
- For women that plan to have multiple babies after, VBAC lowers the risk of complications that come with multiple C-section scars
- It’s emotionally important for some women to experience natural labor, and we are happy to fulfill their wishes
Risks Associated with VBAC
While we encourage VBAC at the Minnesota Birth Center, we realize the potential risks that come with it. During your antenatal visits, we are happy to answer any health-related or personal questions you might have about VBAC. This includes providing assistance for any emotional needs you might have.
We understand that it takes bravery to plan a VBAC, and with bravery comes fear, so we try to provide opportunities for you to work through your fear and trepidations.
During your antenatal visits, and in the days leading up to your delivery, we monitor you more closely to rule out any possible complications. Some of the risks that come with VBAC include:
- Uterine rupture
- Infection
- Blood loss
But Don’t Worry!
Our trained nurses and midwives will monitor you continuously before and during your labor. They know how to assess your labor progress and will be able to predict a possible complication in case it’s likely.
For this reason, we cater to all our VBAC clients at the hospital so we have a backup in case any kind of intervention is required. The team of doctors and medical staff we work with are highly skilled and collaborative. They will assist us if need be but will leave us to our jobs if everything goes normally.
Being at the hospital hastens the process of receiving care in case of emergencies and makes it more seamless.
We’re Here To Help
Whether you have a VBAC in the end or need to have a repeat C-section, our team at Minnesota Birth Center will continue to provide you post-partum care regardless. If you have any other questions regarding VBAC or TOLAC, please feel free to contact us.