Vaginal Birth After Cesarean (VBAC).. Is it possible?

“If you desire to try a vaginal delivery after having had a cesarean, you should be encouraged by knowing that 90% of women who have undergone cesarean deliveries are candidates for VBAC.”

 -The American Pregnancy Association

csection-or-vbac-360x200Although many have been misinformed, vaginal birth after a cesarean birth is a possible option in many birth plans. It is an option that should be discussed with your provider if it’s possibly your birth of choice. There are risk to having a VBAC and the most discussed risk is uterine rupture, which is when the scar on your uterus from your previous C-section re-opens during labor. According to The American Pregnancy Association, if a birthing parent had a prior low transverse cesarean section, the risk of a uterine rupture is approximately 1 to 500 and 3 to 4 out of 5 women can successfully have a vaginal birth after cesarean section. Below is a comparison chart from The American Pregnancy Association comparing a Repeat Cesarean Section versus Vaginal Birth after Cesarean:

 

Repeat Cesarean VBAC
Usual risks of a surgical procedure Less than 1% chance of uterine rupture. If uterine rupture occurs you have risks of blood loss, hysterectomy, damage to bladder, infection, & blood clots
Hospital stay of approximately 4 days Hospital stay of approximately 2 days
Development of an infection in the uterus, bladder, or skin incision Risk of infection doubles if vaginal delivery is attempted but results in cesarean
Injury to the bladder, bowel, or adjacent organs Possibility of tearing or episiotomy
Development of blood clots in the legs or pelvis after the operation
On-going pain & discomfort around incision Temporary pain and discomfort around vagina
Small chance that the baby will have respiratory problems The baby’s lungs will clear as baby passes through birth canal
If you plan for many more children, take into account that the more surgeries a woman has had, the greater the risk of surgical complications. A fourth or fifth cesarean has more risk than the first or second.

Last Updated:08/2015

There are also reasons why a birth parent may not qualify for a VBAC and should be discussed with your provider. Those reasons may include:

  • Vertical or T-shaped cesarean section incision
  • History of slow or difficult labor
  • Overweight birthing parent or baby
  • Genital Herpes
  • Fetal Distress

If VBAC is your primary choice for your birth, be sure to research the providers and facilities that knowledgable and equipped to handle your birth in a professional and nurturing way. Do not be discouraged by providers that do not take part in VBAC births and always feel free to contact me at kahalilove@gmail.com or 201-257-7937 for more information and VBAC resources in your area!

VBAC-inspiration

 

Printable Version: VBAC Handout

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Braxton Hicks

Braxton Hicks contractions are irregular weak contractions of the uterus occurring during pregnancy. They usually begin can begin any time after 20 weeks and usually increase after 32 weeks. Remember, they are not forceful enough to push your baby out. In other words, your uterus is beginning to prepare for actual labor!

Drinking water, changing position, visualization and breathing may help reduce Braxton Hicks contractions. If contractions are increasing in intensity and frequency, even after using these techniques, you may be in real labor. Be sure to call your doctor, birthing facility and your doula, if you suspect that you may be in true labor.

bellyBraxton Hicks Contractions

  • Irregular and infrequent
  • Can last from about 15 seconds to 2 minutes
  • Subside with a position and hydration
  • A, sometimes painless, hard or pointy shaped abdomen

 

Real Labor Contractions

  • Regular and grow stronger, longer and closer together as labor gets closer
  • Can last about 30 to 70 seconds each
  • Do not ease with any changes
  • May be accompanied by other labor signs such as bloody vaginal discharge, lower back pain and cramping.

 

Feel free to contact me for any further information, questions or thoughts!

 

Printable Version: Braxton Hicks Handout

Intro.

Before I introduce myself, I’d like to thank you for showing interest in Kahali Love Doula Services! My name is Sabia Wade and I am a Full Spectrum Doula and also the owner of Kahali Love. I am currently training under Birth Arts International and I have gained experience as a volunteer doula with The Prison Birth Project. As your doula:

  • I will work only for you, and not your caregiver or hospital.
  • I will provide care in a healthy, nonjudgmental, reliable and open space
  • I will advocate, support, educate and empower the expectant parent
  • I will use my education and experience to assist in your chosen birth plan
  • I will offer comfort measures such as massage, positioning, etc.
  • I will be available to you by phone, text or email at anytime
  • I will not perform medical tasks such as fetal assessments, exams, etc.

Initially, we will meet to take part in a complimentary consultation. During that time, we will discuss your expectations, delivery time frame, birth plan and many other important factors to create a personalized birth plan for you. After the interview, I will reserve your estimated delivery time frame and give you 48 hours to decide if I am the lucky doula for this special time in your life!

If you choose to select me as your doula, I will be committed to supporting, educating and empowering you, as well as your family. I will be available to you through phone, text and email. I also will attend appointments with you and/or meet privately with you. I will be on-call two weeks before birth and up until your baby is birthed. During labor, I will put your personalized birth plan in place but also be ready for any unplanned changes that may happen. I will be present during labor and after labor for up to 2 hours if necessary, to support you with bonding with your precious newborn. I will also schedule a postpartum visit at your convenience and be available to you by phone, email or text three months after your baby is born!

I will provide you with education, resources and a back-up doula. If I miss the birth due to my own fault, I will provide a return half of the fees paid for my service. If I miss the birth, due to unpredictable circumstances (rapid labor and birth, unforeseen weather, etc.) or a failure of communication on your part, there will be no returns.

I, sincerely, hope that you decide to choose me as your doula and know that I would be honored to support you with the birth of your child! I can be reached by phone or text at (201) 257-7937 and by email at kahalilove@gmail.com, to answer any questions or concerns that you may have. Hope to hear from you soon and congratulations on the new addition to your family!

 

Printable Version: KL Introduction