Thinking about a VBAC (Vaginal Birth After Cesarean)? This crisp guide explains who is a good candidate, when it’s not advised, and how to plan safely. Learn the typical success rates (about 60–80%), benefits (faster recovery, fewer surgical risks in this pregnancy and future ones), and risks (including the rare but serious uterine rupture, usually 1% with a prior low-transverse scar). Dr Nivedita also covers hospital readiness (24/7 obstetrician/anesthetist, blood bank, quick theatre access), labour monitoring, and when to switch to a repeat C-section for you and baby’s safety.
Chapters (07:42)
00:00 VBAC in one line—what it is & why moms consider it
00:35 Are you a candidate? (low-transverse scar, 1 prior CS, no other uterine surgery, head-down baby)
01:15 Factors that increase success: prior vaginal birth, spontaneous labour, healthy BMI, 18-month gap
01:55 When VBAC is not advised: classical/T-incision, prior uterine rupture, placenta previa, major fibroid surgery
02:35 Benefits vs risks: recovery, future pregnancy safety vs small rupture risk (1% with low-transverse scar)
03:15 Hospital readiness checklist: 24/7 team, continuous fetal monitoring, OR on standby
03:55 Induction/Augmentation: when it’s considered, why options are careful/limited (no misoprostol at term)
04:35 In-labour watchouts: scar pain, abnormal fetal heart, heavy bleeding → plan changes
05:15 When to switch to repeat C-section—safety first for mom & baby
05:55 Post-birth care: pain control, breastfeeding start, debrief & future planning
06:45 Quick recap & encouraging words for decision-making
Key Takeaways
• VBAC can be safe for carefully selected moms—typical success about 60–80%.
• Best candidates: single low-transverse scar, no other uterine surgery, 18 months since last CS, baby head-down, no major complications.
• Main risk is uterine rupture (uncommon, usually 1% with a low-transverse scar), so continuous monitoring and an immediately available theatre team are essential.
• It’s okay to switch plans to a C-section if labour or fetal monitoring suggests risk—safety method.
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Medical Disclaimer
This video is for education only and not medical advice. VBAC eligibility and labour plans depend on your individual history, examination, and hospital resources. Please discuss your options with your obstetrician and deliver in a facility equipped for immediate emergency care.
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Medical Disclaimer: The information provided by Dr Nivedita ] is for educational purposes only and should not be substituted for professional medical advice. Always consult with a qualified healthcare provider for personalized recommendations and treatment.
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