If you are a good candidate for vaginal birth after C section most probably you will succeed with it. Naturally your chances of succeeding are higher if the reason for which you had a C section before isn’t an issue in this case. The truth is that it is impossible to predict with accuracy which women will have a vaginal birth and which will have a C section.
Information about C section and vaginal birth
Generally speaking about 60%-80% of all women who attempt vaginal birth succeed. If you want to have a vaginal birth it is important to have a caregiver who supports this idea. He or she must have privileges to hospitals that handle such births and that offer support 24/7.
You should remember that not all the hospitals meet the criteria for vaginal birth after C section. In the same time the hospitals prefer to avoid the legal issues of not supporting such procedures. Nonetheless usually it comes down to the decision of the doctors to perform VBAC.
Being a good candidate for the VBAC procedure
You are considered to be a good candidate if during your previous C section you had a horizontal uterine incision instead of a vertical incision or a T shaped incision. These make a uterine rupture more likely. In the same time it is important for your pelvis to be wide enough to allow the baby to pass through it.
In order to have a vaginal birth after having a C section it is best if women didn’t have any extensive uterine procedures like a myomectomy in order to remove fibroids. These women shouldn’t have had a uterine rupture either.
There are some obstetric problems and medical conditions that make vaginal birth after caesarian section less likely to happen. If you want to have a vaginal birth it is important to have a specialist in the room that could perform an emergency C section if it is needed.
In the same time, the women wishing to have a vaginal birth after having a caesarian section it is a must to have an anesthesiologist in the room and other medical personnel who can help you and the baby in case of an emergency.
There are some factors that could prevent you from having vaginal birth after a caesarean section include being an older mother, having a high BMI, giving birth to a large baby, having a gestational age over 40 weeks or allowing a short time to pass between two pregnancies.
The advantages of having the VBAC process
If you have a successful VBAC you can avoid having another major surgery and avoid all the risks associated to it. The risks include excessive bleeding that might require you to have a blood transfusion or hysterectomy, chances of infection or having some of the organs damaged.
It is up to you to decide whether you want to have VBAC after 2 C-sections. You have to weigh the benefits and risks and in the end make an educated decision.