VBAC and TOLAC during pregnancy

 

Vaginal Birth After Cesarean (VBAC)

Video taken from the channel: CanadaQBank


 

Birth After a C sections | Tips For first VBAC

Video taken from the channel: Life Forever Changed


 

Having a VBAC or Vaginal Birth After Cesarean?

Video taken from the channel: Well Rounded Momma


 

VBAC & TOLAC: Vaginal Birth After Cesarean Section Discussed by Dr Nari Heshmati

Video taken from the channel: DrNari


 

What is VBAC?

Video taken from the channel: UCHealth


 

Women Talk about VBAC

Video taken from the channel: Midwives of New Jersey


 

VBAC/TOLAC Explained. Everything about delivery after c-section.

Video taken from the channel: Med Twice


What is the difference between TOLAC and VBAC? Trial of labor after cesarean (TOLAC) is a planned or attempted vaginal birth after cesarean (VBAC). Sometimes, there is a need to change the plan, and a TOLAC results in cesarean birth after cesarean (CBAC). A birth is officially considered a VBAC once the TOLAC results in a vaginal delivery.

Choosing Between a Repeat Cesarean and a Trial of Labor after Cesarean (TOLAC) After cesarean delivery, a woman may choose to have a planned cesarean birth or choose a trial of labor for vaginal birth. It is likely that 60‐80% of women who try a vaginal birth after cesarean section (VBAC) will be successful. Attempting a VBAC is called a trial of labor after cesarean (TOLAC). Overall, about 60 to 80 percent of women who attempt a VBAC deliver vaginally.

If you decide to try it, you’ll need a caregiver who supports the idea. VBAC and TOLAC, they’re sisters but not twins. There are a lot of letters flying around pregnancy and birth but when it comes to the desire to have a vaginal birth after having had a previous cesarean section, there are two commonly used acronyms. However, there seems to be quite a divide surrounding the understanding and use of them.

2. If single low transverse incision, calculate woman’s predicted success for VBAC based on historical factors early in pregnancy using Figure 1 or other available prediction models. a. If patient has at least a 60% chance of successful vaginal delivery, offer TOLAC. If patient has less than 60% success predicte d, but wants TOLAC, refer to. Vaginal Birth After Cesarean: VBAC: If you have experienced a cesarean delivery, you are not alone.

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 VBACvaginal birth after cesarean. This calculator is based on the equation published in the article “Development of a nomogram for prediction of vaginal birth after cesarean” cited below. It is designed for educational use and is based on a population of women who received care at the hospitals within the MFMU Network. Women pregnant with twins attempting VBAC have similar outcomes to women with singleton gestations and did not have a greater rate of rupture or perinatal morbidity. (I have never had a twin mom attempt VBAC but it can be done!). What is a vaginal birth after cesarean delivery (VBAC)?

If you have had a previous cesarean delivery, you have two choices about how to give birth again: You can have a scheduled cesarean delivery; You can give birth vaginally. This is called a VBAC. What is a trial of labor after cesarean delivery (TOLAC)? A TOLAC is the attempt to have a VBAC. ABSTRACT: Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome.

This method provides women who desire a vaginal delivery the possibility of achieving that goal—a vaginal birth after cesarean delivery (VBAC).

List of related literature:

VBAC in multiple pregnancies and fetal macrosomia.

“Handbook Of Obstetric Emergencies” by Dr Gunasegaran Rajan, Dr Muniswaran Ganeshan, Dr Tang Boon Nee, Dr Thaneemalai Jeganathan, Joe Chovan
from Handbook Of Obstetric Emergencies
by Dr Gunasegaran Rajan, Dr Muniswaran Ganeshan, et. al.
Obstetrical and Gynaecological Society of Malaysia,

Therefore, a woman who has had a Caesarean birth and subsequently becomes pregnant may not have any contraindications to labour and vaginal birth in that pregnancy and may choose to attempt a VBAC.

“Maternal Child Nursing Care in Canada E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, Lisa Keenan-Lindsay, David Wilson, Cheryl A. Sams
from Maternal Child Nursing Care in Canada E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2016

If you required a Caesarean in a previous pregnancy because of issues such as fetal malpresentation (the baby’s position) or gestational hypertension (pregnancy­related high blood pressure) that may not necessarily recur in a subsequent pregnancy, your odds of a successful VBAC are particularly good.

“The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between” by Ann Douglas
from The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between
by Ann Douglas
Wiley, 2011

Many variables go into deciding whether a VBAC is a safe option; however, it is being performed more and more frequently.

“ICD-10-CM/PCS Coding: Theory and Practice, 2018 Edition E-Book” by Karla R. Lovaasen
from ICD-10-CM/PCS Coding: Theory and Practice, 2018 Edition E-Book
by Karla R. Lovaasen
Elsevier Health Sciences, 2017

Therefore, VBAC is associated with the fewest complications than elective repeat cesareans; however, a failed TOLAC is associated with more complications than an elective repeat cesarean (ACOG, 2010c).

“AWHONN's Perinatal Nursing” by Kathleen R. Simpson
from AWHONN’s Perinatal Nursing
by Kathleen R. Simpson
Wolters Kluwer Health, 2013

VaginalBirth after Cesarean (VBAC) Several studies haveestablished that women withalow transverseincision of the uterus can safely givebirth vaginally ina subsequent pregnancy.

“Spiritual Midwifery” by Ina May Gaskin
from Spiritual Midwifery
by Ina May Gaskin
Book Publishing Company, 2002

Possible reasons for this plan include a previous caesarean (a VBAC is not common practice for multiples), placenta praevia or other obstetrical or medical issues, or fetal positions that make vaginal delivery unsafe.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

With a vaginal birth after cesarean (VBAC), the medical profession recognizes that the need for anesthesia may decrease, some surgical risk is eliminated, and hospital stays are shorter.

“Principles of Risk Management and Patient Safety” by Barbara J. Youngberg
from Principles of Risk Management and Patient Safety
by Barbara J. Youngberg
Jones & Bartlett Learning, 2010

Vaginal birth after caesarean section (VBAC) can be offered to women with history of a single uncomplicated lower segment CS, and where there are no contraindications for vaginal birth in the current pregnancy.

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

For more information on VBAC, see Chapter 15.

“Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family” by Adele Pillitteri
from Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family
by Adele Pillitteri
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

View all posts

64 comments

Your email address will not be published. Required fields are marked *

  • I have never realized that Pitocin made a VBAC more dangerous why would Doctors use it if it doubled the chance of Uterine Rupture?

  • Can you do a video or answer the question about doing a VBAC with pre-eclampsia? I had pre-eclampsia and GD with my pregnancy and was scheduled for induction at 38 weeks. But my baby had a PAC so was unable to be monitored and resulted in a c-section. Do pre-eclampsia and GD make your risk higher for a failed VBAC?

  • Sir plz reply plz ������ i m 47 n got married only two years before I did conceive two-time naturally during the last two years but unfortunately both of my pregnancies resulted in miscarriage during the 10 week.sir I have no baby yet I still want baby plz help me plz do some thing for me now m taking loprin 75 mg daily n gulcophage 1 +I daily sunnyday vit D inofolic sachet cod liver oil n folic acid sir now my Dr going to treate me with letrozole n hmg 75iui inj according to this schedule letrozole from third day of period to 7th day of periods mean for total five days then hmg masone 75 iui inj from 8day of period to 11th day then on 12th day after having follicular study I have to meet my partner Dr plz suggest further any med or treatment or precautions that will help me sir plz reply plz help me I can’t afford further miscarriage as I’m already 47 thank you so much my all love to u stay blessed

  • Good information, thank you for taking your time to inform women about the vbac decision. I would like to add though, there is another important pro vbac aspect which is breastfeeding extremely important for babies and moms increased successful breastfeeding rates after vaginal births. I think that health care providers often scare women about uterine rupture, which accurs only in 1% and could be treated properly if detected on time. Im not saying it shouldn’t be considered cause it is important to know. I would like to mention that i had a successful vbac with a 4,5 kg baby at 42 weeks and after augmentation with pitocin. I gave you a thumbs up:) have a good day!

  • I had a c section as my induced labour did not progress well, baby did not moved down or get into the birth canal. Am i a suitable candidate for a VBAC in future? is VBAC possible for my second baby if at all i get GD the second time as well? Please advice.

  • I don’t agree with what you said.Actually c sections have increased as the result of the medical business behind those c sections cuz a c section is more expensive

  • 36 weeks and have been denied by 4 doctors. Not due to me not being a good candidate but because of their policy of not want to do it cuz of the risk. Feeling hopeless

  • Great talk, until you got to talking about VBA2C. You pulled that 5% statistic out of your bum because that’s false. It’s around 2%, and the risk doesn’t go up very much at all with subsequent cesareans. Check ACOG and start offering VBA2Cs with women who are willing to attempt it. Cheer them on and let them know they can do it!

  • I had a c section 5 years ago cuz my aon was in distress n im 31 weeks now with my second my baby n i want to have a vbac but im still scared��

  • 5%? Every Obgyn, midwives, articles and etc. that I have spoken to have said vba2c is at 2%? And that is from some that support vbac and some who do not. so where did the 5% come from?

  • I have 2 children, my 1st was an emergency c section and my 2nd was a schedule c section, my choice. My youngest child is 8yrs old and I’m 15weeks pregnant with my 3rd. I would love to have a vbac. Will it be safe and ok for me? I do want to have a home birth but I do want to do what’s best for my baby and my body. Please help.. I do have an appointment with a vbac supporting doctor on May 9th, so I will have all the questions said to asked in this video. But is it not possible for me to have a home birth with the 8yr window?

  • i am currently 12 wks pregnant an have had 2 previous c-sections. my first c-section was 10 yrs ago and my second was 5 years ago i am due in November which will make this pregnancy 6 yrs apart from the last. i never had an medical reason to have had either one. I want to try a VBAC with this pregnancy. Do i have a good chance for a VBA?

  • What about bigger babies? I was induced with my first baby because he was estimated over 4 kilos. After about a day in labor I reached 3 cm but his head was still high up.
    In this situation would you recommend to try vbac or is it too risky with a bigger baby? I would like to also mention that both me and my husband are big people so a big baby is kind of to be expected…

  • I have c section in 2012 and have a vbac in 2017, and am pregnant and my doctor is saying that is c section and I don’t know why, am 35years this year. Pls doctor what do think.

  • I’ve had a C-section with my son I got induced I was at 7 cm and my sons heart rate started to go down so i had the c-section my son’s umbilical cord was wrapped around his neck three times i had a low transeves incision I had the c-section 4 years and a couple months ago I am currently 30 weeks pregnant and wanting to have a vbac am i good candidate to have a vbac?

  • I had 2 C-section my oldest kids one was emergency and the other one was too close I had my baby n3 natural but now I’m pregnant baby n4 fingers crossed �� ��

  • So my c section was done after I was induced… and I got dilated and all that, but my son was stuck because he was trying to come out sideways… I’m pregnant now.. but REALLY want to do a vaginal birth!

  • That was super informational, this gave me a lot to think about and triggered questions for my doctor. I had my first baby (only one so far) via c section, I went through labor, pushed for 3 hours and could not successfully push him out even with a vacuum attempt. My sons head was much too large (just like his dads haha). I thought for sure I’d be a great candidate for a vbac, I very much enjoyed the challenge and process of laboring (all of it was beautiful) and wanted to go through it again but with a 20% chance of success it makes me feel otherwise. Thanks again!

  • Hi Doc, i had a C-section (LSCS) 2yrs and 10months back, after i had dilated 9-10cm but i was not getting the urge to push the baby. After my water broke Dr waited for nearly 15hrs to get me dilated and bcz of the above said issue i had to go for C-section. I am pregnant now and my due date is on 5th July. Until last week my OB was supportive about VBAC and told that she can wait till due date and see whether i get pain naturally. At my 36w5d check up, my OB changed her mind from allowing me to have a VBAC and scheduled C-section for the 27th of June. She tells after checking me she dont see a chance for a VBAC. I would like to know from you asap whether i am a good candidate for VBAC, possible success rate and why would have my OB changed her mind now.

  • I had a natural birth with my first and with my second I had a C-section with my second. I am scared of having another C-section. I am freaking out.��

  • I will tell my story even tho I don’t see any replies from the doctor….i am 38 yrs old n 39 weeks with my 4th child…my first 2 were natural delivery…my 3rd almost 10 yrs ago was an emergency c section my water broke but I wasn’t in labor they tried starting it but no luck only dilated to about 4cm caught a fever after having ruptured water more than 30 hrs n needed an emergency c-section ��…my ob now will only induce if I am at least 3m…last they checked I was loose 1 close to 2cm n long…im scheduled for June 4th ������im dilated more and could have vbac!

  • Dr. Green, I needed this video! I’m 39 weeks today and attempting a VBAC with baby # 2. I had a c section 5 years ago with my first son. I pray God will allow a smooth experience for me. Thank you doc!

  • If you’re attempting a Vbac, when should you go to the hospital once contractions have started? Are uterine ruptures more likely to happen nearer delivery or anytime once you start contracting? Thank you!

  • I’ve had 4 cesarean births with my second being with a j cut all the others were verticals lower uterine. All Cesar’s were due to failure to progress. Would I be a candidate for vbac or would it be too risky?

  • Dr. Green you are an amazing Doctor one of the best Doctors, and I was very lucky to meet you yesterday it was an honor to meet you impeccable bedside manners thank you for reassuring me that my baby boy and I where doing good. god bless ��

  • Ok so I was pumped to having a VBAC but now unsure after watching that… My story is that when I was 15 I laboured for 8 hours and tried pushing her out for 2 hours being unable and they gave me a emergency csection! 21 years later lol I am due to have my 2nd baby in May and I reallllllly wanted to try vbac but the dr in this video said I’m only 20% chance because of my first labouring story. I am a right candidate except for that and even my hospital is all for me to try but I don’t want to try if it’s only going to be 20% success and then after all that have a csection anyway
    🙁 also I had a tummy tuck over 5 years ago cut over my csection scar.. does that count as 2 or would still only count as 1? I’m so confused cos I would love to vbac but any risk at all to baby I would never try:(

  • I got a ceasor due to appendicectomy in end of august 2019 at 13 weeks,,am due feb 29/ 2020,,how much chance do i have to deliver normally??

  • Thank you for watching, Please share with us if you have had a VBAC. How did it go and what advice would give to someone preparing for a VBAC

  • Dr, I had one c-section, almost 5 years ago (This february will be the 5 years) because the labor did not progress well. It was natural labor. I was only able to dilate to 6 almost 7, even though contraction going strong around every 2-3 mnts. We kept waiting. It was already more than 24 hours, but then i had fever. So they had to do c-section to save her. Low transverse scar. Am I a good candidate for a VBAC because of that? I also have beta-thalassemia traits (minor). My Hb 2 weeks ago was 7.6. This time I have GD, diet control. Now at 34 weeks, baby sonogram normal with 5 pounds, 10 ounces weight. Can I still do VBAC with all this? Is VBAC possible for me and my second baby? Please advice

  • I love your videos! I recently had a baby boy and watched your video on circumcisions and it was very informative! Could you do a video about the after care of a circumcision?

  • I have a natural birth 12 years ago labor for 4 hours, she came early. 4 1/2 years later I got pregnant again this time they notice at 28 weeks she wasn’t growing, they did an emergency c section at 31 weeks and she came out breathing on her on! 4 years later I got pregnant again & because in Florida it’s hard to get vbac they did the c section she was also early but was fine after labor. Here I am 4 years later pregnant again ���� I really want to do a v bac.. what are my options

  • I had a Csection that got infected, I have a scar that sort of concaves in the middle for about about an inch or two. Will this effect my chances at a VBAC? The Csection was so traumatizing and was only done because she was in distress, I waited a little over a year to get pregnant again as well.

  • Sir m at 28 week but my babys head is showing bigger by 4 weeks…that is 32 weeks in scan…..plz suggest….n explain will it be problamatic…m so disturbed n stresed….plz help

  • I am 27 yrs now and had an emergency c section 2 yrs 7 months ago for my first baby boy, the c section was performed bcoz I was post due date and syntocin didn’t work for me. Now I am pregnant for my second baby (38 weeks) want to have a vbac. My fluid was reducing from 29 weeks (9.9cm)to 36 weeks 7.8 cm) but now it’s increased 11.5cm. Myp previous scar in the uterus measures 3.5cm in the thinnest point of the uterus at 37 weeks. So am I a good candidate for a vbac?

  • Thank you so much. Finally got some answers i was looking for a whole year. So getting pregnant with 2nd child after 2-3 years of first c section is safe right?

  • i had a c section transversly with my first baby because of single nuchal chord around her neck i didnt had labour pain can i have vbac

  • Hi everyone! please share your experience with me your VBAC after 2 C-sections.. i am also hoping VBAC after 2 C-sections. waiting for your replies. Thx

  • Hello doctor, in my case my pregnancy had to be induced at 43 weeks,of which my water had to be broken by the doctor, I was in induced labour for 33hours before a c section was advised; I dilated to 4cm and didn’t progress beyond that;also my foetus was already distressed and pooing inside of Me before the surgery was suggested; my son is 11 months now and I weigh 90kg now ;is it safe to get pregnant now and also try a vbac?doctor mentioned my boy didn’t fully rotate in me

  • Thanks for this video! Three questions: If a woman’s first pregnancy resulted in a planned C-section (i.e. she has an “unproven pelvis”), does that have any impact on chance of success with vbac? Given the small risk of uterine rupture and emergent C-section, is it advisable to labor with an epidural in place so that C-section can be performed more quickly without requiring general anesthesia (or would a rupture necessarily result in a need to put the pt under? Does an induction increase the risk of rupture i.e. is there any sense in planning a repeat C-section unless labor occurs spontaneously i.e. avoiding need for an induction?

  • Is it ok to conceive again after 5 months of c section?? I have my first c section on this august but my baby is no more ���� so I want my baby as soon as possible…Plz help

  • I’m so scared to have one because I didn’t wait a full year to get pregnant again… I got pregnant again after 9 months and I’m not sure if this would be safe. I really want to have a natural birth but I’m just worried that I didn’t wait enough

  • I love how informational these videos are. I learn so much! I honestly didn’t know what a VBAC was and I work at WRM lol, I heard it alot but didn’t really understand what it meant.

  • I have had two c sections my first one was in “09” and my second was in “2017” I’m now pregnant again and I have my baby in 6 days and I really would like to push WHAT SHOULD I DO?? HELP? Plzzzz!!!

  • I just found out I’m pregnant, and because my last pregnancy ended in c-section, I just assumed I would have a planned one this time. Now I’m pondering VBAC, but am having a hard time finding specific answers about my odds of success. In my last pregnancy, I was induced at 41 weeks with cytotec and pitocin and never progressed beyond 1 cm, so after 24 hours I was told I had to have a c-section. My body simply would not go into labor. The c-section was successful, transverse, and I healed well. Is it likely that with this pregnancy I will have a hard time going into labor again? If so, I am OK with just having another c-section, but if it’s likely I could actually go into labor, I might try for a VBAC. ����‍♀️

  • I just had and emergency C-section with my first born after laboring and getting to 7cm, the complication for us was a uterine fibroid near the birth canal that blocked him and stalled My labor. What about those cases? Until the fibroid made itself a problem we we’re going along very nicely.

  • what absolute bull shit…the c section rate only went up becouse hospitals are lazy impatiant and want to make money and have no trust in nature…..and if they just refused to induce most weomen or augment labour the c section rate would hit the floor.94 % of births can safely happen at home including breech vbac 4 cs triplets it is well documented if you dont look at drug funded company rubish…we are made to have babies with know help.allmost no one needs to go near a hospital for a whole pregnancy…hospitals are the onbes who cause the problems that they majically were there to fix….check the lastes safety stats of homebirth they are far mor sucessful in every asspect and never leave anyone with ppd ptsd and normally leave familys empowered and educated….so stop being a fear monger we allready have hollywood and media for that allready.

  • My hospital & midwife are not really on board with my vbac. And I am so upset. I’m a really good candidate for it. I’ve had one csection because my baby was breach!! My uterine scar is transverse! I’m already dilating some & have some contractions! But they’re not really wanting to do it!! They will not induce me with the vbac so If i do it I have to go to labor myself & also recomend I just stay home as long as possible

  • Can i try home remedies to induce labour ( such as castor oil) if i want a vbac.. i am 39weeks 2 days today n there r no signs of labour yet

  • Thank you so much for your honesty on this matter. I’m having my second c section. My first was because my daughter was breech. Most doctors don’t give all the facts about this and play down the huge risks of having a vbac/tolac. I have no desire or will to try this. I had a really good c section experience, my doctor is amazing. I don’t want to go into labour and have a random doctor deliver my baby. It’s really important that people have options and know what the risks are.

  • How long should you labour at home before going into hospital when attempting a vbac. Obviously during COVID hospitals don’t want you in too early…what’s your opinion on that?

  • I have a suggestion; can you please discuss the use of antidepressants during pregnancy? The risks and benefits, and the odds of baby being born addicted to them? Please and thank you!

  • Hi, this is my third child I’ve had 2 c section my oldest is 14 and my youngest is 8. I was told I have a 63% chance of being able to deliver vaginal, that I could be a candidate for it. I’m just wondering if it’s a good idea I don’t know if I can handle another c section. My first pregnancy my daughter was breached. I did a repeat because I didn’t know what would happen. Now I’m pregnant again after 8 years and won’t what I should do.

  • My son had gastroschesis and was still planning on a natural birth with my specialist but after a steroid shot he quit moving. So at 33 weeks he wasn’t moving and had to have an emergency c section to save him. With all of this would I be a candidate if no issue with this baby?

  • Hello dr, I had c-section 8 years ago when i was 27 weeks pregnant. Baby was still birth. I have no idea about how the incision was made during c-sec. I am now 31 weeks and I would like to try Vbac this time. Please tell me if it is possible to have vback this time?

  • this is my third vbac im 39 weeks im waiting and ready to have my baby now the new dr i go to does not want to induce me that sucks my last vbac i was induced

  • Hi, I have had 3 c section one in 2012, other in 2014 and the last one in 2016, all of them unnecessary, because in my country the doctors are involved with cesarean mafia, I’m 36 years old and I am pregnant now, when the delivery comes it’s going to be 4 years of difference from the last c section, could I have a vbac now if all my pregnancy is going healthy till the end?

  • I have had 3 c sections each 5/6 yrs apart my youngest is 5yrs old and I want to try a vbac. In your opinion would I make a good candidate?

  • Hello, Can you do a video about vaginal delivery after myomectomy? love watching your videos and thank you for posting them! I am 12 weeks pregnant, and I know I will have to have a cesarean because I had a myomectomy a few months ago. A grapefruit-sized fibroid was removed from the outside portion of my uterus. Even though my uterus wasn’t cut through completely they say I must have cesarean because of the fibroid’s size.

  • I had to go through 4 obgyns to find one who would even consider letting me try to have a vbac. I found a dr and I walked into the hospital not even sure if I was in labor. I was fully dilated they popped my water and out he came! no drugs or anything! Was really an amazing experience and I’m glad I stuck to my guns and found the right dr!

  • Can you answer I had to have a c-section after not going into labor on my own they induce me with cervix because I can’t do it on my own I was told if I don’t go into labor on my own this time I will have no choice but to have a c-section my one child is 13yrs old now this is my Second child 4 pregnancy

  • I labored with my first 26hrs never passed 2/3cm and was induced. So I had a c section due to distress and my second was premature at exactly 35 weeks and dilated to a 5 in 3hrs from 0-5 in 3hrs but still got a c section because doctor wasn’t going to risk having me labor and wasn’t Insured for a VBAC Labor. But with my third child 3 years later I did my search and went along with the process and I went I to natural labor at 38 weeks stalled at 2cm got helped with the balloon they insert and that helped me move from 2cm to a loose 4. And after I went on my own to 5cm got induced and I stalled there again. At this point I was in labor for 23 hrs made me get an epidural Incase it became an emergency c section broke my water and in a matter of 1 hr from all this I dilated to a 10 and pushed for 28 min. No help needed to take him out. And it was the most beautiful experience ever. I did needed a blood transfusion after but it was all worth it to me recovery was much easier not walking right away since I had 2nd degree tear but I was already good by 2 weeks. Like nothing. Be your own advocate and do your research and talk a lot to your doctor. Ask and get all the answer to your questions or concerns.

  • Hi! Thanks for the info, is there a way to know if a pregnant women has an adequate pelvis for vaginal birth even before being in labor?

  • First pregnancy I went into labor at 40 weeks +4 started having consistent contractions and water broke but about 8 hrs later I had an emergency c-section due to my baby’s heart rate dropping. I got pregnant 19 months later but miscarried at 9 weeks then got pregnant 4 months later and am currently 33 weeks pregnant. My Doctor said I am a good candidate for Vbac but I am wondering if the miscarriage affect anything?

  • Vaginal Birth After Cesarean (VBAC)
    Instructional Tutorial Video
    CanadaQBank.com
    QBanks for AMC Exams, MCCEE, MCCQE & USMLE

    URL: http://youtu.be/eJDztNGJ3Eg