Is VBAC right for me?
There are several considerations for determining who is a good candidate for VBAC. Your doctor will review these factors and will tell you if any of these factors make VBAC too risky to consider:

• Type of incision: If you had a high vertical or "classical" cesarean, made by cutting vertically in the upper uterus, your risk of uterine rupture is greater than if you had a lower horizontal or vertical cut along the lower (and thinner) portion of the uterus. Your doctor can tell which type of cesarean you've previously had from your medical records.
• Number of previous cesareans: The risk of uterine rupture increases with each cesarean performed. The risk of rupture is greatest along previous cesarean scars.
• Length of time since your cesarean: Ideally, a minimum of nine months will have elapsed before you conceive again. The more time your body has to recover after the surgery, the stronger it will be for the next birth.
• Size of baby: Another important consideration is the size of the baby relative to the size of your pelvis. If he can't fit, your uterus may be subject to prolonged stress in a delivery that won't progress properly. Your doctor can evaluate the size of the baby relative to your pelvis through ultrasound.
• Problems for the baby: There may be factors that could signal possible complications during baby's delivery (for example, breech presentation), which coupled with the other risk factors of prior cesarean, might make VBAC too risky.
• Placental problems: If you have placenta previa (low-lying placenta) or abruptio placenta (placental separation from the womb), it may be too risky to proceed with VBAC.
• Health conditions: If there are serious medical or obstetric conditions at the time of your baby's birth, your health-care provider may caution against VBAC.

Ultimately, most of these factors can be identified prior to the delivery. So you should be able to discuss your options and wishes at length with your health care provider.

Should I have a VBAC?
This is something only you and your doctor can decide. You must carefully weigh the risks against the benefits with the guidance of a qualified health-care provider. Discuss your concerns and feelings with your provider and make your most informed decision about VBAC.

Source: The American College of Obstetricians and Gynecologists

The information on this Web site is designed for educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health problems or illnesses without consulting your pediatrician or family doctor. Please consult a doctor with any questions or concerns you might have regarding your or your child's condition.

Content courtesy of American Baby.