If you’ve had a C-section before, whether by choice or necessity, and you’re thinking about trying for a vaginal birth next time, planning for a VBAC (Vaginal Birth After Cesarean) can feel daunting. It’s an emotional decision that involves many factors.
There are lots of online resources about maximizing your VBAC chances from a medical perspective, including what to do during labor and what tests are important during pregnancy. This article offers practical insights to help you consider your options.
Drawing from my own VBAC experiences and those of other moms, the best guidance I can offer is to get informed and find support. Having the right help is crucial to make the best choices for your birth experience and feel enthusiastic about your VBAC journey. Here, I’ll outline how you can prepare ahead of time, focusing primarily on finding excellent support and education.
One of the most critical factors for a successful VBAC is a supportive healthcare provider. Depending on where you live, this might be an OB/GYN or a midwife. Midwives often foster a more natural approach and may frequently spend more time with you, facilitating a supportive environment.
It’s essential to learn early on, or even before pregnancy, whether your provider genuinely supports VBAC. Some doctors might claim to support VBACs but lean towards scheduling a repeat C-section as the due date nears. To assess your provider’s stance, consider asking how many VBACs they’ve attended and how many of their patients have attempted labor after a C-section and succeeded.
Statistics reveal that most women who try labor after a C-section have about a 70% success rate. If your provider’s success rate is much lower, it might be a red flag. Many women opt for repeat C-sections because they feel unsupported in their VBAC pursuit.
If your provider isn’t meeting your expectations, consider changing to someone more supportive. Although switching can seem daunting, remember, it’s your right to secure the birth experience you want.
Tour all available hospitals if you have a choice, and learn about their labor practices. In one instance, a friend and I toured two hospitals, noticing stark differences in their approaches. One was open to flexible labor methods; the other was more rigid, with set procedures like constant monitoring. Another option could be a birth center, often led by midwives and sometimes near hospitals.
A home birth, or HBAC (Home Birth After Cesarean), is also a viable option, with high success rates according to studies. The right birth setting might be different for everyone, so choose what makes you comfortable.
Another key element is surrounding yourself with a supportive network. Discuss with your partner, and involve friends or family who are encouraging of your VBAC choice. If it’s hard to find supportive people in your life, consider reaching out to groups like ICAN (International Cesarean Awareness Network) or local parenting and breastfeeding organizations.
A doula can be invaluable, providing physical, emotional, and informational support before, during, and after birth. Studies show doulas can shorten labor, reduce the need for pain relief, and increase satisfaction. They can also help you navigate hospital protocols while encouraging you to advocate for yourself.
Attending a childbirth class is also beneficial. These classes provide information that allows you to make informed decisions about your pregnancy and birth, pointing out options, benefits, risks, and alternatives. You’ll be better prepared this way, rather than learning in the final weeks of pregnancy or during labor.
There are various childbirth education classes, such as Lamaze, Bradley, and Hypnobirthing. Choose one that suits you, and consider online options if attending in-person isn’t feasible.
It’s also helpful to read birth stories and books about childbirth to alleviate fears and inspire confidence in your ability. For instance, reading “Ina May’s Guide to Childbirth” has helped many women overcome their anxiety.
Creating a clear and concise birth plan can guide your desired birth experience. Remember, while you should prepare for your ideal birth, it’s essential also to plan for the unexpected, such as the possibility of another C-section. Being informed about options for gentle or family-centered Cesareans can make a significant difference if surgery is needed.
Ultimately, being prepared and empowered is vital. Here are some thoughts and questions to consider discussing with your healthcare provider. The more women advocate for better birth experiences, the more likely hospitals are to change protocols to accommodate these preferences.
In preparing for VBAC, four core ideas stand out:
1. Educate yourself about VBAC.
2. Ensure you have supportive healthcare providers.
3. Build a network that believes in your VBAC journey.
4. Be flexible and prepare for all outcomes, including a potential Cesarean.
Remember, your body is designed for birth, and with the right preparation and support, you can have a positive experience.
