Vaginal Birth After Cesarean (C-section)
VBAC for Childbirth Options future or current clients.
VBACs are safe to be done at home.
- To qualify for a VBAC at home:
- You can only have had up to 2 prior c-sections
- The incision must be a low transverse
- That prior c-section records must say you had a double layer suture on the incision site.
- at 36-37 weeks must have an ultrasound for the thickness of the scar and must be >4 cm of thickness.
- Baby can not be estimated > 9lbs at 40 week ultrasound.
- Must go into labor naturally on your own by 41 weeks if not you will be transferred for Hospital VBAC or repeat c-section
- If you have had a successful VBAC you don't need a consult or sign off by OB.
- What will disqualify you for VBAC at home
- More than 2 c-sections
- a vertical incision of the scar
- Any other complications during this pregnancy that can not be fixed naturally and needs on going medical attention by a physician
- Any other risk factors that can cause a high risk pregnancy.
- If you have no prior records.
- Patient must be comfortable with the idea of a homebirth if not will not qualify by midwife.
- < 4 cm thickness of scar at ultrasound.
- If you had one c-section and other uterine surgery not section will disqualify you.
- Your Responsibilities
- to bring or sign record release for prior c-section(s)
- Must be honest to midwife and OB of prior medical history
- Require childbirth classes and VBAC for your success affirmation CD
- If you have emotional needs please advise midwife to help cope with prior births to help this birth.
- Notify us of any change during your pregnancy that midwife cant detect with labs.