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Facts about Normal Childbirth After Caesarean section

There are various reasons that might make you choose to give birth normally after a cesarean section. This is called vaginal birth after cesarean (VBAC). Well, the following facts can be used as guidelines for those of you who plan to give birth in this way.

If you have previously given birth by cesarean section, your chance to feel the 'pleasure' of labor normally might still be there. Even so, not all women can do it and there is still a risk that might occur while in the delivery room.

Here are some facts about the VBAC that you need to know:

Fact 1: Your signs are the right candidate

Almost all women who have had a cesarean section are the right candidates for normal labor. The following are the criteria that you must meet if you want to do the VBAC procedure:

  • The size of your pelvis is large, allowing the baby to pass safely.
  • Normal baby size or weight.
  • The position of a normal baby in the womb, namely the head in the lower part of the uterus.
  • The incision line of the cesarean section in the uterus is low and the direction is transverse (horizontal).
  • The history of cesarean section is not more than three times.
  • Do not have a disease that can make the birth process normally risky, such as placenta previa.

Fact 2: It is likely that you have successfully given birth normally

Most women who have given birth by cesarean section can give birth normally later on. But, there are several factors that have the potential to become complications for normal delivery after a cesarean section, namely:




  • Pregnant women have excessive weight or obesity.
  • Age of pregnant women over 40 years.
  • Baby weight in the womb above 4 kg (8.8 pounds).
  • Pregnancy exceeds 40 weeks.
  • The distance between the current and previous pregnancies is less than 18 months.
  • Having complications in pregnancy, such as preeclampsia or high blood pressure during pregnancy.

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Fact 3: This is an advantage that you can get

There are many benefits that you can get by giving birth normally after a cesarean section. Some of these benefits are:

  • Recovery time in the hospital is shorter than the cesarean section, so you can move more quickly as usual.
  • Reducing labor costs.
  • It does not cause scarring of the uterus.
  • The risk of complications in labor is lower, such as blood loss.
  • You can hug and breastfeed your baby immediately after birth.
  • Your child's risk of breathing problems is lower.

Fact 4: Risks of normal childbirth after cesarean section

There are several risks that might occur if you gave birth normally after a cesarean section, such as:

  • Your baby is at risk of experiencing serious complications that can cause long-term brain damage or even death. The risk can be higher if the VBAC procedure does not run smoothly.
  • You are at a higher risk of experiencing a tear in the uterus. This can cause severe bleeding and make you risky to undergo removal of the uterus.
  • If normal labor does not go smoothly, then the method of labor that will be recommended is a cesarean section. This increases your risk for surgical complications, such as severe bleeding and infection.

Some things can be done to increase the chances of success. Anything?

1. Make a plan with the doctor

Compared to pregnant women who have never had a previous cesarean section, those who want to give birth normally after surgery have more risk.

Because of that, if you experience it, don't forget to consult carefully with your doctor. Express in detail about the condition of the previous pregnancy.

The VBAC method depends on how the cesarean section works. After the examination, the doctor will decide whether you have a chance to have a normal delivery.

In general, the opportunity to be able to implement VBAC depends on several things. These include having a normal delivery before a cesarean section and a period of more than 2 years since a cesarean section.

Also, make sure you don't have pregnancy problems such as placenta previa or the presence of fibroids. This condition is known to trigger resistance during normal labor.

2. Take care of your weight

According to obstetricians, explained that a mother needs to pay attention to her weight during pregnancy.

If the diet is not controlled, babies in the womb tend to grow bigger. Well, the baby's weight that is too large will reduce the chance of having a normal delivery.

So, make sure to set your diet so that your mother and fetus will be more controlled.

Do not forget to multiply the intake of vegetables and fruit every day. Reduce consumption of snacks with sugar and salt that are too high.

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3. Blood pressure control

High blood pressure or hypertension affects around 10-15 percent of pregnancies. There are several types of high blood pressure problems in pregnancy, such as chronic hypertension and preeclampsia.

Chronic hypertension occurs where you have experienced high blood pressure since before pregnancy. While if your new high blood pressure is experienced during pregnancy, it's called preeclampsia.

The problem of high blood pressure often makes the opportunity for a mother to have a normal birth to be reduced.

So, if you are known to have a history or are at risk of developing high blood pressure, control is actively doing physical activity every day, such as walking or swimming.

In addition, don't forget to choose a healthy and nutritious balanced diet. Limit salt intake to help maintain blood pressure stability.

4. Reduce stress

Having had a cesarean section often makes a mother easily stressed in the next pregnancy.

To help relieve stress, try relaxation techniques, such as breathing exercises or hypnotherapy. This technique is important so that the nerves also become calmer.

If it is difficult to do it yourself, ask for help from midwives or other therapists. That way, you can be more mentally prepared to deal with labor.

5. Stay patient and don't force yourself

One important key when you want to apply VBAC is to be patient. Even though you have planned, don't be in a hurry.

Let your body adjust and work according to its composition. So, you have to be patient to wait until the time comes.

No less important, listen to what the doctor recommends. If on the day of delivery it turns out your condition is not possible to undergo a normal delivery, then don't force yourself.

If you plan to give birth normally after a cesarean section, prepare yourself well and don't forget to consult an obstetrician. Your doctor will determine the best method of labor for you and your baby, including whether you are safe to give birth by VBAC.





References

References

  1. Reif, et al. (2016). Labour and Childbirth After Previous Caesarean Section Recommendations of the Austrian Society of Obstetrics and Gynaecology (OEGGG). Geburtshilfe und Frauenheilkunde
  2. Baby Center (2019). Vaginal Birth After Cesarean (VBAC). 
  3. Parents (2018). What You Need to Know Before Trying Vaginal Birth After Cesarean (VBAC).

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Health and clinical interests include all aspects of infectious diseases

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