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Yes, it is an option. We call it a VBAC (Vaginal birth after Caesar). There are a number of factors one needs to consider. What was the reason for the first Caesar? If it is a condition that will not recccur i.e. breech, placenta praevia, multiple pregnancy or foetal distress - then to attempt a vaginal birth is an option. However, if you had a Caesar for true Cephlo-Pelvic Disproportion (CPD) that poses as a recurring factor, you still have the same pelvis and if the genetic pool is the same the baby is likely to grow the same again. Other medical conditions could also include cardiac or skeletal problems. A VBAC should never be attempted in a home environment. It is considered a more high risk birth therefore should always be done in hospital with a theatre close at hand as there is the risk of the scar rupturing. We have strict criteria which needs to be met i.e. labour must progress well, no foetal distress and continuous foetal monitoring. For many women longing to have a vaginal birth, VBAC is a real option. But one must have realistic expectations and know what the parameters are. |
