My first child came into the world through an unmedicated, natural birth. It was an incredibly challenging experience, and I won’t sugarcoat it: it was exhausting. My second child’s arrival was far different, as I underwent an emergency C-section. While that experience was tough in its own right, it felt like I lost the enchanting essence of childbirth; I was heavily medicated and unable to fully grasp the moment. Even though I returned home with a healthy, beautiful baby whom I adore, the emotional impact of that C-section lingered with me for quite some time.
For this, my final pregnancy, I am determined to try for a vaginal birth after cesarean (VBAC). I fully understand that a VBAC isn’t guaranteed. There are inherent risks, and a C-section might still be necessary if complications arise. As noted by Web MD, women who pursue VBACs typically begin with TOLAC (trial of labor after cesarean), which serves as a preparatory phase leading up to delivery. If everything is progressing well, they can move on to the pushing stage. However, statistics indicate that about 4 out of 10 women attempting a planned VBAC may end up needing another C-section.
Understanding the Risks
One significant concern during a VBAC is the risk of uterine rupture—a serious complication that stems from the scar tissue left by a previous C-section. While this sounds alarming, it’s important to note that women with a low transverse (side-to-side) scar—a common practice in the U.S.—face a very low risk of this occurring. In fact, the likelihood of a serious uterine rupture is less than 1 in 100.
The symptoms associated with uterine rupture can be alarming and unpredictable; you often won’t know it’s happening until it’s in progress. Healthline.com outlines some warning signs that may indicate a rupture, such as:
- Excessive vaginal bleeding
- Sudden pain between contractions
- Slowing or weakening contractions
- Abnormal abdominal pain
- Recession of the baby’s head in the birth canal
- Bulging beneath the pubic bone
- Sudden pain at the previous uterine scar site
- Loss of uterine muscle tone
- Rapid heart rate or low blood pressure in the mother
- Abnormal heart rate in the baby
- Failure of labor to progress naturally
My Decision to Pursue a VBAC
Despite these potential risks, I’ve made the decision to pursue a VBAC with the support of my OB-GYN. I have utmost confidence in her expertise, and she believes I am a strong candidate for this option. I trust her judgment to know when to intervene if either my baby or I need assistance. This applies to any birthing method—interventions are sometimes necessary, and I am completely open to that.
I find inspiration in the many VBAC success stories I’ve come across on platforms like The VBAC Link and Birth Without Fear Blog. These narratives showcase incredible journeys of women who faced challenges but ultimately achieved their desired births, despite any prior fears or negative experiences. Reading these accounts helps normalize the idea of VBAC for me and makes it feel attainable.
Every mother carries complex feelings about the circumstances of her children’s births. For some, a C-section is precisely the right choice, and that’s perfectly okay. However, for me, during this pregnancy, my heart is guiding me toward the most natural birth experience I can achieve.
With deep breaths, my OB and I have mapped out a plan, including an emergency backup. I’ll step into the delivery room alongside my husband, who will support me in my efforts to bring our child into the world. I truly believe this is the best path for both my baby and me this time.
If you’re interested in delving deeper into topics related to pregnancy, check out this post on VBAC considerations for more insights. Additionally, if you’re exploring options for home insemination, Make A Mom offers reputable syringe kits for at-home use. For those looking for insurance-related information, UCSF’s fertility insurance FAQs is an excellent resource.
In summary, I’m choosing a VBAC for my final pregnancy because I want to embrace the natural birth experience that eluded me before. While I acknowledge the risks, I trust my medical team and am committed to this path.
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