During my first birthing class, my husband and I completely overlooked the segment on C-sections. We were determined to have a traditional, medication-assisted vaginal delivery, so the rest seemed irrelevant. That was until I found myself three hours into pushing, with my epidural fading, when the doctor informed me that a C-section was necessary. It turned out we didn’t require much preparation on that front, as the medical team took charge. My husband assumed the role of the stunned dad with little guidance, while I embodied the overwhelmed mother.
Despite being thrust into a situation we hadn’t anticipated, both my baby and I emerged from surgery without complications. However, the subsequent days were more challenging than I expected. If you’ve experienced a C-section, you understand the discomfort of that first post-operative shower and the struggle of recovering from major surgery while managing a new baby and navigating postpartum hormones. A C-section, like any surgical procedure, carries significant risks, and it’s understandable that many women would prefer to avoid that scenario in the future. If you’re considering a vaginal birth after cesarean (VBAC), here are four key points to keep in mind.
1. Be Ready for Pushback
From the outset, many healthcare providers may discourage you from pursuing a VBAC. During my six-week postpartum visit, my OB-GYN informed me that I would need another C-section for my next delivery. Trusting her expertise, I didn’t question it. It wasn’t until I consulted a different doctor that I learned a VBAC was an option for me, given that my initial C-section was not due to a specific complication. This revelation was all I needed to shift my perspective.
However, that doctor’s support was a rarity. Upon transferring to a hospital that permitted VBACs, I encountered a new doctor or midwife at each appointment, each reiterating the potential risks associated with a VBAC. Even during labor, when my water broke, the hospital staff still suggested a C-section. If a VBAC is your goal, ensure that your partner and healthcare providers are aware of your decision and be prepared to advocate for yourself throughout the process.
2. Your Chances of Success Depend on Various Factors
Medical professionals evaluate several factors when determining your likelihood of a successful VBAC, including your anatomy and the reason behind your previous C-section. However, I was surprised to learn that hospitals often employ a calculator that considers seemingly unrelated data, such as age, body mass index, and ethnicity, to assess your odds. For instance, statistics indicate that white women tend to have higher success rates with VBACs compared to Hispanic women, although the reasons for this disparity remain unclear.
Initially, my doctors estimated my chances of a VBAC at 34 percent, likely hoping that this would dissuade me. However, when they utilized the calculator, my actual odds were closer to 53 percent. It’s essential to remember that while statistics can provide insights into trends, they cannot predict individual outcomes. Use this information as one component in your decision-making process.
3. Recovery Will Be Distinct
This may seem obvious, but if your only experience has been with a C-section, the recovery process after a VBAC will be quite different. Following my C-section, I didn’t get out of bed until the next morning due to the lingering effects of the epidural. Even then, I struggled to move and required assistance to clean myself. In stark contrast, after my VBAC, I was able to walk from the delivery room to my hospital room less than two hours post-birth. I did not have a catheter, I didn’t require morphine, and I felt a sense of relief rather than fear of pain with movement. Every recovery experience is unique, but generally, recovering from a VBAC tends to be less invasive since it’s not a surgical procedure.
4. You Will Feel a Sense of Accomplishment
You might think I’m exaggerating, but my VBAC stands as one of my proudest achievements, ranking alongside my college degree. After enduring countless discussions about why I shouldn’t attempt it, I emerged triumphant and proud. I often fantasized about sending letters of defiance to every doctor and nurse who doubted my choice.
It’s crucial to note that a VBAC isn’t suitable for everyone. I am not a medical professional, and I do not advocate for anyone to pursue this option without medical approval. I’m simply a mother who wanted to bring my child into the world on my terms and who hopes to inspire other mothers to explore their options.
For more information on pregnancy and home insemination, consider visiting March of Dimes, an excellent resource. You might also find insights from our other blog post on VBAC informative. If you’re interested in at-home insemination, check out Make A Mom, as they are a trusted authority on this topic.
Summary
In summary, pursuing a VBAC can pose challenges but may also lead to a fulfilling birth experience. Be informed about the possibilities and advocate for your choice. Remember, the journey is uniquely yours, and with the right support and information, you can achieve the birth you desire.