What makes a good vbac candidate?

[EloiseAndBump]

Just want to know a little more information on the subject

 

[9jawife]

I think having a horizontal incision (as opposed to a vertical one) is the main thing.

 

[OmiOmen]

*Low risk pregnancy
*The reason for last c-section- so if it is more or less likely to happen again
*Single baby rather than multiples
*Head down
*Spontaneous start to labour - no induction
*Being full term
*Horizontal scar
*Had a previous vaginal deliver
*A good gap between c-section- I think it's something like 18 months
*Research is split as to if larger babies are a bigger risk

This list would be more for a perfect candid but that is not to say a VBAC can't be done even if you don't meet all of these.

 

[JessPape]

Have a vagina? your good.. but for the most part the above have posted good information.... (and most doctors wont argue with women who fall in those categories)

 

[supertabby]

The literature I was given at hospital last week gave 4 things that will increase the chances of successful vbac:

Having previously had a vaginal birth
Going into vbac labour naturally (eg not induction)
Your previous section was elective (not emergency)
BMI was less than 30 at start of pregnancy

Women who meet all the above have a 75% success rate according to the pamphlet (but remember a healthy woman in first labour has 20% chance of ending up have emergency section, so yes worse odds in vbac but not that widely different).

For me only the BMI counts as I have had one baby by emergency section and this time because I'm high risk of pre-e I must either be induced early or have a section. For me I've made my mind up to go for a section but it's everyone's personal choice. Before my section last time I'd had 14 hours of induction and nothing started (though the section was because blood tests showed I was more seriously ill and no more time to waste). My doctor said this could mean a future induction may be more likely to be unsuccessful too.

Have you got a consultant appointment lined up due to previous section? They should be able to talk you through. I was worried I'd just get pushed one way or the other but mine was very much of the opinion it was my decision and she just went through the facts and answered my questions, she was really helpful.

 

[JessPape]

"Your previous section was elective (not emergency)
BMI was less than 30 at start of pregnancy
"

Even if you fall under any of thoses categories you still have a good chance of having a VBAC. I fall under both, and my midwife still sees me as a PERFECT candidate for a VBAC.

 

[tristansmum]

I fell into two of those bmi and spontaneous labour... Had a successful vbac 4 months ago. My first was emcs. So no previous vaginal birth.