Contents:
- Medical Video: C-section (Cesarean Delivery)
- What are the benefits of normal childbirth?
- Are there certain conditions for normal childbirth after caesarean section?
- A risky condition for normal delivery after caesarean section
- What is the risk of normal labor for mothers who have had a caesarean section?
- What preparations need to be done before giving birth are normal if I have had a cesarean section?
Medical Video: C-section (Cesarean Delivery)
Normal labor after a previous caesarean section may have been delivered. In medical language, this is called Vaginal Birth After Cesarean labor, aka VBAC. In addition to the faster healing process after childbirth, many women consider vaginal delivery because of reasons for wanting to experience normal labor. Although currently the success rate of normal labor after caesarean is quite large, this is not a simple and riskless action. The decision to give birth normally if the first delivery is via a caesarean section requires careful consideration and complete preparation.
What are the benefits of normal childbirth?
- Prevent wound marks (scar) on the uterine wall. This is important if you are still planning to have more children in the future.
- There are no surgical wounds so post-natal care is easier, complications due to surgery can be avoided.
- Shorter inpatient time, the healing process of the mother to be able to move normally more quickly.
- The risk of postpartum infection is smaller.
- The risk of postpartum bleeding is smaller
- Mothers play an active role in labor.
Are there certain conditions for normal childbirth after caesarean section?
In most normal deliveries where the mother has had a caesarean section, labor can proceed smoothly without complications. But the success rate is strongly related to your labor history, your medical history, and your current health condition.
The success rate of normal labor after caesarean will be higher if:
- You have a normal birth history at least once, before or after a caesarean section.
- The former uterine wall incision in the previous caesarean section was transverse.
- Health problems / complicating conditions of pregnancy that cause you to have to undergo a caesarean section at this time is gone.
- Previous normal labor takes place spontaneously (does not require labor induction)
- Childbirth is carried out when the baby has enough months.
- You are less than 35 years old.
A risky condition for normal delivery after caesarean section
On the other hand, the success rate of normal labor decreases in the following conditions:
- You still experience the same health problems that caused you to have to undergo a caesarean section.
- Found complications of pregnancy conditions such as placenta previa (abnormal placenta location), macrosomia (size of a large baby), failure conditions of fetal development, fetal position in the form of buttocks / legs first, and other complications.
- The former uterine wall incision in the previous caesarean section is vertical or T.
- The time of labor is only less than 18 months or 24 months from your previous caesarean delivery.
- Some risk factors from mothers such as obesity, short posture, age during pregnancy over 35 years, the condition of diabetes before and or during pregnancy.
- The gestational age is more than 40 weeks.
What is the risk of normal labor for mothers who have had a caesarean section?
The main risk of labor is a condition called uterine rupture. Uterine rupture is a condition of tearing of a former caesarean section in the uterine wall due to the high pressure that occurs in the uterus during labor. Uterine rupture is very dangerous for you and your baby. The baby's head can be injured. Mothers can experience severe bleeding due to tearing of the uterine wall.
If the maternal bleeding condition is more severe and difficult to deal with, the doctor must immediately take the removal of the uterus (hysterectomy). If your uterus is removed, you will not be able to conceive it later. Pregnant women at risk of uterine rupture should deliver by caesarean section in the second and subsequent pregnancies, avoiding normal labor if you have had a cesarean section.
What preparations need to be done before giving birth are normal if I have had a cesarean section?
- There is no difference in general antenatal care between normal delivery after caesarean section with another method of labor.
- Regular pregnancy monitoring is needed to detect the emergence of complications in labor.
- If you plan to have a normal delivery after caesarean section, make sure you give birth in a hospital that has complete facilities and experts, who can immediately take emergency caesarean section if normal delivery fails, and can immediately provide appropriate assistance in the event of an emergency in infants .
- Equip yourself with complete information and discuss with the obstetrician before deciding to do a normal delivery. Prepare yourself mentally to be ready to do a caesarean section if the normal labor process is difficult / failed.
READ ALSO:
- What Happens When Normal Childbirth?
- Strengths and Disadvantages of Normal Childbirth vs. Caesarean Section
- Main Causes of Maternal Death at Childbirth
- 5 Methods of Childbirth Alternative Ways You Can Try
- When Should I Have Caesarean Section?
