Treatment might involve surgical removal of the uterus (hysterectomy).
If a scar on your uterus from a previous cesarean tears open during a trial of labor, an emergency C-section is needed to prevent life-threatening complications for you and your baby. While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after cesarean is associated with more complications, including, rarely, a uterine rupture. Request an Appointment at Mayo Clinic Risks A need for labor induction when starting with a closed cervix.History of two or more prior C-sections and no vaginal deliveries.VBAC also generally isn't an option if you are pregnant with triplets or higher order multiples.įactors that decrease the likelihood of VBAC include: Many health care providers won't offer VBAC if you've had more than two prior C-sections or you have a body mass index of 50 or higher at the time of delivery and you've never had a vaginal delivery.
For some women, it's important to experience a vaginal delivery. Opportunity for an individualized birth plan.Avoiding surgery will help you resume your normal activities sooner. You'll have a shorter hospital stay after a VBAC than you would after a repeat C-section. VBAC also might decrease the risk of surgical removal of the uterus (hysterectomy) and injury to abdominal organs, such as the bladder or bowel. Successful VBAC is associated with lower rates of excessive bleeding, infection and blood clotting in one or more of the deep veins in the body (deep vein thrombosis). If you're planning to have more children, VBAC might help you avoid the risks of multiple cesarean deliveries, such as placenta previa or placenta accreta. Common reasons for choosing a trial of labor after cesarean include: