Vaginal birth after cesarean (VBAC) refers to giving birth vaginally after having a cesarean section (C-section) for a previous pregnancy. VBAC may follow a trial of labor after cesarean (TOLAC), during which time a person will attempt a vaginal birth. If the labor does not progress, a cesarean may be necessary. A person's medical team can discuss the benefits and risks of VBAC with them to help them make an informed decision about the delivery.
What are the benefits of VBAC?
Benefits of a successful VBAC can include a shorter recovery time, a lower risk of infection, and less blood loss. A VBAC also helps reduce the risk of problems that can occur with multiple cesareans, such as hysterectomy, bladder or bowel problems, and issues with the placenta in any future pregnancies. It is important to note that VBAC may also present with risks. A person can discuss these with their medical team beforehand and ask any questions to determine which method of delivery is best for them.
Is vaginal delivery birth painful?
Many people report that vaginal delivery is painful. However, according to a survey by the American Society of Anesthesiologists, just over half of people said that contractions were more painful than the delivery. There are various options for pain management during labor and delivery, such as a labor epidural with or without a spinal anesthetic, intravenous pain medications, and nonpharmacological options like relaxation and distraction techniques.
When does bleeding stop after a vaginal delivery?
Bleeding after vaginal delivery typically lasts around 4 to 6 weeks. However, some people may experience bleeding for up to 12 weeks. The bleeding will usually be heavy to begin with. As the flow becomes lighter, it will also appear lighter in color, changing from a bright red or reddish-brown to a paler red or pink. Passing clots is normal after vaginal delivery. However, if a person passes a lot of large clots, it is important to make a medical professional aware of this.
