⚠️ VBAC – Conditions Before It Can Even Be Considered
After a cesarean, many women ask:
“Can I try to deliver naturally next time?”
This is called VBAC (Vaginal Birth After Cesarean).
💡 VBAC is not suitable for everyone.
For a woman to even attempt VBAC, several conditions must be met:
1. Type of scar – Only a low transverse scar is considered safe enough; vertical scars are too risky.
2. Number of previous C-sections – Usually one scar; more than one increases the risk significantly.
3. No major complications – No placenta previa, no big fibroids, no previous uterine rupture.
4. Baby’s position – Head down, normal presentation.
5. Hospital readiness – A fully equipped operating theater and a surgical team must be available for emergency C-section at any time.
⚠️ Even with these conditions, the risk of uterine rupture or severe tears is real. Some mothers may pass through safely, but others face dangerous complications — like cervical tears or heavy bleeding.
Or Uterine rupture
In many cases, a planned repeat cesarean is the safer choice.
📊 Numbers to Keep in Mind:
Success rate: 70–75% (when strict conditions are met).
Risk of uterine rupture: 0.5–1% (around 1 in every 200–250 attempts).
Emergency C-section conversion: 20–30% of women attempting VBAC may need urgent surgery.
🔖 Support & Message to Women:
If your doctor advises against VBAC, it’s out of care for your safety.
Choosing a repeat cesarean is not failure — it’s choosing life and protection for yourself and your baby.
You are strong, brave, and complete — no matter how your baby is born.
👩⚕️ Final advice:
Always talk openly with your doctor. Ask about your scar type, your risks, and whether your hospital is prepared for VBAC. Every pregnancy is unique — and the safest plan is always the best plan. 💙
#DrRababCares
#SafeMotherhood #CesareanDelivery #VBAC #WomenHealthMatters #ForestParkHospital #GynecologyZambia
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