In my previous pregnancy, I experienced the intensity of a natural birth, free from medication and minimal medical intervention. It was incredibly challenging. My second child, however, arrived via an emergency cesarean section, which proved difficult in a different way. Under heavy sedation, I felt detached from the extraordinary experience of childbirth, unable to truly grasp what was happening. Yet, I returned home with a healthy newborn whom I adored beyond measure.
I firmly believe there’s no room for shame regarding any birthing method, and I personally do not harbor any. However, the C-section experience lingered in my heart for a long time. Consequently, for this, my last pregnancy, I have decided to attempt a vaginal birth after cesarean (VBAC).
While pursuing a VBAC can be empowering, it does not come without its risks. A C-section may still be necessary if complications arise. According to medical sources, women attempting a VBAC first undergo a trial of labor after C-section (TOLAC) — essentially a preparatory phase leading up to delivery. If everything is progressing well, they may then transition to the pushing stage. However, statistics indicate that 40% of women who plan for a VBAC will end up requiring another C-section.
A primary concern during a VBAC is the potential for uterine rupture, which, while alarming, is quite rare among women with a low transverse scar—the standard surgical method in the U.S. The chance of serious complications due to uterine rupture is less than 1%. Nonetheless, the unpredictable nature of this risk is unsettling, as it cannot be diagnosed in advance. Symptoms can include excessive bleeding, sudden abdominal pain, and a failure for labor to progress, among others.
Despite these rare but serious risks, I remain determined to pursue a VBAC under the supervision of my obstetrician, Dr. Emily Johnson. I have complete faith in her expertise, as she believes I am an excellent candidate for a VBAC. I trust her judgment to intervene if my baby or I encounter any complications. This applies to all birthing methods, as sometimes medical assistance is necessary, and I am open to that possibility.
I find inspiration and encouragement in the success stories shared by women on platforms like The VBAC Link and Birth Without Fear Blog. Reading about their journeys helps normalize the VBAC experience and makes it feel attainable for me.
Every mother has unique feelings surrounding the births of her children, and for many women, a C-section is the preferred or necessary option. I respect that choice. However, for my current pregnancy, I feel compelled to strive for a more natural experience.
Thus, with careful planning alongside Dr. Johnson, we have established both a birth plan and an emergency backup plan. I will enter the delivery room with my supportive partner, ready to give my all in bringing my baby into the world. I believe this approach is the best for both me and my child this time around.
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In summary, I am choosing to attempt a VBAC for my last pregnancy, embracing the challenges and uncertainties with the support of my healthcare provider. I am hopeful for a positive outcome that aligns with my desire for a natural birthing experience.
Keyphrase: VBAC in pregnancy
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