VBAC poses potentially serious risks, including:
June 12, 2015
- Failed attempt at labor. Labor can results in a repeat C-section.
- Uterine rupture. Rarely, the uterus might tear open along the scar line from a prior C-section. If your uterus ruptures, an emergency C-section is needed to prevent life-threatening complications, including heavy bleeding and infection for the mother and brain damage for the baby. In some cases, the uterus might need to be removed (hysterectomy) to stop the bleeding. If your uterus is removed, you won't be able to get pregnant again.
- Wells CE, et al. Choosing the route of delivery after cesarean birth. http://www.uptodate.com/home. Accessed May 19, 2015.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Obstetrics. ACOG Practice Bulletin No. 115: Vaginal birth after previous cesarean delivery. Obstetrics & Gynecology. 2010;116:450.
- Berghella V. Cesarean delivery: Preoperative issues. http://www.uptodate.com/home. Accessed May 19, 2015.
- Frequently asked questions. Labor, delivery and postpartum care FAQ070. Vaginal birth after cesarean delivery: Deciding on a trial of labor after cesarean delivery. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Vaginal-Birth-After-Cesarean-Delivery-Deciding-on-a-Trial-of-Labor-After-Cesarean-Delivery. Accessed May 19, 2015.
- Pregnancy: Labor and birth. Office on Women's Health. http://www.womenshealth.gov/pregnancy/childbirth-beyond/labor-birth.html. Accessed May 19, 2015.
- Smith JF, et al. Rupture of the unscarred uterus. http://www.uptodate.com/home. Accessed May 19, 2015.
- Lang CT, et al. Uterine dehiscence and rupture after previous cesarean delivery. http://www.uptodate.com/home. Accessed May 19, 2015.
- Hauk L. Planning for labor and vaginal birth after cesarean delivery: Guidelines from the AAFP. American Family Physician. 2015;91:197.