My first child entered the world in a natural delivery, free from medications and with minimal medical intervention. It was undeniably challenging. For my second child, however, I faced an emergency C-section. While that experience was difficult in its own right, it left me feeling disconnected from the true essence of childbirth; the heavy medications blurred my perceptions, making it hard to grasp the reality of the moment. Yet, I returned home with a healthy, beautiful baby that I cherished deeply.
I’ve learned that there’s no shame in any birthing method, and I truly don’t harbor any negative feelings about my C-section. Nevertheless, that experience lingered in my heart for some time. As I prepare for my last pregnancy, I’ve decided to pursue a vaginal birth after cesarean (VBAC).
While a VBAC is not guaranteed and comes with its own set of risks, I believe it’s worth the attempt. Healthline notes that women who choose a VBAC will undergo a trial of labor after cesarean (TOLAC), which serves as a preliminary assessment leading to the main event. If all goes well during labor, then I can move on to the pushing phase. However, it’s important to recognize that approximately 40% of women attempting a planned VBAC may still require a C-section.
A major concern during a VBAC is the risk of uterine rupture, which can be as alarming as it sounds. The scar from a previous C-section could potentially tear, posing serious risks to both the mother and the baby. Thankfully, for those with a low transverse scar—now the standard in the U.S.—the actual risk of rupture is quite rare, estimated at less than 1 out of 100.
The signs of a uterine rupture can be distressing, as they cannot be predicted or diagnosed in advance. Symptoms may include excessive vaginal bleeding, sudden pain between contractions, and abnormal abdominal sensations, among others. Understanding these risks is crucial, yet my determination to attempt a VBAC remains steadfast under the careful supervision of my OB, who believes I am a strong candidate.
I find inspiration in the success stories shared on platforms like The VBAC Link and the Birth Without Fear Blog, where women recount their journeys and triumphs over challenges in seeking a VBAC. These narratives make the prospect feel attainable and relatable.
Every mother has her own unique feelings surrounding the births of her children. For some, a C-section is a desired outcome, and I respect that completely. However, for this pregnancy, I’m drawn to the idea of experiencing childbirth as naturally as possible.
With a thoughtful plan in place and an emergency backup strategy, my husband and I are preparing to welcome our child into the world. I’m confident this path is the best choice for both my baby and myself.
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In summary, my journey towards a VBAC is driven by a desire to connect more deeply with the experience of childbirth. With the support of my healthcare provider and my family, I am hopeful for what lies ahead.
