Many women who have previously given birth through Cesarean section (C-section) can still safely give birth to a child through a normal vaginal delivery. Attempts at vaginal birth after cesarean (VBAC) have a high success rate and have many benefits.
What if your pregnancy is overdue and you are considering a VBAC?
You should be offered a ‘membrane sweep’ after 40 weeks of pregnancy as this can result in spontaneous labour in 24-48 hours in about 50% of cases.
The risks of scar rupture are greatly increased by induction of labour, especially if you need to have a prostaglandin tablet (this helps to soften and shorten the cervix (neck of the womb) and start labour.
The tablet is inserted into the vagina. An appointment will be made so that the consultant obstetrician can discuss the pros and cons of induction with you.
There is a two- to three-fold increased risk of uterine rupture and around 1.5- fold increased risk of caesarean section in induced and/or augmented (speeded up) labours compared with women whose labour starts naturally.
About video: Melissa Whitten explain what happens if you are overdue or go past your expected birth dates for Vaginal Birth After Caesarean Section (VBAC)
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