One of the arguments of the medical ethics today is whether or not doctors are obligated to respect women’s wishes to have a vaginal birth after a C-section. In mine and my partner’s thoughts after research, they should, there are many benefits to having a VBAC, or Vaginal Birth After C-section. For example, according to http://www.mayoclinic.org/tests-procedures/vbac/basics/what-you-can-expect/prc-20020457, 60-80% of women who have a VBAC have a successful delivery. VBAC is also associated with fewer complications, and a failed TOLAC is associated with more complications, than elective repeat cesarean delivery, according to http://www.acog.org/Resources-And-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Obstetrics/Vaginal-Birth-After-Previous-Cesarean-Delivery. In addition, women who achieve VBAC avoid major abdominal surgery, resulting in lower rates of hemorrhage, infection, and a shorter recovery period compared with elective repeat cesarean delivery. Additionally, for those considering larger families, VBAC may avoid potential future maternal consequences of multiple cesarean deliveries such as hysterectomy, bowel or bladder injury, transfusion, infection, and abnormal placentation such as placenta previa and placenta accreta.
Though not every woman agrees with it, there is proof that women who steer clear of VBAC are more at risk for uterine rupture than women who opt for one. According to http://americanpregnancy.org/labor-and-birth/vbac/, women who have a VBAC have a less than 1% chance of uterine rupture, while a repeat cesarean would have the usual risk of all surgical procedures. Also, the baby’s lungs clear out as it passes through the birth canal, while the baby had a possibility of respiratory problems with a repeat cesarean. In addition, repeat cesareans will increase your surgical risks if you plan on a large family.
According to the chart above, from http://www.scatteredseashells.com/2015/04/vbac-lies-your-doctor-might-tell-you.html, your risk of after pregnancy complications rise if you continue to have repeated C-sections, and the risk decreases if you have repeated VBACs. VBACs reduce the risk of hemorrhaging and the chances of your baby needing resuscitation.
However, the amount of VBACs is decreasing, because of the counseling given. According to the chart below, from http://emedicine.medscape.com/article/272187-overview, VBACs have decreased to about 10%, in 2005, of what it was before in 1995.
Though they are told the risks, patients still are opting to have repeat C-sections rather than VBACs. Our group’s opinion suggests that the facts and lies about VBACs have been blurred over the years as medical technology advanced. We decided it is time to clear it and state the truth for what it is.