Many expectant mothers believe that once they have undergone a Caesarean section, all subsequent deliveries must be performed using the same procedure. However, under certain conditions, it is still possible to have a normal delivery after a C-section, known as VBAC (Vaginal Birth After Caesarean), provided that specific medical criteria are met.
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What is VBAC?
VBAC refers to the process of delivering vaginally after having previously given birth via Caesarean section. According to dr. Gracia Merryane R.G Rauw, Sp.OG, an obstetrics and gynecology specialist practicing at Mandaya Royal Hospital Puri, VBAC can be an option for some mothers but requires thorough medical evaluation to ensure the safety of both mother and baby.
Requirements for a Normal Delivery After a Caesarean Section
To safely attempt VBAC, several important conditions must be met. According to Dr. Gracia, the requirements include:
1. Pregnancy Interval
The gap between deliveries should not be too short. Ideally, there should be at least 1–2 years since the last C-section to allow optimal healing of the uterine tissue.
2. Baby’s Weight
Baby’s weight is also a determining factor for VBAC eligibility. “Ideally, the baby should weigh no more than 4 kg. Some literature even recommends under 3.5 kg to reduce the risk of complications,” Dr. Gracia explained.
3. Baby’s Position
The baby must be in the head-down position, facing the birth canal. Breech or transverse positions are not recommended for VBAC.
4. No Labor Induction
VBAC should occur naturally without the use of induction medications, as induction can increase the risk of uterine rupture at the site of the previous Caesarean incision.
5. Pelvic Condition
The mother’s pelvis must be wide enough for a safe vaginal delivery. The reason for the previous C-section should also be evaluated, for example, whether it was due to a narrow pelvis or placenta previa.
Limitations of VBAC
VBAC is generally recommended only for women who have had one prior Caesarean section. If a woman has had two C-sections, the risk of uterine rupture significantly increases, making vaginal delivery inadvisable.
The primary risk of VBAC is uterine rupture at the site of the previous incision. Therefore, close monitoring during labor is essential. Doctors will also ensure there is no placental adhesion in the previous C-section area and that bleeding is under control.
Possible Discomfort During VBAC
Some mothers may experience increased pain in the C-section scar area during early contractions, especially as labor approaches. However, once delivery is complete, the recovery process is generally similar to that of a regular vaginal birth.
With proper medical assessment, fulfillment of all necessary requirements, and supervision by experienced doctors, VBAC can be a safe and fulfilling option for mothers who wish to experience vaginal birth after a Caesarean section.
About Dr. Gracia Merryane R.G Rauw, Sp.OG – Mandaya Royal Hospital Puri
Dr. Gracia is an obstetrics and gynecology (OB-GYN) specialist practicing at Mandaya Royal Hospital Puri. She completed her General Practitioner and OB-GYN Specialist education at Sam Ratulangi University.
Her areas of expertise include:
- Lactation Consultation
- Family Planning Consultation
- Ovulation Induction
- Labor Induction & Caesarean Section
- Hysterectomy
- Sterilization
- Laparoscopy
- Pap Smear
- Saline Infusion Sonohysterography (SIS)
- LEEP Procedure
Practice Schedule at Mandaya Royal Hospital Puri:
- Monday: 08.00 – 11.00 & 13.00 – 18.00 WIB
- Tuesday: 08.00 – 11.00 & 13.00 – 18.00 WIB
- Wednesday: 08.00 – 11.00 & 13.00 – 18.00 WIB
- Thursday: 08.00 – 11.00 & 13.00 – 18.00 WIB
- Friday: 08.00 – 11.00 & 13.00 – 18.00 WIB
- Saturday: 08.00 – 11.00 & 13.00 – 18.00 WIB
To consult with Dr. Gracia regarding pregnancy and gynecological matters, visit Mandaya Royal Hospital Puri.
For a more convenient visit, use the Chat via WhatsApp feature, Book Appointment service, or the Care Dokter app (available on Google Play and App Store) to check your queue number and access complete hospital information.
