Ep 229: Vaginal Birth After Cesarean (VBAC)

Birth With Power

Dr. Nicole C. Rankins

Parenting, Kids & Family

4.9 • 637 Ratings

🗓️ 17 October 2023

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

If you’re considering VBAC (vaginal birth after cesarean), this episode is a must listen! Most individuals with one (or two!) prior low transverse cesareans can consider VBAC. But you MUST bring it up early with your healthcare provider to be sure they will support your wishes, because not all doctors support it and some are not forthcoming about that. With VBAC, you avoid major surgery and the recovery time can be quicker but it’s not the appropriate option for everyone and there are risks. You can weigh the risks and benefits and decide if it’s the right choice for you. And if you decide to try for a VBAC, this episode will set you up for success!

In this Episode, You’ll Learn About:

What a vaginal birth after cesarean entails
Who is and is not a candidate
What’s the most important thing to do if you’re interested in trying for a vaginal birth
What the risks and benefits are
Which factors are associated with a successful trial of labor after cesarean (TOLAC)
Which scenarios make doctors uncomfortable with the procedure and what the evidence-based recommendations are for management
What a low-intervention TOLAC looks like

Full website notes: drnicolerankins.com/episode229

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Transcript

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0:00.0	In this episode, you are going to learn all about vaginal birth after cesarian or VEback.
0:11.0	Welcome to the All About Pregnancy and Birth Podcast.
0:15.6	I'm Dr. Nicole Calloway Rankin's, a board certified OBGYN who's been in practice for nearly 15 years.
0:22.2	I've had the privilege of helping over 1,000 babies into this world, and I'm here to help you
0:28.1	be calm, confident, and empowered to have a beautiful pregnancy in birth. Quick note,
0:34.6	this podcast is for educational purposes only and is not a substitute for medical advice.
0:40.2	Check out the full disclaimer at Dr. Nicole Rankins.com forward slash disclaimer.
0:45.2	Now let's get to it.
0:50.8	Want to feel more calm and confident about giving birth?
0:55.7	The Birth with Power Brief is my free weekly email that gives you a fun pregnancy fact,
1:03.5	one mind set shift, and one small step to prepare without the overwhelm.
1:14.5	It's like having me in your corner cheering you on every Thursday. Don't miss it. Head to Dr. Nicole Rankins.com forward slash email to sign up today.
1:23.0	Hello there. Welcome to another episode of the podcast. This is episode number 229, whether you are a new
1:30.9	listener or a returning listener. Thank you, thank you, thank you for spending some of your time
1:36.6	with me today. So in today's episode of the podcast, you are going to learn all about V-back vaginal birth after Cesarian.
1:47.3	So you'll start with learning some terminology.
1:50.4	We'll talk about V-BAC versus TOLAC.
1:53.5	You will learn who and who is not a candidate for a T-LAC or trial of labor after
1:59.2	cesarean.
2:00.1	You'll learn what's the most important thing you
2:02.1	need to do if you're interested in a V-back, the benefits and risk of V-back, factors that are
2:07.6	associated with the successful V-back, and then factors that decrease your chances of success
	...

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