The best for baby and you ~ VBAC after C-Section

If you had a prior c- section please ask your OB," What will you do if adhesions are encountered ? "     
You deserve an answer to that question and it should be incorporated into your "Informed Consent".
Please read the article below about VBAC. It may be an option despite your prior c-section and with your Adhesion Related Disorder.                        

The best for baby and you

Yaowaluk Rapeepattana, MD
Samitivej Sukhumvit Hospital April 1, 2014 1:00 am

Many women who have delivered a child by Caesarean believe they are fated to deliver any more babies they may have the surgical rather than the natural way.

While many do opt for a C section, whether or not or medical advice, vaginal birth after caesarean or VBAC as it's known for short, allows a woman to give birth safely and comfortably, even if an earlier pregnancy resulted in a C-section. The American College of Obstetricians and Gynaecologists recommends that all doctors offer VBAC to expectant mothers. 

Anyone who wants a natural birth is an ideal candidate for VBAC though it should be noted that it's not entirely without risk: there is a 1 per cent or lower risk of uterine rupture.

To assess the risks associated with VBAC, it is helpful to determine why a previous pregnancy might have resulted in a C-section. For example, if the abnormal position of the baby or the abnormal location of the placenta necessitated the first caesarean, VBAC would be a low risk process the next time. However, if a C-section was required because of the mother's small pelvis or the baby's large size, vaginal birth could be complicated for subsequent pregnancies as well. Risks associated with VBAC increase if a woman has had uterine surgery, more than one C-section, or if her baby is bigger than her pelvis. If the interval between pregnancies is less than a year, risks increase substantially; some doctors are unwilling to recommend VBAC to such patients.     
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