VBAC 고려 환자
VBAC 불가능한 산모
Vaginal Birth After C-Section (VBAC)
The old phrase "once a C-section always a C-section" is no longer true. In the past, the belief was that if a woman had delivered one baby by C-section, all other children had to be delivered the same way. Today many women can have vaginal deliveries after a previous C-section delivery. This is referred to as a vaginal birth after cesarean (VBAC).
Candidates For VBAC
According to the American College of Obstetricians and Gynecologists (ACOG), the following women are candidates for VBAC:
If the woman has had one or two prior low-transverse (commonly referred to as "bikini incision") C-section deliveries.
If the woman has no other uterine scars or ruptures, whether from previous C-sections or other surgeries.
If the woman has a pelvis large enough to adequately have the baby.
ACOG has specifically stated that whenever a woman is planning a VBAC delivery, there should be an appropriate medical team available, including an anesthesiologist, throughout the active labor so that an emergency C-section may be done if necessary. Smaller hospitals may not have the resources to monitor a VBAC delivery or to provide an emergency c-section for VBAC situations, and VBAC delivery may not be possible.