A VBAC is a vaginal birth after cesarean section. In a VBAC, the mother had a cesarean section delivery and then in a later pregnancy attempts to deliver vaginally. A VBAC can be done safely, but it is important that the nurses and doctors be very vigilant. There are many risks associated with a VBAC, including but not limited to uterine rupture and bleeding risks.
If a trial of labor after cesarean (TOLAC) were to fail, there is a greater risk of morbidity (Jeffries et al, 2019). It is important to know the risk of a failed VBAC before attempting, which is why using a risk calculator can be effective. One group of researchers wanted to determine if and how health care providers were incorporating a VBAC risk calculator, and if it swayed their decision to go forward with a TOLAC.
Interestingly, Jeffries and colleagues determined that the risk factor did not strongly guide the decision of the provider. “Overall, we found that providers were unable to accurately estimate a patient’s calculated likelihood of successful VBAC when provided the clinical characteristics. In fact, as compared to the calculator, the majority of providers grossly overestimated the likelihood of successful VBAC in each clinical vignette (Jeffries et al, 2019).”
It is important for a provider to understand all risks involved to help guide recommendations for care. Not all patients who wish to attempt a TOLAC are good candidates, which could result in an increased morbidity risk. If you suffer complications due to a VBAC, you may have a case against the doctor, medical team, or hospital. Call our attorneys now to discuss your case in a free consultation.