The Possibility Of Giving Birth Normally With A History Of Cesarean Delivery?
Assalmualaikum I am pregnant but my blood pressure is very high 140/80 This is my 3rd pregnancy when I was first pregnant normally but the second I am pregnant the third I want to do vbac is it safe, thanks in advance
Walaikum Salam. Hello, good morning Mazidah ..
VBAC (Vaginal Birth After Caesarean) is a natural / spontaneous birth procedure (or often referred to as "normal delivery" by lay people) after a history of labor with a SC procedure (saecar surgery). Of the 5 women who undergo VBAC, 3-4 of them are able to give birth naturally successfully. In general, to be able to carry out this VBAC procedure, there are criteria that must be met, including:
does not have a problem in the form of CPD (Cephalo-Pelvic Disporpotion), which is disporposional between the mother's pelvis with the baby's head, (for example because the pelvis is narrow) so that the baby's head cannot pass through the birth canal (mother's pelvis)
SC incision line that was previously located low and the direction is transverse (horizontal)
have never undergone extensive uterine surgery
do not have a history of diseases that can put childbirth at risk, such as the placenta covering the birth canal (placenta previa)
have never experienced a torn uterus before
the baby's head is under
Several conditions can reduce the likelihood of success of VBAC, including: excess maternal weight, infant weight more than 4 kg, gestational age more than 40 weeks, and the distance between the current and previous pregnancy is only one and a half years or even less than that period. outline, VBAC can be done provided there are no conditions that are contraindicated in natural / spontaneous / normal delivery.
In your condition, where you experience an increase in blood pressure during pregnancy, you should consult your obstetrician in advance for possible / no contraindications to VBAC. Actually an increase in blood pressure during pregnancy is a common occurrence (experienced by about 10% of pregnant women), and with good treatment, this condition will not develop and be dangerous. However, this condition can also develop into preeclampsia (which is characterized by an increase in blood pressure accompanied by protein in the urine). If preeclampsia occurs, especially if there are complications to pregnancy such as fetal growth is stunted, blood flow to the placenta is reduced, and so on, then labor with a SC procedure is appropriate for the condition.
That is all, I hope you can help, and hopefully healthy for you and your future baby :)