Do you need a C-section?
Even if you’ve had one before, the answer may be no
Katie Melvin, APRN and Thomas Tabb, MD
They use the TOLAC calculator to determine a patient’s likelihood of success. (TOLAC stands for “trial of labor after caesarean.”) If the patients scores 60% or better, they are a candidate for VBAC.
Melvin only refers patients to Dr. Tabb if they have other health conditions that complicate care. Otherwise, she is able to see patients through a VBAC.
Her advice? “I tell every woman that just because you had one C-section doesn’t mean you have to have another. A C-section is major surgery, and considering the risk is important. If you have small children at home, it’s also good to consider the recovery time of a vaginal birth versus a caesarean.”
Dr. Tabb concurs. “The risk of rupture during a VBAC is less than 1%,” he said. “We [OHRH] meet the requirements for offering VBAC because we offer in-house anesthesia and we have an in-house OR. Should a C-section become necessary, we can get the baby out quickly.”
This article originally appeared in the September 2019 edition of Lift magazine, check out our latest publication.