Preparing For Birth

  • Do you need a C-section?

Do you need a C-section?

Even if you’ve had one before, the answer may be no

Dr. Thomas Tabb and Katie Melvin, APRN

Katie Melvin, APRN and Thomas Tabb, MD

Dr. Thomas Tabb and Katie Melvin, APRN and nurse midwife, work together to assess patients who are potential candidates for VBAC — vaginal birth after caesarean.

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 magazinecheck out our latest publication.

About Owensboro Health

Owensboro Health is a nonprofit health system with a mission to heal the sick and to improve the health of the communities it serves in Kentucky and Indiana. The system includes Owensboro Health Regional Hospital, nationally recognized for design, architecture and engineering; Owensboro Health Muhlenberg Community Hospital, the Owensboro Health Medical Group comprised of over 200 providers at more than 20 locations; three outpatient Healthplex facilities, a certified medical fitness facility, the Healthpark; a surgical weight loss center and program, and the Mitchell Memorial Cancer Center.

On average each year, we have 16,000 inpatient admissions, deliver 2,000 babies and provide the region’s only Level III NICU. Owensboro Health physicians perform nearly 24,000 surgical procedures, including nearly 200 open-heart surgeries. Our physicians and staff have 70,000 Emergency Department visits, more than a million outpatient visits annually. Visit our home page for more information.