VBAC

VBAC Specialist

For many years, medical professionals believed that women couldn’t deliver vaginally after they’ve had a C-Section. Many wouldn't even consider the option because of the potential risk. Dr. Robert C. Siudmak of Total Women’s Healthcare, in Hollywood and Pembroke Pines, Florida has been providing them for many years. He has helped women successfully achieve vaginal birth after C-sections (VBAC), keeping his primary C-section rate under 18 percent while performing over 1,200 VBACs.

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VBAC Q & A

Can I have a vaginal birth after a previous C-section delivery?

Having a vaginal birth after a C-Section delivery is often the main concern. Each woman is different, which makes it difficult for Dr. Siudmak to provide a definitive answer. The good news is that if you experienced no complications during your C-section, a VBAC is very possible.

If you experienced any complications, it will depend on how severe they were and whether or not Dr. Siudmak’s 40 years of experience and your clinical picture permits him to be comfortable with allowing you to deliver vaginally. If a VBAC is something you would like to consider, discuss your options with Dr. Siudmak. Together you can decide on the best plan of action for your individual circumstances.

How do I know if I’m a good candidate for a VBAC?

There are several things the doctor will check to decide whether or not you would make a good candidate for a vaginal birth after a c-section, such as:

Previous c-section was a low-transverse uterine incision: Not a vertical incision at the top of the uterus
Size of your pelvis
You haven’t had uterine surgery or a uterine rupture in the past
Your age: Older women have less of a chance of a successful VBAC
Your weight: Excess weight is more likely to cause problems with VBAC

Ultimately, this decision will come down to a consultation with Dr. Siudmak to discuss your medical history and chances of a successful delivery.

How can I ensure the success of a VBAC?

If you’ve decided to try a VBAC, there are no guarantees. It is the goal of Dr. Siudmak and his team to ensure you have a safe delivery. This may include a “trial of labor after cesarean,” or TOLAC, at the time of your delivery.

TOLAC means that you will go into labor with the intention of delivering vaginally. If complications arise, and you or the baby begin showing signs of distress, an emergency C-Section will be performed.

Dr. Siudmak has extensive experience with successful VBACs and will monitor your childbirth closely, ultimately doing what’s best for you and your baby.

What are the benefits of a VBAC?

Many women opt for a VBAC for the following reasons:

The experience of a natural birth
Preservation of the uterus for future pregnancies
Less pain and recovery time than a C-Section
Lower risk of infection