What is a VBAC?
VBAC deliveries carry risk, but can be successful in the correct patient population. Secondary to the risk, the hospitals have safety requirements for the physicians to be in house the entire time you are in labor. The health and safety of yourself and your baby are our priority. We currently will only do VBACs in select patients with a proven pelvis. This means they have had a vaginal delivery before. If a VBAC delivery is important to you and you have not had a prior vaginal delivery, we are happy to assist you finding an OB-GYN who will allow you in a trial of labor.
Who Is an Ideal Candidate for VBAC?
In general, ideal candidates for VBAC are those whose previous C-sections were performed for a non-recurring reason rather than a permanent pelvic or structural issue. While every medical history must be evaluated individually, common criteria often include:
- A history of only one previous low-transverse uterine incision
- A pregnancy that does not involve multiples or a large infant
- The absence of previous uterine ruptures or major uterine surgeries
- A healthy pregnancy without complications like placenta previa
Patients who have had a VBAC after one C-section previously often have a higher success rate for subsequent vaginal deliveries.
The TOLAC and VBAC Labor and Delivery Process
The trial of labor after cesarean (TOLAC) process is the clinical attempt to deliver vaginally. During this time, VBAC monitoring during labor is intensive to ensure both maternal and fetal wellness. Dr. Bertles manages the VBAC labor and delivery process in a hospital setting to provide immediate access to emergency resources if required. This VBAC hospital delivery in Katy, TX, ensures that every precaution is taken while you work toward your birthing goals.
Why Patients Trust Progressive Women’s Care
Choosing Progressive Women’s Care in Katy, TX, means working with a board-certified professional dedicated to your health. As an experienced VBAC doctor in Katy, TX, Dr. Bertles offers comprehensive pregnancy care tailored to your needs. Patients seeking a qualified OBGYN for VBAC in Katy, TX, trust us for our focus on evidence-based medicine and patient safety.
Frequently Asked Questions About VBAC
Is a VBAC safer than a repeat C-section?
For many women, a successful vaginal birth avoids the risks associated with multiple abdominal surgeries, such as bowel or bladder injury. Dr. Bertles reviews your medical history to confirm that a trial of labor is the safest path for you and your baby.
What is the success rate for a trial of labor?
Clinically, about 60- 80% of women who attempt a trial of labor after a previous C-section deliver successfully. Success depends on the reason for the original surgery and the health of the current pregnancy.
Is an epidural available during a trial of labor?
Yes, pain management options like an epidural are commonly used during the VBAC labor and delivery process. Utilizing an epidural does not negatively impact the success rate of the trial of labor after cesarean (TOLAC) process and helps maintain patient comfort.
How much does a VBAC cost in Katy, TX?
The total VBAC cost in Katy, TX, depends on your specific medical needs and the length of your hospital stay. Our office provides a detailed breakdown during your initial consultation.
What is the VBAC delivery cost with insurance?
The VBAC delivery cost with insurance varies by provider and plan. Because it avoids surgery, the hospital fees for VBAC delivery may be lower than those for a repeat C-section.
How long is the typical VBAC recovery time?
The VBAC recovery time is usually shorter than the healing period required for a repeat surgical birth. Most patients find that vaginal delivery recovery after C-section involves less physical restriction and a faster return to daily activities.
Schedule Your VBAC Consultation
Discuss your birthing options with a specialist who understands your history and goals. Progressive Women’s Care offers the expertise required to navigate your delivery safely. Contact our office in Katy, TX, to schedule your consultation and explore a personalized path for your next birth.
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Meet The Team
Dr. Bertles is licensed by the Texas State Board of Medical Examiners and is board-certified by the American Board of Obstetrics and Gynecology. Amanda Smith, PA-C, spent the first 15 years of her career in primary care and is excited to join Progressive Women's Care and Dr. Bertles as she brings her primary care knowledge to women's health.
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