Birthrites: Healing After Caesarean.

Caesarean Birth:
Making Informed Choices.

Making an informed choice about
Vaginal Birth After Caesarean (VBAC)

Your choice of childbirth professional during a VBAC

The choice of caregiver available to women who wish to birth by VBAC is basically the same as for any woman:

  • Obstetrician
  • Obstetric General Practitioner
  • Midwife - Independent, Birthcentre or hospital (some hospitals even have midwifery teams)

You can choose one of these, or choose to combine your care -> eg, a midwife and an Ob GP team, or an Ob GP and an Obstetrician team, etc. Again, this choice of caregiver will be related to your local birthing community's views of VBAC labour, and the appropriateness of each type of childbirth professional in regard to supporting VBAC clients. With a little research, though, you may find you have quite a few options available to you in regard to this choice.

Remember that you do not have to go with the first practitioner you visit, or are referred to. If your discussions with the practitioner leave you feeling uncomfortable, or unsure about their true dedication to your VBAC success, then interview others until you find one you feel confident to have managing your maternity care.

'As well as the shared care between the hospital and my family GP, I now also had ante-natal visits with Dierdre (my midwife) - what a difference!'

The continuity of care that can be attained by hiring an independent midwife should be noted. The midwife may support you in either a homebirth VBAC, or a hospital VBAC, depending on what you want and how she feels about each birth environment. Each individual midwife will have her own protocol, but most visit you at home during your pregnancy, for regular antenatal appointments and build up a trust. They then come to you when you are in labour, and stay with you right throughout your labour (no matter how long -> though they may share your care with another independent midwife during an especially long labour). When your baby is born they continue to care for you, and your baby, up until 6 weeks after the birth. Most women develop a friendship with their midwife that lasts a lifetime.

'My support person held my hand, something very simple but which gave me great comfort, and strength to endure.'

The other childbirth support person that you might like to employ is a doula. Doula supposedly means 'with woman/female servant' and she will support you emotionally and, to a certain extent, physically during labour, birth and in the days following. A doula may not have any educational training in regard to childbirth, though some states of Australia now run doula -training courses, but she is generally very knowledgeable about the natural birth process. A doula can provide you with the emotional support you may need during pregnancy (i.e., coming to doctor's appointments with you, etc) and labour, and her role can vary from support person for you, to support person for you partner or child/ren. Your doula may find herself directed by you to take the photos, massage your back, affirm you ability to birth. Or she may suggest ways of easing labour pain, remind you of your birth plan, etc. A doula should not replace the childbirth professional that you organise to be present at your VBAC birth, but she can enhance the whole experience with her presence and emotional support.

'My doula was WONDERFUL! I'm so glad that I had her there and encourage ANYONE to use a doula. She really kept my head on straight and didn't let me give up.'


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