Bassett Birthing Center a Leader in Safe Vaginal Births After Cesarean Section (VBAC)

Bassett Medical Center's Birthing Center was recently recognized by Regional Perinatal Center in Albany for its high success rates and safety surrounding patients who choose to pursue vaginal birth after having had a Cesarean section (VBAC). The American College of Obstetrics and Gynecology (ACOG) estimates that 60 to 80 percent of people who attempt a vaginal birth after a Cesarean section will have a successful experience. Bassett, which reports an 87 percent success rate, is significantly above the national average.

Charu Chanana, MD, director of obstetrical services at Bassett Healthcare Network, credits Bassett Birthing Center's team of nurses, midwives, obstetricians and anesthesiologists.

"Most patients are surprised to learn that vaginal birth after a previous Cesarean section (C-section) is even possible," says Dr. Chanana.

"But many women who underwent a low transverse incision during a previous C-section may qualify for a trial of labor and vaginal birth in future pregnancies. This can drastically change a family's plans surrounding an upcoming birth. Our team at Bassett Birthing Center is proud to be at the forefront of this innovative work."

There are many advantages to VBAC, like quicker recovery times and a shorter stay in the hospital, less abdominal pain after birth, and breastfeeding may be established sooner. Additionally, avoiding further surgery can prevent the development of scar tissue.

Often, a major concern for women who have had a previous C-section is the risk of uterine rupture, which can occur when the uterus tears, typically at the site of the previous scar. It is rare and can occur during late pregnancy or active labor. It is not recommended that women attempt a VBAC at home.

Anyone considering a VBAC after a previous C-section should begin by discussing the option with their obstetrician. 

"Our physicians, midwives, and nurses make sure our patients are well educated about the procedure and help families make the best decisions for their situation and loved ones," says Samuel Badalian, MD, chief of women's health at Bassett Healthcare Network.

"The safety of mothers and their babies is always our top priority. For those patients who qualify for a VBAC, it can really enrich their birthing experience."