Can High-Risk Pregnancies Still Qualify for VBAC?

After delivering by C-section, many women hope their next pregnancy will give them the chance to experience a vaginal delivery. However, if your current pregnancy has been classified as high risk, a VBAC birth is generally not recommended. When a pregnancy carries elevated risks for the mother or baby, the safest path forward is typically a planned C-section. 

That said, a detailed medical evaluation is necessary to determine the best possible course of action. At Essential Women's Health Associates in Las Vegas, NV, and Henderson, NV, Dr. Samantha Schoenhaus, a board-certified osteopathic medicine and OBGYN, helps women navigate complex pregnancies and make informed decisions about different types of delivery. Call today to schedule a consultation. 

What is a VBAC delivery? 

So, what is a VBAC delivery? A "vaginal birth after cesarean" means having a vaginal delivery after having at least one C-section in the past. For women who are good candidates, a VBAC can offer a shorter recovery time, fewer surgical risks, and a smoother postpartum experience compared to a repeat C-section. 

However, a VBAC might not be an option for a high-risk pregnancy. The increased chance of complications, especially the potential need for an emergency C-section, is often why a VBAC is taken off the table in these situations. 

Understanding high-risk pregnancies 

A high-risk pregnancy means that the mother, the baby, or both face an elevated chance of complications before, during, or after delivery. Some common reasons for a high-risk classification include:  

• Age: Mothers who are over 35 or under 17 are considered at higher risk for complications. These age groups are associated with a greater likelihood of issues, such as preeclampsia and gestational diabetes. 
• Pre-existing medical conditions: Chronic illnesses such as high blood pressure, diabetes, or autoimmune disorders can increase the risk of complications during pregnancy. 
• Multiple gestation: Carrying twins, triplets, or more automatically classifies a pregnancy as high-risk. This is due to the increased strain on the mother's body and a higher likelihood of premature birth. 
• Pregnancy-related health issues: Conditions that develop during pregnancy, like preeclampsia, require close monitoring. These issues can affect the health of both mother and baby and influence the recommended delivery method. 

Due to these conditions, women have a greater chance of needing an emergency C-section. This is a primary reason why delivery plans for high-risk pregnancies are considered so carefully. 

Should you consider a VBAC? 

A VBAC birth can be a great option for women who have had a previous C-section and whose current pregnancy is not considered high-risk. Ideal candidates are typically those who have had a prior C-section and are currently experiencing a healthy, uncomplicated pregnancy. 

Of course, the different types of delivery options available to you will depend on a careful review of your complete obstetric history. Dr. Schoenhaus takes this evaluation seriously. If you're in the Las Vegas, NV, or Henderson, NV, area and are unsure about your options or have concerns about a potential emergency C-section, one of the best places to start is with a consultation. 

Talk to Dr. Samantha Schoenhaus about your delivery options 

If you have questions such as, "What is a VBAC delivery?" or "What types of delivery are available for a high-risk pregnancy?", Dr. Samantha Schoenhaus and the team at Essential Women's Health Associates are here to help. Serving patients in Las Vegas, NV, and Henderson, NV, our team is committed to giving every woman the personalized care and honest guidance she needs to feel confident about her VBAC birth options. Call today to schedule your consultation.