Vaginal birth after c-section (VBAC) is the process of delivering a baby vaginally after giving birth to one
baby through a cesarean or c-section. When a woman is pregnant and is about to deliver, she always gets
two choices for delivering her sweet little baby. She may either opt for a normal vaginal delivery or opt for
a cesarean delivery. It is all planned in advance. It also depends on your medical reports and health
conditions. Before taking that delicate decision of choosing any one delivery option, one needs to be sure
of the associated benefits and risks with them.
Statistics suggest that there are several cases where women undergo successful vaginal delivery even after
having delivered via a c-section, without having any related complications. Most of the women have passed
this out successfully. However, there are certain risks that are involved during this entire process.
A few years back, it was advised that if your first delivery was a c-section, then the next ones should also be
the same. However, recent advancements in the treatments, procedures, and research now proves and
suggests that there is no harm in going for a VBAC, i.e., having a successful vaginal birth after c-section.
Now women are delivering successfully with VBAC.
The decision of opting for the VBAC is not generally taken solely by the women. But her doctor will also
examine her case in detail, check her medical conditions and then recommend her the suitable option for
her delivery that she should opt. Decisions are finally taken based on mutual consents and understandings, however medical circumstances plan the major role.
The decision whether you can go for VBAC or not also depends on the health of the baby and certain
external environments like your location. Doctors normally suggest that you opt for VBAC if you are
planning your delivery in a hospital rather than home births. This is also the reason why the hospitals
located in remote areas don’t recommend VBAC. Such regional hospitals are generally not well equipped
for emergency c-section requirements. The chances to have a successful VBAC increases if your pregnancy
tenure has moved normally and your baby is in a good health.
Also Read: Normal Delivery V/S Cesarean
- Lower risk to catch infections
- Temporary pain and discomfort
- Speedy recovery
- Early discharge from the hospital
- More comfort as compared to the c-section
- Lesser chances of any other related organ damage
- Potential future complications get minimized
- Allows you to hug your new-born soon after delivery
- Minimizes your risk for future deliveries
Risk of having a vaginal birth after C-section:
- During this process, there are possibilities that the wound or mark of your previous c-section in the abdomen may get teared and result in a uterine rupture, which may create certain complications.
- However, it may be known that uterine ruptures have been recorded to affect only 1 in 200 females undergoing this process
- It is recommended that you choose for VBAC in properly equipped hospitals.
- In most of the cases, the tear of this wound gets repaired, but in certain rare cases there may be severe bleedings and may call for an emergency situation. Women thus opting for VBAC have a risk to deliver via an emergency cesarean.
It is actually very difficult to predict as to who will be able to successfully deliver vaginally and who will
undergo a c-section. However, reports indicate that around 60 to 80% of women who plan for VBAC are
able to deliver it vaginally and successfully. Having a doctor on the site to monitor your labor and do a c-
section in case of any emergencies is always preferable.
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Moxifloxacin is an antibiotics which can make your cycle irregular. Nothing to worry. You will regain back your normal cycle once you stop the antibiotics.
A bit of white discharge, especially at the beginning or end of your menstrual cycle, is normal. However, if the discharge is accompanied by itching and has a thick, cottage cheese-like consistency or appearance, it’s not normal and needs treatment. This type of discharge may be a sign of a yeast infection.
- Practice good hygiene. Clean the outside of your vagina regularly with a washcloth and mild soap or intimate wash
- Use only exterior deodorizing products.
- Change your underwear.
- Consider a pH product.
- Try essential oils.
- Soak in vinegar.
Ovulation bleeding in slight amount is not unusual. Moreover, slight bleeding now and then is again common during teen age due to hormonal imbalance. Brownish discharge during initial days of bleeding occur because few clots and some blood from the previous cycle remains trapped somewhere inside which gets released during the initial flow. This makes the flow brown. As the doctor had already detected few cysts earlier, please investigate further to rule out PCOS i.e. polycystic ovarian syndrome.
Vaginal yeast infection is most common type of infection seen in as many as 3 out of 4 women during their lifetime. It is primarily an infection of the vagina, caused by excessive growth of yeast in the vagina. It is a type of fungal infection, a yeast infection, caused mostly by the fungus Candida albicans. In General, the Lactobacillus bacteria prevents overgrowth of the yeast, though if yeast becomes exceedingly more in number, the symptoms of vaginal yeast infection will be seen. Vaginal thrush (or vulvovaginal candidiasis) is also another type of vaginal yeast infection seen in women than can particularly interfere with her sexual activities
In general yeast live in a balanced number in vagina. The bacteria Lactobacillus (a useful bacteria) is responsible for preventing overgrowth of yeast and other bacteria. Yet if yeast tend to overgrow beyond the control, it will result in itching, redness and burning sensation leading to vaginal infections.
This infection is mostly triggered in women taking antibiotics that used to treat another pathogenic infection. Antibiotics change the normal balance that is being maintained by Lactobacillus resulting in excessive growth of yeast which leads to candidiasis. It is also very common in women who have reached puberty and therefore produce reproductive hormones, particularly oestrogen. Hormones like these intensify the spread of Candida at inner vaginal wall lining thereby leading to vaginal yeast infection.
The symptoms of this infection include Itching, burning, Rashes or irritation in the vagina or vulva, a tissue surrounding the vagina. A thick odourless white discharge that looks like cottage cheese or a watery discharge is seen as a result of this infection. Sometimes during intercourse and urination significant Pain is observed
A pelvic examination is suggested to inspect signs of infection. A sample of vaginal discharge is sent to a laboratory to confirm the diagnosis. Swelling and redness of the skin of the vulva in the vagina and on the cervix, confirm the infection
It is suggested that women who are pregnant or with frequent attack of infection should visit a doctor
Candida infection cannot be cured completely, while taking preventive measures will stop spreading the infection. Women who are susceptible to the infection are advised to Wear undergarments made from cotton or natural fibers. It is advised to Wear loose fitting pants or skirts and also avoiding tight underwear and pantyhose.
Treatment of the vaginal yeast infection depends on whether it is complicated or uncomplicated. Uncomplicated yeast infection is treated with a short course vaginal therapy or with oral treatment. By using Over The Counter, OTC drugs which belong to chemical classes like azoles have been proven to clear up 80 to 90% of yeast infections. Drugs like clotrimazole, fluconazole, butoconazole, miconazole and terconazole are used as a part of treatment for at least one to 2 weeks. Women who have particularly itchy infection are advised a soothing cream like Terconazole cream.
A complicated yeast infection can be treated by the use of long course vaginal therapy or multi dose oral formulations. These include treatment with a vaginal cream, ointment, tablet, or suppository for approximately 7 to 14 days. Sometimes, two to three doses of oral fluconazole may be recommended instead of direct vaginal therapy. Maintenance medications if necessary are prescribed after the main treatment has finished which include treatment with oral fluconazole for 6 months or weekly treatment with vaginal clotrimazole.
If the patient’s sexual partner has yeast symptoms, they might want to consider treatment, too. The use of condoms is often recommended.
You have not mentioned that was this the first time ever that you had intercourse. If so, this is normal due to breaking of hymen. This can also occur due to hormonal imbalance or use of contraceptives.
vaginal has been spotting/bleeding for days after sex.. the past few days was brown clot discharge.. today is fresh red blood discharge and it smells like rotten seafood smell..
Hello, I was diagnosed with pneumonia Saturday evening and was given Teva-Moxifloxacin 400mg to take for treatment. My menstrual cycle is like clockwork and always around mid month do I experience the fun. I just went to the bathroom and it looked like there was some pale pinkish/light red coloured blood…do I need to seek medical attention right now? When should I, if not now? What/Where could the source of the bleeding be coming from? Thank you for your help!