A Vaginal Birth After Cesarean happens when a woman delivers a baby vaginally, but her last baby was delivered via cesarean. All women who have had a previous low-transverse uterine incision are candidates for VBAC. Dr.'s Leach and Gipps offer the option of VBAC where over 85% of our patients attempting a VBAC, deliver vaginally. Women who plan on more than two children should strongly consider VBAC to minimize the need for future cesareans which comes with increased risk.
A Trial of Labor After Cesarean, often referred to as a TOLAC, simply refers to the attempt for a vaginal birth following a cesarean birth. At John Muir Walnut Creek's Labor and Delivery unit, there are always two obstetricians, anesthesiologist, and pediatrician in the hospital 24/7 for the rare need for emergency cesarean.
If a woman can deliver her baby vaginally, she will not have to undergo the major abdominal surgery that is a Cesarean section. This makes for less bleeding, a reduced risk of infection, and a faster recovery. Women who plan to have more children in the future may find that opting for vaginal birth after a cesarean can help avoid the problems associated with multiple cesareans. Possible problems caused by multiple Cesarean sections include bladder injury, blood transfusion, placental issues, and possible hysterectomy.
Not at all. It depends on the specific situation, however. In some cases, an experienced OB/GYN like Dr.'s Leach or Gipps will be able to reposition the baby into a vertex position by a procedure called External Cephalic Version (ECV), which turns the baby ~80% of time so that your baby can be safely delivered vaginally. At all times, the best health of both the mom and the baby is our first concern. Therefore, it is extremely important for a woman to build a strong relationship with her OB/GYN so that she can turn to them for advice and guidance when there are any questions or concerns about the birth.
We accept several insurance plans from many different providers. If you do not see your provider listed here, please give us a call and we will let you know if you are covered.
"Excellent doctor. Caring and compassionate, and very knowledgable. He has delivered both my children, I felt completely at ease and trusted his judgement."
"Dr. Leach has been a wonderful and amazing doctor. Both him and his staff put my nerves to rest immediately."