Structural Correction and VBAC Preparation
Whether a cesarean birth was your choice or Mother Nature's choice for you, every pregnancy and birth is different. If you're planning a VBAC (Vaginal Birth After Cesarean) - it's important to know all your options. We've discussed in earlier posts the role that our care serves during pregnancy, and those things hold true when preparing for a VBAC, however, there are some additional factors at play when considering a pregnancy after a cesarean. There are two main additional things that we take into consideration when caring for a patient who is preparing for a VBAC. First, cesarean deliveries cause scar tissue that, left unaddressed, can exacerbate existing structural shifts and complicate future pregnancies - leaving you more prone to things like round ligament pain, urinary incontinence, and other issues.
Second, we consider the reason for your cesarean(s). By this we mean - was your cesarean performed due to fetal malposition, failure to progress/dilate, or difficulty moving the baby through the birth canal? These types of situations give us insight into structural shifts or dysfunctions that may have been a factor in preventing your previous birth from going as planned, and that is important information for us to have as we prepare your plan of treatment. Once we have a clear picture of how your spinal and pelvic structure are affecting your function, we can lay the groundwork for correcting those structural shifts and setting the stage for a smoother birth unencumbered by structural shifts that may have interfered in your previous experience. Of course, you always have the option to call us to check and adjust you during delivery if needed as well - just ask about booking a birth support package!