I'm having a c-section

Whether you are experiencing the joys of your first child or you are an experienced parent with a growing family, we are here to provide you with the care you need to deliver a healthy, beautiful baby.

When delivering a baby, sometimes a Cesarean section (also known as a C-section or Cesarean delivery) is necessary. A C-section is a surgical procedure in which an incision is made through a mother's abdomen and uterus to deliver one or more babies. Below you’ll find helpful information regarding pre-operative guidelines as well as information regarding vaginal birth after a Cesarean delivery.

Cesarean section pre-operative information

Remember, you cannot eat or drink after midnight prior to surgery. Check in at the Labor and Delivery desk on the 8th floor of Novant Health Presbyterian Medical Center. For more information, call 704-384-4947.

Once you arrive at Labor and Delivery, one of the nurses will get you prepped for surgery. They will admit you into the system, start your IV, monitor your baby, etc. You will meet the anesthesiologist who will be performing your anesthesia, typically a spinal anesthetic. They will answer any questions you have about this portion of your procedure. You will see your obstetrician immediately prior to the procedure.

Vaginal birth after cesarean delivery (VBAC)

Vaginal birth after Cesarean Delivery (VBAC) is offered by our practice. The major concern for VBAC is the risk of uterine rupture during the labor process or vaginal delivery. American College of Obstetrics and Gynecologists (ACOG) report a less than 2% risk of uterine rupture in a patient with history of a previous cesarean delivery with a low transverse incision.

Who can be considered for VBAC?

• One previous low transverse cesarean delivery (No more than 2 with history of at least one vaginal delivery)
• No additional uterine scars, i.e. myomectomy

What will improve my chances of a successful VBAC?

• Previous cesarean delivery performed for breech presentation, not for an arrest of labor
• Macrosomia (large baby) is not suspected
• Spontaneous labor

Making the decision of whether to have a repeat cesarean section or a trial of labor involves many factors. You and your physician will discuss this during pregnancy to help you make an informed decision.

For more information, or to set up an appointment, please visit us on MyChart or call one of our three convenient locations.