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Vaginal Birth after Caesarean Section

When Tammy was newly pregnant and reviewing her options for delivery, she feared that her dream of "feeling what a normal delivery is like" would go forever unfulfilled, having already undergone two previous cesarean section deliveries.

Yet, thankfully, after discovering that NuHealth's Nassau University Medical Center (NUMC) was equipped to offer a vaginal birth (VBAC), her spirits lifted as she was assured she would find the support necessary to achieve her dream.

NUMC's new Labor and Delivery Unit is just one of the many innovations that showcase the expanding reach and effectiveness of NuHealth's comprehensive plan to lead Long Island-based health care to national prominence.

"I began care in the clinic, and the doctors were very supportive of my desire to birth vaginally, Tammy explained "It was so different than what my experience was with my request for a VBAC after my first cesarean at a hospital in Brooklyn."

On the big day, Tammy came into the hospital already engaged in early labor and had an amazingly quick delivery, even without an epidural.

"It was everything I had hoped it would be. The few stitches I needed were nothing compared to my cesareans," she explained. "I was able to hold my daughter and bond so quickly. I have been telling anyone who has had a prior surgical delivery to give natural a try at NuHealth."

In 2011, VBAC rates in New York State averaged approximately 11 percent, with hospitals in Nassau County recording a 1.5 to 7.3 percent success rate according to the New York State Department of Health. Breaking all records, NUMC's VBAC rate is an astounding 28 percent.

Simply put, women who are seeking a vaginal delivery after prior surgical deliveries have their best chance of success at NuHealth.

Dr. Chaur-Dong Hsu, Professor and Chairman of OB-GYN at NUMC, cites the recommendation by the American College of Obstetrics and Gynecology that attempting a vaginal birth after cesarean (VBAC) is a safe and appropriate choice for most women who have had a prior cesarean delivery, including for some women who have had two previous cesareans, according to guidelines released in August, 2010.

"Once a cesarean, NOT always a cesarean" Dr. Hsu asserts. "We employ continuous monitoring to be sure that the labor is proceeding safely, and have been very heartened by the successes we have had. If we can safely avoid surgery and anesthesia, we will try," Dr. Hsu assured.

For additional information about VBAC or other procedures conducted at our newly renovated state-of-the-art Labor and Delivery unit, call 516-296-7356.