Retrospective Study of Anesthetic Practices in Vaginal Birth After Cesarean (Vbac)

Abstract

Vaginal Birth After Cesarean (VBAC) is characterized by several anesthetic concerns, mainly relating to the increased probability of uterine rupture. This study aims to investigate current anesthetic practice in VBAC considering techniques, results and adverse effects in a retrospective manner. Epidural and CSE techniques are favored due to better analgesia and monitoring possibilities. These include assessment of labor progress adequacy of analgesia and surgical readiness for emergency. This study concerns the need to individualize anesthetic care to improve maternal and fetal outcomes. Suggestions include the use of individual plans for anesthesia administration, risk analysis, and better education for emergencies. Further research should focus on the outcome at different time points and the comparison between various anesthetic protocols that may be useful for improving clinical practice for VBAC patients.