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Delivery and VBAC

The intended route of delivery is agreed with you before term, with the reasons stated in writing.

Delivery and VBAC in Hyderabad

Delivery planned with you: normal birth, painless labour and VBAC

How your baby is born should be a decision made with you before labour starts, not one made for you in the middle of it. Dr. Sradhanjali discusses the intended route of delivery well before term, records the reasons, and is present for the delivery at a partner hospital. Normal vaginal delivery is the default wherever it is safe; caesarean is done on a stated indication.

Why the delivery plan matters

A written plan removes the two commonest sources of distress at delivery: not knowing what will happen, and decisions taken in a hurry by someone who does not know your pregnancy. With one doctor from the first visit to the birth, the plan reflects your whole history.

Normal vaginal delivery

Supported labour with continuous monitoring, induction only where indicated, and intervention when there is a clear reason – not for convenience.

Caesarean on indication

Elective or emergency caesarean is offered where the indication is clear – placenta previa, breech at term, foetal distress, or a previous uterine scar that makes labour unsafe.

Painless labour

An epidural gives effective pain relief in labour while you remain awake and able to push. It is offered at the partner hospital by an anaesthetist and does not, in itself, increase the caesarean rate.

Who can have it

Most women in established labour. It is discussed at the 36-week visit so the decision is not made for the first time in pain.

What to expect

A fine catheter placed in the back; relief within 15-20 minutes; monitoring of you and the baby throughout; topped up as labour progresses.

Vaginal birth after caesarean (VBAC)

One previous caesarean does not automatically mean another. Where the criteria are met, a trial of labour is offered with the safeguards it requires.

When VBAC is appropriate

A single previous low transverse caesarean, no other uterine surgery, a baby that is head-down and of normal size, and delivery in a hospital that can do an emergency caesarean quickly.

How it is supervised

Continuous foetal monitoring, an anaesthetist and theatre available, and a low threshold to convert if labour does not progress or the trace changes.

In summary

Your delivery, at the hospital, with your doctor

Admission and delivery take place at nearby corporate hospitals where Dr. Sradhanjali is a visiting consultant. She remains your treating doctor there – the plan made at Sradha Women Care is the plan carried out on the day.

What it involves

Included in this care

Vaginal delivery, with continuous support in labour

Induced labour and trial of labour, where indicated

Painless labour with an epidural

Vaginal birth after caesarean (VBAC) where the criteria are met

Caesarean section on obstetric indication

Management of complicated deliveries, including postpartum haemorrhage

When to come in

✓You are 36 weeks or more and have no delivery plan

✓You want to discuss VBAC after a previous caesarean

✓Contractions, leaking fluid or bleeding at any stage

Consultation ₹500. Bring previous reports, your medicines, and the dates of your last three periods.

Pregnancy care

Antenatal care from the first missed period to delivery, with the visit schedule set to your own risk profile.

High-risk obstetrics

Pregnancies that need closer surveillance, with defined thresholds for review and admission rather than reassurance alone.

Preconception care

Both partners assessed before you start trying, so problems are found before the pregnancy rather than during it.

Tests for foetal wellbeing

Used when growth, fluid or movements give concern, with the frequency of surveillance set by the findings.

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