Ask the doctor about birthing options

What is the situation on VBAC (Vaginal Birth After C-Section) and what are the risks (in terms of statistics) of trying it? What are there benefits and risks?

According to standard textbook, there is no doubt that vaginal delivery most often will prove to be safe following a previous cesarean section. Numerous reports have been published that confirm the safety of VBAC. The success rate is more than 80%. The incidence of maternal mortality is one per 1000. Even with these successful outcomes, the risks which you should be concerned with include uterine rupture, and consequences such as fetal distress, hypoxia, perinatal morbidity and mortality are 0.5%.

Yaowaluk Rapeepattana, M.D.
Obstetrics-Gynecology
Samitivej Hospital

I am pregnant for the first time and I have heard from other people who have given birth here that the preferred option is to book a C section. Is this true? I am concerned because I want to have a natural birth and if possible a water birth. Please would you advise me where this could be arranged?

I can tell you with confidence that this is a private hospital which can provide you with any types of delivery.
Thai hospitals usually practice a lot of c-sections. The average rate per hospital is about 70-80%. This phenomenon takes roots in cultural beliefs: Thai families like to choose an auspicious day and date for the birth of their child. Only c-section delivery can guarantee the light timing.

Samitivej, on the other hand, has a long history of caring for international patients and encourages natural birth practices. Whatever your wishes are, I would, recommend you to discuss your birth plan with your physician. He or she will then try his/her best to follow your plan in the context of your medical situation.

Sirithorn Karnjanathanalers, M.D.
Specialist in OB/GYN
Samitivej Hospital

I am considering a water birth, but am worried about possible health risks to me and the baby. Is it more dangerous than a regular birth?

If we compare between 2 choices of birth, the answer will be yes especially for first time pregnancy. Water birth could be considered in subsequent or non complicated pregnancies, especially if the baby is not too big. However when the water birth is right for you, warm water can help to reduce labor pains and accelerate birth. At 37 degree Celsius, warm water will stimulate the mom’s pituitary gland to release endorphin to relax her muscles. So, she will feel more comfortable and less pain.

Nisarat Kasatri, MRTCOG, FICS M.D.
Specialist in OB/GYN
Samitivej Hospital

We’re looking for a doctor who is pro-natural (and possibly water birth) in Bangkok. Would you have any one you can recommend? I’m mid way through my pregnancy and we will be moving to Bangkok in a month or 2. Thanks!

Congratulations on your pregnancy and your upcoming move to Bangkok.

Since you don’t mention your preference for a male doctor or female doctor please let us provide recommendations for both:

If you prefer a female doctor, please contact Yaowaluk Rapeepattana, M.D. You can check her doctor’s profile at:

Yaowaluk Rapepattana profile

Or if you prefer a male doctor, please contact Sankiat Vayakornvichit, M.D. You can check his doctor’s profile at:

Sankiat Vayakornvichit profile

Should you need any further information, please feel free to send your inquiries to:

info@samitivej.co.th

You can contact us to set up an appointment in advance of your arrival in Bangkok. We look forward to hearing from you.

Thank you very much,

Samitivej Women’s Health Center

What options are available to parents in Thailand in regards to umbilical cord banking?

At Samitivej Sukhumvit, we do not have an umbilical cord banking service. Instead you can directly contact an umbilical banking company. One of the companies listed below should be able to take care of your needs.

Samitivej Women’s Health Center

Recent question from our readers
I used to be pregnant but only one month after I knew that I was going to have a baby it was lost. It happened two time like this. I want to ask why it is always like that? Me and My husband really want to have a baby.

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