VBAC: Vaginal Birth After Cesarean

Introducing: VBAC: Vaginal Birth After Cesarean

If you previously had a cesarean delivery (C-section), there is a possibility you can deliver your next baby vaginally, called vaginal birth after cesarean, also known as VBAC. About 90% of women who have undergone a C-section are candidates for VBAC. Although it’s impossible to determine whether you will end up with a repeat C-section or a successful VBAC, this procedure can be a safe choice for most women.

Each cesarean section pregnancy increases internal scar tissue, so a VBAC is a much safer option for both mother and baby, even if it results in another cesarean delivery. A successful VBAC allows you to avoid major abdominal surgery and your recovery is generally faster and easier with a vaginal delivery.

The greatest concern when it comes to VBAC is the risk of uterine rupture during a vaginal birth, which occurs when your C-section scar gives way during labor. This risk is very small (less than 1 percent) and results in severe blood loss and the possibility of oxygen deprivation for your baby. Although you may be worried VBAC is too dangerous for your baby, repeat cesareans are riskier. Our specialists are trained for any complication that may occur during VBAC.

You could be a good candidate for VBAC if:

  • Your previous C-section was not done for stalled labor
  • You do not have the same condition that led to the C-section
  • You have never had a uterine rupture
  • The baby is a normal size
  • Your baby is head-down
  • You are a healthy weight
  • It’s been over 18 months since your last delivery
  • You have had no more than 2 low transverse C-section deliveries
  • Your labor begins naturally and your cervix dilates well
  • You have had a successful vaginal delivery of VBAC previously
  • You are under the age of 35

Still not sure if VBAC is right for you? This is a great discussion for us to have. If you are a low-risk pregnancy, you are a great candidate for VBAC. And remember, the odds are in your favor.

If you are considering VBAC, talk with us about:

  • The risk of vaginal and C-section deliveries
  • If your doctor is available throughout your labor
  • Your personal risk factors of VBAC
  • If the hospital has facilities for an emergency cesarean delivery
  • The possibility that your labor may end in a cesarean delivery
  • At what point the decision is made to repeat a cesarean delivery
  • What medication you may use during your labor and delivery
  • The uterine scar you have (the direction of the scar on your skin may not be the same scar on your uterus)

Our specialists are skilled in VBAC and are happy to answer any questions you may have about this procedure. We will make your VBAC experience pleasant and comfortable. You don’t have to worry about whether you should have VBAC or another C-section. Talk with our specialists to decide what procedure is best and safest for you.