Vaginal birth after cesarean (VBAC)
If you’ve had a cesarean delivery, you are not alone.
If you desire to have a vaginal delivery after having had a cesarean, you should be encouraged by knowing that 90 percent of women who have undergone cesarean deliveries are candidates for a vaginal birth after cesarean (VBAC). VBAC is an option for patients who meet our criteria designed to ensure a safe trial of labor while attempting a vaginal birth.
Discuss the possibility with your health care provider and make an informed decision about the VBAC option.
The greatest concern for women who have had a previous cesarean is the risk of uterine rupture during a vaginal birth.
Some studies have documented increased rates of uterine rupture in women who have an induced labor. You should discuss the possible complications with your provider.
What criteria must I meet to be considered for a VBAC?
- You have had no more than two cesarean deliveries.
- You have no additional uterine scars, anomalies or previous ruptures.
- Your provider must be prepared to monitor labor and perform or refer for a cesarean if necessary.
What other criteria make me a good candidate for a VBAC?
- The original reason for a cesarean delivery is not repeated with this pregnancy.
- You have no major medical conditions.
- The baby is a normal size.
- The baby is head-down.
In what situations is a VBAC not recommended?
- You are pregnant with twins.
- You have diabetes.
- You have high blood pressure.