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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.

VBAC risks

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.