Vaginal Birth After Cesarean (VBAC)
If you've previously given birth via cesarean delivery (C-section), you may not be limited to that for future births. Many women who had a C-section can be candidates for having a vaginal birth with future pregnancies (VBAC). If there are no additional risk factors, a vaginal delivery after may actually be encouraged despite experience with previous cesarean births. According to the American Pregnancy Association, roughly 60-70% of women who have previously undergone a C-section can successfully have a vaginal birth.
VBAC may be suggested for a variety of reasons, such as:
- Lower risk of surgical issues or complications
- Shorter recovery time
- More involvement in the birth plan
Not all pregnant women may be candidates for VBAC, however, especially if there is a high risk for a uterine rupture. If that had occurred in previous births, or if the uterine scar from a prior C-section is high and vertical or t-shaped, VBAC could be more risky than a second cesarean delivery. Having a history of uterine surgery, other obstetric-related conditions or potentially delivering a larger baby could also be reasons your doctor may suggest a second C-section.
It's important to discuss these factors with an OB/GYN to make the decision that will be safest for both mom and baby. If these risk factors are not present, you may be encouraged to consider attempting a vaginal birth.
You may be a candidate for VBAC if:
- You have had less than two previous low-transverse C-sections.
- You have no history of uterine surgery or ruptures.
- Your baby is of average size and your pelvis is large enough to deliver vaginally.
- The hospital at which you plan to deliver has the equipment and ability to perform an immediate, emergency cesarean delivery if necessary.
Speak to your OB/GYN to see if a vaginal birth after C-section is the right choice for you.