Vaginal Birth After Cesarean (VBAC) is an option for some women who have previously delivered by cesarean section and are considering a vaginal birth in a subsequent pregnancy. A carefully planned VBAC delivery may allow eligible women to avoid another abdominal surgery, but suitability depends on individual medical and pregnancy-related factors.
Who May Be Suitable for VBAC?
Your obstetrician will review your previous cesarean records, the type of uterine incision, number of previous cesarean deliveries, previous vaginal births, current pregnancy, baby’s position, and other health factors. The decision should be personalized rather than based on a single factor or prediction score.
VBAC Planning and Monitoring
Women considering trial of labor after cesarean (TOLAC) should discuss the potential benefits and risks with their obstetrician. During labor, appropriate monitoring and access to emergency cesarean delivery are important because an attempted VBAC can sometimes result in a repeat cesarean.
Benefits and Considerations
For an eligible woman who achieves a vaginal birth, VBAC can avoid another cesarean operation and its associated surgical recovery. However, VBAC is not appropriate for everyone, and complications can occur. Your doctor will explain the safest delivery options based on your individual circumstances.