A Vaginal Birth After Cesarean (VBAC) is the process of delivering a baby vaginally after a previous cesarean section (C-section). Many women who have had a C-section assume that all future deliveries must also be surgical, but in reality, VBAC can be a safe and viable option for many. The decision to attempt a VBAC depends on several factors, including the reason for the prior C-section, the type of uterine incision, the mother’s overall health, and the presence of any pregnancy complications. VBAC offers several potential benefits, such as a shorter recovery time, lower risk of surgical complications, and a greater likelihood of future vaginal deliveries. However, it does come with risks, including the possibility of uterine rupture, a rare but serious complication where the scar from the previous C-section opens during labor.
Candidates for VBAC are typically evaluated based on their medical history and the circumstances of their prior C-section. Women who have had a low transverse (horizontal) uterine incision are generally considered better candidates than those with a classical (vertical) incision, which carries a higher risk of rupture. Other factors that increase the likelihood of a successful VBAC include a history of prior vaginal births, spontaneous labor onset, and a single, healthy pregnancy without complications. VBAC is usually attempted through a Trial of Labor After Cesarean (TOLAC), during which medical professionals closely monitor the labor process to ensure the safety of both mother and baby. With proper evaluation and monitoring, VBAC can be a safe and empowering option for women looking to avoid repeat C-sections and experience vaginal birth.
