Having a VBAC or Vaginal Birth After Cesarean?

Is it possible to deliver vaginally after a cesarean? The short answer is YES! In this video, we go over obstacles you may face, risks and benefits of VBAC, whether that is a home birth or hospital delivery. In the past, most physicians would not 'allow' vaginal birth after cesarean, saying "once a cesarean, always a cesarean!" However, evidence now shows that the risks of a repeat cesarean are often more than attempting a vaginal delivery. Because of this, many providers will now allow a trial of labor (TOLAC). But, we are not out of the woods just yet! There still are a lot of obstacles to getting a VBAC, (vaginal birth after cesarean), in our hospitals throughout the United States.

"The risk of uterine rupture during a TOLAC is low—between 0.7% and 0.9%."

"Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal—a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient’s preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level (1–3)." ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery

"For many women, VBAC is an option. In fact, research on women who attempt a trial of labor after cesarean (TOLAC) shows that about 60 to 80 percent have a successful vaginal delivery." https://www.mayoclinic.org/tests-proc...

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