VBAC means vaginal birth after cesarean. Midwives have long supported women in their desires and goals for VBAC. The most important decision a woman desiring a VBAC can make is the decision of who will be her careprovider and what kind of support will they provide.
The misnomer of “once a cesarean always a cesarean” is not necessarily a healthy option for women desiring more children. The risks of surgery for both women and babies seldom outweigh the risks of vaginal birth after cesarean if the woman has had a previous cesarean with a low transverse incision.
There are many factors regarding your specific situation that you will want to discuss with your careprovider to determine if you are a good candidate for a VBAC. Your desire and your willingness to work towards your goal and the support you receive from your careprovider are the most important factors in helping you achieve your VBAC.
We’ve listed our favorite links below to assist you in your research and preparation for this important decision.
ACOG’s 2010 Guidelines Comparison (PDF)
Press Release: Ob-Gyns Issue Less Restrictive VBAC Guidelines (ACOG, July 2010)
Does your hospital have a VBAC ban? ICAN’s VBAC Policy Database
Childbirth Connection: VBAC or Repeat C-Section
ICAN (International Cesarean Awareness Network): VBAC
Midwifery Today: What Every Midwife Should Know About ACOG and VBAC (Wagner)
TheUnnecesarean.com: HBAC Stories and VBAC Stories
VBAC.com: Informed Decisions About Maternity Care
History of VBAC in the United States
Uterine Rupture in Pregnancy