Have you had a prior cesarean and now want to consider giving birth through a vaginal delivery? A VBAC (Vaginal Birth After Cesarean) can be a good decision for many women. Every woman and every birth is unique – the following information will help you and your obstetrician or midwife decide if a VBAC is a good option for you and your baby.
We find that of the women who attempt to have a VBAC, between 60-80 percent are successful. The remaining 20-40 percent have a cesarean delivery during the labor process. For instance, if your labor does not progress or your baby is not tolerating the labor, a cesarean will likely be performed.
As you begin to discuss the delivery of your baby, you will want to discuss your options with your obstetrician or midwife.
A VBAC delivery should be done in a hospital, such as Brigham and Women’s, where the staff is well-trained and experienced with this type of delivery.
There are many factors to think about. You will want to discuss this with your obstetrician or midwife well in advance of the delivery so that you have time to make the right decision for both you and your baby.
A birth can never be totally planned. So it is important to be prepared to reconsider your delivery plan if circumstances change during labor and delivery.
Body Mass Index (BMI): A measure of a person’s weight in relation to height
Breech Presentation: When the baby’s buttocks or feet (instead of the head) are delivered first
Cesarean Delivery: Delivery of a baby through an incision made in the mother’s abdomen and uterus
Gestation: The period between the conception and the birth of the child
Preeclampsia: A complex disorder where pregnant woman will have high blood pressure and a high protein count in their urine after 20 weeks pregnant
Rupture: The tearing apart, bursting, or breaking of tissue
Uterine Rupture: A tear in the wall of the uterus. The tear will usually occur at the site of a previous cesarean delivery incision
For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery.