If you choose VBAC, boost your odds of a positive experience:
June 12, 2015
- Learn about VBAC. Take a childbirth class on VBAC. Include your partner or another loved one, if possible. Also discuss your concerns and expectations with your health care provider. Make sure he or she has your complete medical history, including records of your previous C-section and any other uterine procedures.
- Plan to deliver the baby at a well-equipped hospital. Close monitoring can decrease the risk of complications. Look for a facility that's equipped to handle an emergency C-section.
- Allow labor to begin naturally, if you can. Drugs to induce labor can make contractions stronger and more frequent, which might contribute to the risk of uterine rupture — especially if the cervix is tightly closed and not ready for labor.
- Be prepared for a C-section. Some complications of pregnancy or delivery might require a C-section. For example, you might need a C-section if there's a problem with the placenta or umbilical cord, your baby is in an abnormal position or your labor fails to progress.
- Wells CE, et al. Choosing the route of delivery after cesarean birth. http://www.uptodate.com/home. Accessed May 19, 2015.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Obstetrics. ACOG Practice Bulletin No. 115: Vaginal birth after previous cesarean delivery. Obstetrics & Gynecology. 2010;116:450.
- Berghella V. Cesarean delivery: Preoperative issues. http://www.uptodate.com/home. Accessed May 19, 2015.
- Frequently asked questions. Labor, delivery and postpartum care FAQ070. Vaginal birth after cesarean delivery: Deciding on a trial of labor after cesarean delivery. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Vaginal-Birth-After-Cesarean-Delivery-Deciding-on-a-Trial-of-Labor-After-Cesarean-Delivery. Accessed May 19, 2015.
- Pregnancy: Labor and birth. Office on Women's Health. http://www.womenshealth.gov/pregnancy/childbirth-beyond/labor-birth.html. Accessed May 19, 2015.
- Smith JF, et al. Rupture of the unscarred uterus. http://www.uptodate.com/home. Accessed May 19, 2015.
- Lang CT, et al. Uterine dehiscence and rupture after previous cesarean delivery. http://www.uptodate.com/home. Accessed May 19, 2015.
- Hauk L. Planning for labor and vaginal birth after cesarean delivery: Guidelines from the AAFP. American Family Physician. 2015;91:197.