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Vaginal Birth After Cesarean

Vaginal Birth After Cesarean, VBAC, refers to vaginal delivery of a baby after a previous pregnancy was delivered by cesarean delivery.

In the past, pregnant women who had one cesarean delivery would automatically have another. But research shows that, for many women who had prior cesarean deliveries, attempting to give birth vaginally - called a trial of labor after cesarean delivery (TOLAC) - VBAC might be safe options in certain situations.

VBAC

Who is eligible for VBAC?

VBAC may be safe and appropriate for some women, including those:

  • Whose prior cesarean incision was across the uterus toward its base (called a low-transverse incision) - the most common type of incision. Note that the incision on the uterus is different than the incision on the skin.
  • With two previous low-transverse cesarean incisions
  • Who are carrying twins
  • With an unknown type of uterine incision

What are the benefits of VBAC?

Benefits of VBAC include:

  • No abdominal surgery
  • A lower risk of hemorrhage and infection compared with a C-section
  • Faster recovery
  • Potential to avoid the risks of many cesarean deliveries, such as hysterectomy, bowel and bladder injury, blood transfusion, infection, and abnormal placenta conditions
  • Greater likelihood of being able to have more children in the future
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