November 24, 2025

What is VBAC? Is Vaginal Birth After Caesarean Section Possible?

Contents
  1. 1) What is VBAC? Is Vaginal Birth After Caesarean Section Possible?
    1. 2) VBAC Conditions and Considerations
      1. 3) 1. Uterine Incision
      2. 4) 2. Reason for Previous C-Section
      3. 5) 3. Gap Between Pregnancies
      4. 6) 4. Maternal Health
      5. 7) 5. Medical Facility Preparedness
    2. 8) Is Natural Birth Possible After a C-Section?
    3. 9) Risks of Vaginal Birth After Caesarean Section
      1. 10) 1. Uterine Rupture
      2. 11) 2. Infection
      3. 12) 3. Heavy Bleeding (Hemorrhage)
      4. 13) 4. Emergency C-Section
      5. 14) 5. Prolonged Labor
    4. 15) Is VBAC Right for You?

Contrary to the myth that you can’t have a vaginal delivery after a caesarean section, Vaginal Birth After Caesarean (VBAC) is indeed possible for many women in their subsequent pregnancies. This approach allows mothers to deliver naturally and avoid the risks and extended recovery time associated with repeat C-sections.

However, choosing VBAC involves a thorough evaluation of the reasons behind the previous C-section, the mother’s overall health, and the progress of the current pregnancy.

VBAC Conditions and Considerations

Several important factors must be assessed to determine whether VBAC is a safe and viable option for an expectant mother:

1. Uterine Incision

The type of incision made during the previous C-section significantly affects the possibility of a successful VBAC.

  • Low transverse (horizontal) incision is the most favorable for VBAC due to its lower risk of uterine rupture.
  • Vertical or T-shaped incisions increase the risk of rupture and typically make VBAC inadvisable.

2. Reason for Previous C-Section

The underlying reason for the previous C-section plays a critical role in evaluating VBAC eligibility:

  • If the C-section was due to a non-recurring issue (e.g., breech presentation or fetal distress), the chances of a successful VBAC are higher.
  • If the previous C-section was performed for recurrent or ongoing medical reasons (e.g., cephalopelvic disproportion or chronic health conditions), a repeat C-section might be recommended.

3. Gap Between Pregnancies

The interval between the prior C-section and the current pregnancy affects the integrity of the uterine scar:

  • A longer gap allows better healing of the scar, reducing the risk of complications.
  • The recommended minimum interval is 18 to 24 months before attempting a VBAC.

4. Maternal Health

The mother’s overall health is crucial when considering VBAC:

  • Factors such as blood pressure, blood sugar levels, and weight should be within healthy ranges.
  • The pregnancy should be free of complications, with normal amniotic fluid levels and proper placental placement.

5. Medical Facility Preparedness

The hospital or birthing center where the VBAC is planned should be:

  • Equipped for emergency C-sections if needed.
  • Capable of continuous monitoring of both the mother and the baby during labor.

Is Natural Birth Possible After a C-Section?

This is a common question for women planning another pregnancy after a C-section. The good news is yes—a vaginal birth after a C-section is possible for many women.

According to research, 60-80% of women who attempt a VBAC achieve a successful vaginal delivery. However, the success of VBAC depends on individual circumstances and the factors discussed above.

Your healthcare provider will conduct thorough assessments before recommending VBAC as a safe option. This includes:

  • Regular prenatal visits
  • Multiple ultrasounds
  • Close monitoring of pregnancy progress

If any complications or risk factors are identified during the pregnancy, your doctor may recommend a repeat C-section instead.

Risks of Vaginal Birth After Caesarean Section

Although many VBACs are successful, it’s essential to be aware of the potential risks involved. Medical teams are always prepared to manage emergencies, but understanding these risks can help in making an informed decision.

1. Uterine Rupture

  • This is the most serious complication, though rare, occurring in about 1% of cases.
  • It involves the previous C-section scar tearing during labor, which can cause severe bleeding, damage to the uterus and nearby organs, and complications for the baby.

2. Infection

  • Infection can occur at the site of the previous scar or within the uterus during or after delivery.
  • Proper hygiene and monitoring reduce this risk, but it’s still a factor to consider.

3. Heavy Bleeding (Hemorrhage)

  • Excessive bleeding can happen if the uterine scar opens or if there are issues with the placenta (e.g., placenta previa or abruption).
  • Severe hemorrhage may require an emergency C-section or even a hysterectomy in extreme cases.

4. Emergency C-Section

  • Despite planning for VBAC, some women may require an emergency C-section due to complications like fetal distress or stalled labor.
  • Emergency C-sections carry higher risks than planned ones due to the urgency of the situation.

5. Prolonged Labor

  • Labor during VBAC can sometimes be longer, leading to increased stress for both the mother and the baby.
  • Prolonged labor can also heighten the risk of needing an emergency C-section.

Is VBAC Right for You?

VBAC offers many benefits, including a shorter recovery time and the opportunity for a natural birth experience. However, it’s a complex decision that must be made in consultation with healthcare providers who will evaluate all relevant medical factors.

While VBAC is possible, it comes with certain risks that require careful consideration. It’s not entirely a personal choice—medical guidance is crucial to ensure the safety of both the mother and the baby.

If you’re considering a VBAC, work closely with your healthcare team to make an informed, safe decision. With the right preparation and support, many women go on to have successful and empowering VBAC experiences.