Everything You Should Know About Having a VBAC

If you’ve had a previous C-section, you might feel like your options for future deliveries are already decided for you, but that’s not always the case. Many women are surprised to learn that having a vaginal birth after a cesarean (more often called a VBAC) can be a safe option. A VBAC may give you a birth experience with a shorter recovery and fewer surgical risks.

If you’re thinking about growing your family or are currently pregnant, it’s natural to have questions about what’s possible and what’s safest. 

Our team of expert providers at Marietta OB-GYN Affiliates is happy to answer all your questions and plan the safest birth experience for you during your prenatal appointment. 

In the meantime, read on to learn more about VBACs.

What is a VBAC?

A VBAC means that you have a vaginal delivery after you’ve had a previous C-section. Instead of scheduling another C-section, you attempt a vaginal birth through a process called a trial of labor after cesarean (TOLAC). 

This is an important part of planning for a VBAC. Attempting a VBAC doesn’t mean that you’re guaranteed to deliver vaginally. Instead, the mindset is to try for a vagianl delivery, hence the TOLAC.

If your TOLAC is successful, you deliver vaginally. If not, a C-section may still be performed.

VBAC stats and success rates

When you and your Marietta OB-GYN provider discuss your delivery options, we’ll use a VBAC calculator. This tool helps gauge your chances of having a successful VBAC. When planned carefully, VBAC can be successful and safe for expectant mothers. In fact, the majority of women (60–80%) who attempt a VBAC have a successful vaginal delivery.

Your individual chances of success depend on several factors, including:

• The type of incision used in your previous C-section
• The reason for your prior C-section
• Your overall health and pregnancy history
• Whether you’ve had a prior vaginal delivery

While VBAC is successful for many women, it’s important to understand that there is a small risk of uterine rupture (between 0.3 and 0.7%), but we monitor you throughout your TOLAC. 

If vaginal delivery isn’t possible, or if other complications arise, we can convert your delivery to a surgical one quickly. Emergency C-sections can be done in just minutes. That’s why VBAC should always be attempted in a setting where emergency care is readily available.

Is a VBAC right for you?

You may be a good candidate for a VBAC if you:

• Had a low transverse (horizontal) uterine incision in your previous C-section
• Have no history of uterine rupture
• Are carrying one baby (not multiples)
• Have no medical conditions that require a C-section

Your Marietta OB-GYN Affiliates provider will review your full medical history to determine whether VBAC is a safe option for you.

What to expect during your VBAC

If you choose to pursue a VBAC, your care team will closely monitor you and your baby throughout labor. This is the same type of monitoring that happens during any vaginal birth and includes:

• Continuous fetal monitoring
• Careful observation of labor progress
• Immediate access to surgical intervention if needed

Your safety and your baby’s safety remain the top priority at every step. 

Thinking about a VBAC? Let’s talk

If you’re considering a VBAC, the best place to start is with a conversation.

Schedule an appointment here in our Marietta, Georgia, office today to learn more about your options and plan for a safe, healthy delivery.

You can also reach us by phone at 770-422-8505.