For many women who have had a cesarean delivery (C-section), the next pregnancy often comes with a major question: Can I give birth vaginally this time? The answer is often yes—thanks to an option called VBAC or Vaginal Birth After Cesarean. While VBAC isn’t right for everyone, it can be a safe and empowering choice under the right circumstances and expert medical guidance.
In this blog, we’ll explore what VBAC is, who is a good candidate, the potential risks and benefits, and how Dr. Jayashree Talele, an experienced Obstetrician and Gynecologist, can help you make an informed decision for a safe and healthy delivery.
VBAC stands for Vaginal Birth After Cesarean, a birth option that allows a woman who has previously delivered by C-section to attempt a normal vaginal delivery in her next pregnancy. This approach is medically referred to as a TOLAC (Trial of Labor After Cesarean)—a planned attempt at labor to see if a vaginal birth is possible.
VBAC is a well-established alternative to elective repeat cesarean section (ERCS) and has become increasingly popular among women seeking a more natural birth experience.
There are several benefits to choosing VBAC over a C-section, including:
Not every woman is suited for VBAC. Your suitability depends on several factors, including:
Favorable Criteria for VBAC
Conditions That May Rule Out VBAC
Each case must be carefully evaluated by your obstetrician. Dr. Jayashree Talele conducts thorough assessments to determine whether a VBAC is a safe and viable option based on your individual health history.
According to research, 60% to 80% of women who attempt a VBAC have a successful vaginal delivery. The success rate is highest among women who have had at least one prior vaginal delivery or whose previous C-section was due to non-recurring reasons (such as fetal distress or breech presentation).
VBAC tends to be more successful when:
While VBAC is safe for many women, it is not without risk. The most serious but rare complication is uterine rupture, where the C-section scar on the uterus tears during labor. This occurs in less than 1% of VBAC attempts, but it can be life-threatening for both mother and baby and may require emergency surgery.
Other possible risks include:
That’s why choosing the right facility and care provider is essential—one that is fully equipped for emergency intervention if needed.
If you’re considering a VBAC, here’s how you can prepare:
A TOLAC (Trial of Labor After Cesarean) is managed just like any other labor, but with a few additional precautions:
The good news is that most women who enter labor with proper support and monitoring have safe and successful VBAC experiences.
Ultimately, the decision to try for a VBAC or opt for a scheduled repeat C-section is personal and medical. What’s most important is making an informed decision with the guidance of a trusted and experienced obstetrician.
Some women may feel more comfortable with a planned cesarean, while others desire the benefits of a vaginal birth. Your doctor’s role is to present all options clearly and help you weigh the risks, benefits, and safety in the context of your own health history.
VBAC is a safe and empowering option for many women who wish to experience a vaginal delivery after a previous C-section. With expert medical care, a supportive environment, and proper preparation, it can lead to positive health outcomes for both mother and baby.
If you're pregnant after a cesarean and wondering what your delivery options are, a thorough consultation can give you the clarity and confidence to choose what’s best for you.
With her extensive expertise in high-risk pregnancies, VBAC, and maternal care, Dr. Jayashree Talele provides personalized support for women exploring their delivery options after a C-section.
Schedule your consultation today to discuss your VBAC eligibility, understand your risks, and receive a safe, evidence-based birth plan tailored just for you.
Your birth, your choice—with expert care every step of the way.