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.

What is VBAC?

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.

Why Consider a VBAC?

There are several benefits to choosing VBAC over a C-section, including:

• Shorter Recovery Time: Vaginal delivery typically allows for faster physical recovery compared to abdominal surgery. Many women are able to resume normal activities sooner and spend less time in the hospital.
• Lower Risk of Surgical Complications: VBAC avoids the potential risks associated with repeat C-sections, such as infections, excessive bleeding, blood clots, and injury to surrounding organs.
• Better Outcomes for Future Pregnancies: Multiple C-sections can increase the risk of complications in future pregnancies, such as placenta previa or placenta accreta. Successfully delivering vaginally may reduce these risks in subsequent births.
• Emotional and Psychological Benefits: Many women report a strong sense of accomplishment and empowerment after a successful VBAC. It can help them regain a sense of control over their birth experience.

Who is a Good Candidate for VBAC?

Not every woman is suited for VBAC. Your suitability depends on several factors, including:

Favorable Criteria for VBAC

• Only one previous low transverse C-section
• No history of uterine rupture or major uterine surgery
• The reason for the first C-section is not likely to repeat
• A healthy pregnancy with no major complications
• Access to a hospital equipped for emergency C-section if needed

Conditions That May Rule Out VBAC

• More than one prior C-section with a vertical uterine incision
• Previous uterine rupture
• Uterine surgeries such as myomectomy
• Placenta previa or other serious pregnancy complications
• Baby in breech or transverse position

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.

How Successful is VBAC?

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:

• Labor starts naturally
• The baby is in the right position
• There are no underlying health conditions like high blood pressure or gestational diabetes

Understanding the Risks

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:

• Failed VBAC leading to an emergency C-section
• Infection
• Postpartum hemorrhage

That’s why choosing the right facility and care provider is essential—one that is fully equipped for emergency intervention if needed.

Preparing for a VBAC

If you’re considering a VBAC, here’s how you can prepare:

• Have a Detailed Medical Review: Work closely with your obstetrician to review your previous delivery records and current pregnancy health.
• Choose a VBAC-Supportive Hospital: Not all hospitals offer VBAC. Make sure the facility has 24/7 surgical support, anesthesia availability, and fetal monitoring.
• Stay Physically and Mentally Prepared: Maintain a healthy pregnancy through balanced nutrition, regular prenatal care, and emotional support. Discuss your birth plan and potential outcomes with your doctor.
• Be Flexible with Your Birth Plan: While aiming for a VBAC is great, sometimes conditions change. Be open to the possibility that a repeat C-section may become necessary for the safety of you and your baby.

What Happens During a VBAC?

A TOLAC (Trial of Labor After Cesarean) is managed just like any other labor, but with a few additional precautions:

• Continuous fetal monitoring to detect signs of distress
• Close observation for signs of uterine rupture
• Immediate access to an operating room in case an emergency C-section is needed

The good news is that most women who enter labor with proper support and monitoring have safe and successful VBAC experiences.

VBAC vs. Repeat C-Section: Making the Right Choice

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.

Final Thoughts

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.

Consult Dr. Jayashree Talele – Obstetrics & Gynecology

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.