Vaginal birth after cesarean delivery (VBAC) is possible for many women, but it depends on many factors. Insisting on VBAC may put both you and your baby at risk; hence, you need to discuss the pros and cons with your doctor.
The following factors play an important role:
- Type of the previous incision used for cesarean delivery: Most cesarean deliveries nowadays are performed with a low transverse incision (the surgery cut along the bikini line). If you have had a prior high vertical-incision cesarean delivery (the cut runs from below your navel to your pubes), then normal vaginal delivery isn’t possible.
- Previous uterine rupture: If you have uterine rupture (a tear in the womb muscle) in the past, then normal vaginal delivery is impossible.
- Previous other surgeries on your uterus: If you have had other surgeries in your womb, such as for fibroid removal, then normal vaginal birth is not recommended due to the risk of uterine (womb) rupture.
- No history of vaginal delivery: If you never had a vaginal delivery before or after your prior cesarean delivery, then it lowers your chances of having a vaginal normal delivery.
- Multiple previous cesarean deliveries: Your doctor will not offer a normal vaginal delivery option for you if you have had more than two prior cesarean deliveries.
- Duration since your last cesarean delivery: The risk of uterine (womb) rupture is higher if you attempt a normal vaginal delivery 18 months before your previous cesarean delivery.
- Any other health concerns that may affect a vaginal delivery attempt: A normal vaginal delivery after cesarean delivery is not possible if
