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Can I have a VBAC?
Penny found 20 sources
with relevant information
2 peer-reviewed research articles
4 professionally-backed sources
5 articles from healthcare institutions
Overview
You might be able to have a VBAC (vaginal birth after cesarean), but whether it’s a safe and realistic option depends on several personal and medical factors. Many people who have had a previous cesarean section (C-section) are candidates for VBAC, and about 60–80% of those who attempt it are successful. The decision is best made in partnership with your OB/GYN, who can review your specific health history and the details of your prior C-section(s).
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI Bookshelf
Vaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).
Read full article
Source:
ncbi.nlm.nih.gov
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical Center
Learn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.
Vaginal Birth After Cesarean Delivery: Overview, Preparation, Technique
Background “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.
Read full article
Source:
Medscape
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOG
An ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...
Vaginal Birth After Cesarean Delivery (VBAC) | ACOG
After a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.
Vaginal Birth After C-Section (VBAC): What to Expect
Vaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.
Read full article
Source:
UPMC
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFP
Criteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...
Vaginal Birth After Cesarean (VBAC): Facts, Safety & Risks
A vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.
Read full article
Source:
Cleveland Clinic
Key Points About VBAC
What is VBAC?
- VBAC stands for vaginal birth after cesarean. It involves attempting a vaginal delivery after having had a previous C-section.
-
The process of attempting a VBAC is called a trial of labor after cesarean (TOLAC).
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govVaginal Birth After Cesarean Delivery: Overview, Preparation, TechniqueBackground “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.Read full articleSource: MedscapeDeciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...Vaginal Birth After Cesarean Delivery (VBAC) | ACOGAfter a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.VBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSUYour doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.Read full articleSource: ohsu.edu
Who is a Candidate for VBAC?
- Most people with one previous low-transverse (side-to-side) uterine incision are considered candidates.
- You are less likely to be a candidate if you have had a classical (vertical) uterine incision, more than one prior C-section, or a history of uterine rupture or other uterine surgery.
-
Other factors that can affect candidacy include the reason for your previous C-section, your overall health, the presence of certain pregnancy complications, and the resources available at your hospital.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFPCriteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...Vaginal Birth After Cesarean (VBAC): Facts, Safety & RisksA vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.Read full articleSource: Cleveland ClinicVaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
Factors That Affect VBAC Success
- Higher chance of success if your previous C-section was for a non-recurrent reason (like breech baby or fetal distress, not labor that didn’t progress).
- Prior vaginal delivery (before or after your C-section) increases the likelihood of a successful VBAC.
- Spontaneous (natural) onset of labor is associated with higher success rates than induced labor.
-
Factors that may decrease success rates include maternal age over 35, obesity, diabetes, pregnancy past 40 weeks, and a large baby (over 4 kg).
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...Vaginal Birth After Cesarean (VBAC): Facts, Safety & RisksA vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.Read full articleSource: Cleveland ClinicVaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...VBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...
Benefits of VBAC
- Faster recovery and shorter hospital stay compared to repeat C-section.
- Lower risk of complications like infection, blood loss, and injury to organs.
-
Reduced risk of complications in future pregnancies, such as placenta problems and surgical risks associated with multiple C-sections.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After Cesarean Delivery (VBAC) | ACOGAfter a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.Vaginal Birth After C-Section (VBAC): What to ExpectVaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.Read full articleSource: UPMCVaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
Risks of VBAC
- The main risk is uterine rupture, where the scar from the previous C-section tears during labor. This is rare (less than 1% of cases), but it is a serious complication that can be dangerous for both you and your baby.
-
Other risks include infection, bleeding, and the possibility of needing an emergency C-section if labor does not progress or if complications arise.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...Vaginal Birth After Cesarean Delivery (VBAC) | ACOGAfter a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.Vaginal Birth After C-Section (VBAC): What to ExpectVaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.Read full articleSource: UPMCVaginal Birth After Cesarean (VBAC): Facts, Safety & RisksA vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.Read full articleSource: Cleveland ClinicVaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
Hospital and Provider Considerations
-
VBAC should be attempted in a hospital equipped to handle emergency C-sections, with an OB/GYN and anesthesia team available throughout labor.
Vaginal Birth After Cesarean Delivery: Overview, Preparation, TechniqueBackground “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.Read full articleSource: MedscapeDeciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...Vaginal Birth After Cesarean Delivery (VBAC) | ACOGAfter a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFPCriteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...Vaginal Birth After Cesarean (VBAC): Facts, Safety & RisksA vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.Read full articleSource: Cleveland ClinicVBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSUYour doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.Read full articleSource: ohsu.eduVaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
- Not all hospitals or providers offer VBAC, so it’s important to discuss this early in your pregnancy.
Summary
VBAC is a safe and reasonable option for many people who have had a previous C-section, with a 60–80% success rate. Your individual chances depend on your medical history, the reason for your prior C-section, and other health and pregnancy factors. The main risk is uterine rupture, which is rare but serious. It’s recommended to discuss your specific situation with your OB/GYN, who can work with you on your personal course of care and help you weigh the risks and benefits.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI Bookshelf
Vaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).
Read full article
Source:
ncbi.nlm.nih.gov
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical Center
Learn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.
Vaginal Birth After Cesarean Delivery: Overview, Preparation, Technique
Background “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.
Read full article
Source:
Medscape
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOG
An ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...
Vaginal Birth After Cesarean Delivery (VBAC) | ACOG
After a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.
Vaginal Birth After C-Section (VBAC): What to Expect
Vaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.
Read full article
Source:
UPMC
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFP
Criteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...
Vaginal Birth After Cesarean (VBAC): Facts, Safety & Risks
A vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.
Read full article
Source:
Cleveland Clinic
VBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSU
Your doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.
Read full article
Source:
ohsu.edu
Vaginal Birth After Cesarean (VBAC) - Brigham and Women's Hospital
Faster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
Providing feedback helps us improve Penny's responses.
Peer-Reviewed Research
Published, peer-reviewed scientific studies from journals or databases.
1
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI Bookshelf
Vaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).
Read full article
Source:
ncbi.nlm.nih.gov
11
VBAC: antenatal predictors of success - PMC
For women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...
746 The effects of removing race from the VBAC calculator: implications for counseling - American Journal of Obstetrics & Gynecology
There were no significant differences in VBAC rates when comparing non-Hispanic Black women, aOR 0.5 (95% CI 0.2, 1.28), and Hispanic women, aOR 0.9 (95% CI 0.34, 2.41), to non-Hispanic White women.
Risk management of vaginal birth after cesarean section (Review) - PMC
Indeed, the legal framework and local protocols for VBACand TOLAC are extremely heterogenous along different countries. Moreover, the risks associated with unsuccessful vaginal delivery after cesarean could be considered pretexts for malpractice lawsuits. The American College of Obstetricians and Gynecologists (ACOG), signed in 2019, a practice bulletin that evaluated the risksandbenefits ...
1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & Gynecology
Patients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....
VBAC calculator 2.0: Recent evidence - PubMed
Following criticism for the use ... which produced systematically lower chances of VBAC for nonwhites has been replaced with "chronic hypertension requiring treatment" (yes/no)....
Read full article
Source:
PubMed
Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity - PMC
Description of study population and percent VBAC deliveries, Massachusetts ... Over the entire study period, the mean VBAC rate was 17.5 % for non-Hispanic White women, 17.1 % for non-Hispanic Black women, 18.1 % for Hispanic women, 19.6 % for Asian/Pacific Islander and 17.4 % for “Other” ...
Read full article
Source:
ncbi.nlm.nih.gov
Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirect
To compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…
Read full article
Source:
sciencedirect.com
FIGO good practice recommendations for vaginal birth after cesarean section - Barnea - International Journal of Gynecology & Obstetrics - Wiley Online Library
There were no significant differences ... significantly higher than the CS rate of 39% in the primiparous group. Current guidelines agree that breech presentation is not an absolute contraindication to VBAC.15, 63...
Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMed
Non-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...
Read full article
Source:
PubMed
Clinical Guidelines & Professional Sources
Clinical recommendations from government, public health organizations, or professional medical provider associations.
3
Vaginal Birth After Cesarean Delivery: Overview, Preparation, Technique
Background “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.
Read full article
Source:
Medscape
4
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOG
An ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...
5
Vaginal Birth After Cesarean Delivery (VBAC) | ACOG
After a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.
7
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFP
Criteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...
Vaginal Birth After Cesarean Delivery | ACOG
In addition to fulfilling a patient’s preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level 1 2 3.
Medical & Academic Institutions
Information from hospitals, research institutions, or academic medical centers known for clinical expertise and research contributions.
2
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical Center
Learn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.
6
Vaginal Birth After C-Section (VBAC): What to Expect
Vaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.
Read full article
Source:
UPMC
8
Vaginal Birth After Cesarean (VBAC): Facts, Safety & Risks
A vaginal birth after cesarean or VBAC is when you give birth through your vagina after previously having a C-section (cesarean section) delivery. A C-section involves your pregnancy care provider making a surgical cut (incision) through your belly and uterus to deliver your baby.
Read full article
Source:
Cleveland Clinic
9
VBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSU
Your doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.
Read full article
Source:
ohsu.edu
10
Vaginal Birth After Cesarean (VBAC) - Brigham and Women's Hospital
Faster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
General Health & Web Sources
Publicly available health-related articles from non-peer-reviewed sources. These may reference research or clinical guidelines, but are not primary sources.
Uncategorized Sources
Information from sources that have not yet been categorized.
What made this response need improvement?
What factors make someone a good candidate for a VBAC?
Penny found 20 sources
with relevant information
10 peer-reviewed research articles
4 professionally-backed sources
3 articles from healthcare institutions
Overview
A good candidate for a VBAC (vaginal birth after cesarean) is someone whose medical and pregnancy history suggests a high likelihood of a safe and successful vaginal delivery after a previous C-section. Several factors can increase or decrease your chances of success.
Key Factors That Make Someone a Good Candidate for VBAC
Type of Uterine Incision
- Low-transverse (horizontal) incision: This is the most common and safest type for VBAC, with the lowest risk of uterine rupture.
-
Other incisions (classical/vertical or T-shaped): These are usually considered higher risk and are generally not recommended for VBAC.
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFPCriteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...FIGO good practice recommendations for vaginal birth after cesarean section - Barnea - International Journal of Gynecology & Obstetrics - Wiley Online LibraryThere were no significant differences ... significantly higher than the CS rate of 39% in the primiparous group. Current guidelines agree that breech presentation is not an absolute contraindication to VBAC.15, 63...746 The effects of removing race from the VBAC calculator: implications for counseling - American Journal of Obstetrics & GynecologyThere were no significant differences in VBAC rates when comparing non-Hispanic Black women, aOR 0.5 (95% CI 0.2, 1.28), and Hispanic women, aOR 0.9 (95% CI 0.34, 2.41), to non-Hispanic White women.
Reason for Previous C-Section
- Non-recurrent reasons: If your previous C-section was for reasons unlikely to happen again (such as breech baby or fetal distress), your chances of a successful VBAC are higher.
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Recurrent reasons: If your C-section was for reasons like labor not progressing (cephalopelvic disproportion), your chance of VBAC success may be lower, but it is not an absolute barrier.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After Cesarean Delivery: Overview, Preparation, TechniqueBackground “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.Read full articleSource: MedscapeVBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...Vaginal Birth After Cesarean Delivery | ACOGIn addition to fulfilling a patient’s preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level 1 2 3.Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMedNon-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...Read full articleSource: PubMedStrategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirectTo compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…Read full articleSource: sciencedirect.com
Prior Vaginal Delivery
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Previous vaginal birth (before or after your C-section): This is one of the strongest predictors of VBAC success. If you have had a vaginal birth, especially a successful VBAC, your chances of another successful VBAC are much higher.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After Cesarean Delivery: Overview, Preparation, TechniqueBackground “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.Read full articleSource: MedscapeVBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMedNon-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...Read full articleSource: PubMedRisk management of vaginal birth after cesarean section (Review) - PMCIndeed, the legal framework and local protocols for VBACand TOLAC are extremely heterogenous along different countries. Moreover, the risks associated with unsuccessful vaginal delivery after cesarean could be considered pretexts for malpractice lawsuits. The American College of Obstetricians and Gynecologists (ACOG), signed in 2019, a practice bulletin that evaluated the risksandbenefits ...Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirectTo compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…Read full articleSource: sciencedirect.com
Spontaneous Labor
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Going into labor naturally: Spontaneous (uninduced) labor is associated with higher VBAC success rates compared to induced labor.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After Cesarean (VBAC) - Brigham and Women's HospitalFaster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & GynecologyPatients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirectTo compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…Read full articleSource: sciencedirect.com
Maternal Age and Weight
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Younger age: Women under 35 tend to have higher VBAC success rates. Advanced maternal age (over 35 or 40) is associated with a lower chance of success.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govVBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...Vaginal Birth After C-Section (VBAC): What to ExpectVaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.Read full articleSource: UPMCVBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSUYour doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.Read full articleSource: ohsu.edu1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & GynecologyPatients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity - PMCDescription of study population and percent VBAC deliveries, Massachusetts ... Over the entire study period, the mean VBAC rate was 17.5 % for non-Hispanic White women, 17.1 % for non-Hispanic Black women, 18.1 % for Hispanic women, 19.6 % for Asian/Pacific Islander and 17.4 % for “Other” ...Read full articleSource: ncbi.nlm.nih.gov
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Healthy weight: Lower pre-pregnancy body mass index (BMI) is associated with higher success. Obesity decreases the likelihood of a successful VBAC.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After C-Section (VBAC): What to ExpectVaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.Read full articleSource: UPMC1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & GynecologyPatients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMedNon-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...Read full articleSource: PubMedVariation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity - PMCDescription of study population and percent VBAC deliveries, Massachusetts ... Over the entire study period, the mean VBAC rate was 17.5 % for non-Hispanic White women, 17.1 % for non-Hispanic Black women, 18.1 % for Hispanic women, 19.6 % for Asian/Pacific Islander and 17.4 % for “Other” ...Read full articleSource: ncbi.nlm.nih.gov
Other Positive Factors
- No other uterine scars or prior uterine rupture: Additional uterine surgeries or scars increase risk.
- Singleton pregnancy (one baby): Carrying twins does not automatically rule out VBAC, but it may affect planning.
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Gestational age less than 40 weeks: VBAC success rates decrease if the pregnancy goes past 40 weeks.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFPCriteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...VBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirectTo compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…Read full articleSource: sciencedirect.com
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Estimated fetal weight under 4 kg (about 8 lbs 13 oz): Larger babies are associated with lower success rates, but many women with larger babies still have successful VBACs.
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOGAn ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...VBAC: antenatal predictors of success - PMCFor women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...Vaginal Birth After Cesarean Delivery | ACOGIn addition to fulfilling a patient’s preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level 1 2 3.Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirectTo compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…Read full articleSource: sciencedirect.com
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No major health complications: Conditions like preeclampsia, diabetes, or hypertension can lower the chances of success.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI BookshelfVaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).Read full articleSource: ncbi.nlm.nih.govWho is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical CenterLearn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.Vaginal Birth After C-Section (VBAC): What to ExpectVaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.Read full articleSource: UPMCACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFPCriteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & GynecologyPatients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMedNon-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...Read full articleSource: PubMed
Summary
You are more likely to be a good candidate for VBAC if you have a low-transverse uterine scar, had a previous C-section for a non-recurrent reason, have had a prior vaginal delivery, are younger than 35, have a healthy weight, and go into labor spontaneously. Your OB/GYN can help you review your specific history and current pregnancy to assess your chances and discuss the safest options for you.
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI Bookshelf
Vaginal birth after cesarean section (VBAC) is the term applied to patients who undergo vaginal delivery following cesarean delivery in a prior pregnancy. Patients desiring VBAC delivery undergo a trial of labor (TOL), also known as a trial of labor after cesarean section (TOLAC).
Read full article
Source:
ncbi.nlm.nih.gov
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical Center
Learn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.
Vaginal Birth After Cesarean Delivery: Overview, Preparation, Technique
Background “Once a cesarean, always a cesarean.” From 1916, when these words were spoken to the New York Association of Obstetricians & Gynecologists, through the ensuing 50-60 years, this statement reflected most of US obstetricians’ management of patients with a prior cesarean delivery.
Read full article
Source:
Medscape
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOG
An ob-gyn shares what to consider ... about a VBAC. Dr. Angelica Glover ... If you’ve had a cesarean birth and get pregnant again, one question is going to come up, probably sooner rather than later. Should you plan for another cesarean (also called a c-section), or should you try to give birth vaginally? This is a complex decision that must take many factors into account. And each option comes with different risksandbenefits to ...
Vaginal Birth After C-Section (VBAC): What to Expect
Vaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.
Read full article
Source:
UPMC
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFP
Criteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...
VBAC (Vaginal Birth After Cesarean) | Center for Women's Health | OHSU
Your doctor or nurse-midwife will consider your unique pregnancy and medical history to help you make the best choice for you. We do more VBACs than any other hospital in Oregon.
Read full article
Source:
ohsu.edu
Vaginal Birth After Cesarean (VBAC) - Brigham and Women's Hospital
Faster recovery: Your recovery will be faster with a VBAC delivery. This is an important consideration for women who already have children to care for at home. Lower complications: A vaginal delivery is associated with lower complications for you, including a lower risk of infection and blood loss. Future pregnancies...
VBAC: antenatal predictors of success - PMC
For women with no prior vaginal ... making regarding VBAC (2). Nonetheless, 60% to 70% of women who attempt VBAC with macrosomic foetus are successful (9). Birthweight difference between firstpregnancy (delivered by caesarean) and second pregnancy with attempted VBAC clearly ...
1165 How does VBAC success rates vary by race/ethnicity? - American Journal of Obstetrics & Gynecology
Patients identifying as Hispanic ... as American Native had the lowest rate of successful VBAC (56.21%). Patients identifying as Black (Non-Hispanic) had the highest rate of successful VBAC (72.40%)....
Vaginal Birth After Cesarean Delivery | ACOG
In addition to fulfilling a patient’s preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level 1 2 3.
Racial and Ethnic Differences in the Likelihood of Vaginal Birth After Cesarean Delivery - PubMed
Non-Hispanic Asian women are significantly more likely to have VBACthannon-Hispanicwhitewomen. Efforts to reduce cesarean delivery rates in the United States should address these disparities. Future research should investigate factors underlying these differences to ensure that all women ...
Read full article
Source:
PubMed
FIGO good practice recommendations for vaginal birth after cesarean section - Barnea - International Journal of Gynecology & Obstetrics - Wiley Online Library
There were no significant differences ... significantly higher than the CS rate of 39% in the primiparous group. Current guidelines agree that breech presentation is not an absolute contraindication to VBAC.15, 63...
746 The effects of removing race from the VBAC calculator: implications for counseling - American Journal of Obstetrics & Gynecology
There were no significant differences in VBAC rates when comparing non-Hispanic Black women, aOR 0.5 (95% CI 0.2, 1.28), and Hispanic women, aOR 0.9 (95% CI 0.34, 2.41), to non-Hispanic White women.
Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity - PMC
Description of study population and percent VBAC deliveries, Massachusetts ... Over the entire study period, the mean VBAC rate was 17.5 % for non-Hispanic White women, 17.1 % for non-Hispanic Black women, 18.1 % for Hispanic women, 19.6 % for Asian/Pacific Islander and 17.4 % for “Other” ...
Read full article
Source:
ncbi.nlm.nih.gov
Risk management of vaginal birth after cesarean section (Review) - PMC
Indeed, the legal framework and local protocols for VBACand TOLAC are extremely heterogenous along different countries. Moreover, the risks associated with unsuccessful vaginal delivery after cesarean could be considered pretexts for malpractice lawsuits. The American College of Obstetricians and Gynecologists (ACOG), signed in 2019, a practice bulletin that evaluated the risksandbenefits ...
Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes - ScienceDirect
To compare the rate of vaginal birth after cesarean section (VBAC), including the maternal and perinatal outcomes, in two historical cohorts before an…
Read full article
Source:
sciencedirect.com
Providing feedback helps us improve Penny's responses.
Peer-Reviewed Research
Published, peer-reviewed scientific studies from journals or databases.
5
Vaginal Birth After Cesarean Delivery - StatPearls - NCBI Bookshelf
Effective counseling is essential for VBAC candidates, focusing on risks, benefits, and factors influencing success, eg, prior vaginal deliveries, spontaneous labor, and nonrecurrent indications for cesarean. Factors like maternal obesity, advanced maternal age, and gestational age over 40 ...
Read full article
Source:
ncbi.nlm.nih.gov
6
VBAC: antenatal predictors of success - PMC
To determine antenatal factors that may predict successful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring ...
9
VBAC: antenatal predictors of success - PubMed
To determine antenatal factors that may predictsuccessful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring indication for previous Caesarean section (CS), such ...
Read full article
Source:
PubMed
10
Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis | BMC Pregnancy and Childbirth | Full Text
The probability of successful vaginal ... crucial factors in the decision-making process during the prenatal counseling of these women. Two previous meta-analyses were published in 1990 (Rosen et al.) and in 2010 (Eden et al.). Rosen et al. focused on the indicators in the previous cesarean for VBACsuccess [12]. Eden et al. focused on studies about predictors of VBAC, which ...
Read full article
Source:
BioMed Central
11
Antenatal scoring system in predicting the success of planned vaginal birth following one previous caesarean section - PubMed
All data including maternal demographics, obstetric history, pregnancy progress and outcomes were collected and analysed. A total of 142 out of the 186 women (76.3%) had successful VBAC. History of previous vaginal delivery and non-recurrent indications for previous caesarean section were the ...
Read full article
Source:
PubMed
12
Labor outcomes with increasing number of prior vaginal births after cesarean delivery - PubMed
An increasing number of prior VBACs is associated with a greater probability of VBACsuccess, as well as a lower risk of uterine rupture and perinatal complications in the current pregnancy. Level of evidence: II. ... Vaginal birth after Cesarean delivery: predictingsuccess, risks of failure.
Read full article
Source:
PubMed
13
Predicting VBAC Outcomes from U.S. Natality Data using Deep and Classical Machine Learning Models
When successful, TOLAC results ... of VBAC success, including younger maternal age, prior vaginal delivery, lower pre-pregnancy body mass index (BMI), longer interpregnancy intervals, spontaneous labor onset, and favorable cervical findings su...
Read full article
Source:
arxiv.org
14
Vaginal birth after Cesarean delivery: predicting success, risks of failure - PubMed
Favorable initial pelvic examination, spontaneous labor and a lack of oxytocin use are associated with successfulVBAC in women with a single prior low transverse Cesarean delivery and no prior vaginal deliveries. While attempted VBAC and failed VBAC have more maternal infectious morbidity ...
Read full article
Source:
PubMed
16
Vaginal birth after caesarean delivery: does maternal age affect safety and success? - PubMed
To estimate maternalage effects on the rates of vaginal birth after caesarean delivery (VBAC), the related maternal complications and patient election to attempt VBAC, we conducted a secondary analysis of a retrospective cohort study of women who were offered VBAC from 1996 to 2000 in 17 community ...
Read full article
Source:
PubMed
17
Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity - PMC
Grobman’s validated clinical prediction tool to determine a patient specific chance of successful VBAC after a trial of labor uses Black race and Hispanic ethnicity in its calculus of risk and weights these characteristics greater than maternalage [10]. At a population level, the variation ...
Read full article
Source:
ncbi.nlm.nih.gov
Predicting Successful Trial of Labor After Cesarean Delivery: Evaluation of Two Scoring Systems - PMC
Points are assigned to each of the predictors, the higher the score, more the chances of successful trial of labor [6]. In the present study, the rate of successful TOLAC was 66.7%. A recent meta-analysis [8] (n = 103 188 VBAC labors) reported a pooled VBAC labor success rate of 74% (95% CI ...
Read full article
Source:
ncbi.nlm.nih.gov
Clinical Guidelines & Professional Sources
Clinical recommendations from government, public health organizations, or professional medical provider associations.
1
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery | AAFP
Criteria for selecting candidates for VBAC include the following: (1) one previous low-transverse cesarean delivery; (2) clinically adequate pelvis; (3) no other uterine scars or previous rupture; (4) a physician immediately available throughout active labor who is capable of monitoring labor ...
2
Deciding Between a VBAC and a Repeat Cesarean: 7 Questions to Ask | ACOG
Some health conditions are known to lower your chances of a successful VBAC, including obesity and preeclampsia. If your fetus is measuring larger than average or your pregnancy has gone past 40 weeks, that too could make a VBAC more difficult. The same is true if it has been less than 19 months ...
4
What is vaginal birth after cesarean (VBAC)? | NICHD - Eunice Kennedy Shriver National Institute of Child Health and Human Development
VBAC refers to vaginal delivery of a baby after a previous pregnancy was delivered by cesarean delivery. In the past, pregnant women who had one cesarean delivery would automatically have another. But research shows that, for many women who had prior cesarean deliveries, attempting to give ...
Read full article
Source:
nichd.nih.gov
8
Vaginal Birth After Cesarean Delivery: Overview, Preparation, Technique
Several factors contributed to a decline in VBAC. As practitioners experience complications related to managing patients undergoing trials of labor after cesarean delivery, they are less likely to allow new patients to undergo a trial of labor. In addition, 1999 guidelines from the American ...
Read full article
Source:
Medscape
Vaginal Birth After Cesarean Delivery (VBAC) | ACOG
After a cesarean delivery, you may be able to give birth to your next baby vaginally. VBAC may help avoid certain health problems linked to multiple cesarean deliveries.
Medical & Academic Institutions
Information from hospitals, research institutions, or academic medical centers known for clinical expertise and research contributions.
3
Vaginal Birth After Cesarean (VBAC) - Brigham and Women's Hospital
If you are not able to obtain the ... for a vaginal delivery: You have a contraindication to a vaginal delivery, such as a breech baby in this pregnancy, or a placenta that is over your cervix....
7
Who is a good candidate for VBAC? | Your Pregnancy Matters | UT Southwestern Medical Center
Learn the risks and benefits of vaginal birth after C-section, who may be a good candidate, and how to increase the chance of a successful VBAC.
15
Vaginal Birth After C-Section (VBAC): What to Expect
Vaginal Birth After C-Section, or VBAC for short, have risks and benefits. Learn what happens during a VBAC and how to know if a VBAC is right for you.
Read full article
Source:
UPMC
Vaginal Birth After Cesarean (VBAC): Facts, Safety & Risks
A VBAC is delivering a baby vaginally after having a prior C-section delivery. There are risks to VBAC, but in most cases, a VBAC is possible.
Read full article
Source:
Cleveland Clinic
General Health & Web Sources
Publicly available health-related articles from non-peer-reviewed sources. These may reference research or clinical guidelines, but are not primary sources.
Uncategorized Sources
Information from sources that have not yet been categorized.