What Is a VBAC? Understanding Vaginal Birth After Cesarean

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For many moms who’ve had a previous cesarean birth, the question of “Can I give birth vaginally next time?” often arises. The answer, for most, is yes!

VBAC can be a safe and empowering choice, offering a chance to experience a different kind of birth while avoiding major abdominal surgery. But VBAC isn’t just a clinical option—it’s a deeply personal decision that’s best made with evidence, preparation, and support.

Let’s explore what VBAC is, who it’s right for, and how you can confidently plan for one if it’s the right path for you.

💡 What Is a VBAC?

A VBAC refers to giving birth vaginally after having had one or more prior cesarean births. It’s a safe option for many moms and is supported by organizations like the American College of Obstetricians and Gynecologists (ACOG) when certain conditions are met.

📊 VBAC Success & Safety – The Evidence

Vaginal Birth After Cesarean (VBAC) is supported by decades of research and is considered a safe and reasonable option for many moms, according to leading medical organizations such as the American College of Obstetricians and Gynecologists (ACOG) and the National Institutes of Health (NIH).

✅ Success Rates

Overall VBAC success rate: 60–80% of women who plan a VBAC will have a successful vaginal birth (ACOG Practice Bulletin 205).
Higher chance of success is associated with:
- Spontaneous labor (rather than induction)
- Prior vaginal birth
- Non-recurring reason for previous cesarean
- Waiting longer between pregnancies (ideally 18–24 months or more)

⚠️ Risks to Consider

Uterine rupture risk:

While uterine rupture is a serious complication, it remains rare—especially with careful planning, proper provider support, and appropriate birth setting.

Risk can vary depending on several factors, including:

- The type of uterine incision
- The number of prior cesareans
- Whether labor begins spontaneously or is induced
- The interval between pregnancies

That’s why it’s so important to consult with a knowledgeable, VBAC-supportive provider who can assess your individual circumstances and help you make a fully informed decision.

Repeat cesarean risks (when VBAC is not attempted):
- Increased risk of surgical complications (e.g., infection, hemorrhage, organ injury)
- Higher rates of placenta previa and placenta accreta in future pregnancies (The Global Library of Women’s Medicine)
- Longer postpartum recovery

💖 Benefits of a Successful VBAC

Shorter hospital stay
Faster recovery and less postpartum discomfort
Lower risk of:
- Blood loss
- Infection
- Surgical injury
Improved emotional and psychological outcomes for many moms
Reduced complications in future pregnancies (e.g., lower risk of placenta accreta or previa)

✅ Who Is a Good Candidate for VBAC?

VBAC might be a good option if you:

Have had 1 previous low-transverse (horizontal) cesarean incision
Have no history of uterine rupture
Are carrying a singleton pregnancy (one baby)
Are with a VBAC-supportive provider and facility

VBACs after multiple cesareans (VBAMC) and for moms with a prior classical or T-shaped incision can sometimes be options—but they require individualized risk assessment and specialized care.

🧠 Educate Yourself Early

Knowledge is your most powerful tool when planning a VBAC. Here’s how to get started:

Understand your prior birth: Request your operative report to confirm your incision type and any complications.
Know the guidelines: Read ACOG’s VBAC Practice Bulletin and similar resources so you understand what’s recommended.
Take a comprehensive birth class: Childbirth education methods like Hypnobabies can help you stay calm, focused, and confident while preparing for a VBAC. You’ll train your body—especially the muscles surrounding your baby—to remain calm and tension-free, reducing discomfort and making efficient birthing easier.
Listen to stories: Real-life VBAC stories can inspire and educate. Hearing others’ experiences helps you feel less alone and more empowered.

💬 Advocate for Yourself

Sadly, not all providers or hospitals support VBAC, and some may actively discourage it—even when it’s safe. Here’s how to advocate for yourself:

Ask direct questions: Early in your pregnancy, ask your provider how often they attend VBACs, what their success rate is, and what their policies are.
Bring data: Share research and guidelines from ACOG, Evidence Based Birth®, and other reputable sources.
Switch if needed: You are allowed to change providers or birth locations—even late in pregnancy—if you aren’t feeling supported.
Hire a doula: Doulas can be invaluable for emotional and physical support, and they’re strong advocates for your birth preferences.

Tips for Find a VBAC-Supportive Birth Team

🧘‍♀️ Mind-Body Tools for VBAC Success

Mental preparation can be just as important as physical readiness. Hypnosis for childbirth, relaxation techniques, and positive birth affirmations can all help reduce fear and build confidence. Our VBAC Success Hypnosis Set is designed specifically to support this journey, offering tracks that reframe past birth experiences and instill belief in your body’s ability.

🤝 You Deserve Support

Every birthing woman deserves to make informed choices about her body and birth. Whether you’re planning a VBAC or considering your options, remember: you have the right to compassionate care, accurate information, and a voice in the decision-making process.

You can have a positive, peaceful birth—no matter how your baby is born.
Much more information: https://www.rachelreed.website/blog/vbac

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💡 What Is a VBAC?