Preparing for a Successful VBAC: Tips and Strategies

Had a C-section once? Here's something you may not know about your next birth.

Many women assume that having a C-section with their first baby means they'll need one with every pregnancy that follows. But that's not necessarily the case.

Depending on your medical history and how your current pregnancy progresses, a vaginal birth may still be an option. It's called VBAC or Vaginal Birth After Caesarean.

Of course, wanting a VBAC and being medically suitable for one are two different things. So, if you're considering it, what should you know before labour begins? And how can you prepare for the best possible outcome?

1. Start With Your Previous Birth

Before planning your next delivery, revisit your previous C-section.

Was your baby in a breech position? Did labour stop progressing? Was there a concern about your baby's heartbeat?

The reason matters because it can help your obstetrician assess your chances of having a vaginal birth this time. 

For example, if your previous C-section was performed because your baby was breech, that reason may not apply to your current pregnancy.

Your previous surgical records are important, too. The type of incision made on your uterus can influence whether VBAC is a suitable option.

Your previous birth is part of your medical history, not a script for your next one.

2. Find Out If VBAC Is Suitable for You

VBAC is a reasonable option for many women, but it isn't suitable for everyone.

Your doctor will consider factors such as the number of previous C-sections, the type of uterine incision, your previous birth experiences, the time between pregnancies and any complications in your current pregnancy.

For women with one previous C-section who go into labour naturally, around three out of four achieve a vaginal birth. However, your individual chances may vary depending on your medical history and circumstances.

It's also important to understand the risks. One uncommon but serious complication is uterine rupture, where the scar on the uterus opens during labour. Your doctor will consider this risk when helping you decide between a planned VBAC and a repeat C-section.

Rather than relying on someone else's birth story, have an honest conversation with your obstetrician about the risks and options available to you.

3. Choose the Right Hospital and Medical Team

A supportive doctor is important, but so is a hospital equipped to manage an emergency if one arises.

Because uterine rupture can be serious, planned VBAC should take place in a facility that can monitor you and your baby during labour and perform an emergency C-section promptly if required.

Before finalising your birth plan, ask your doctor:

Does the hospital support planned VBACs?

Is continuous monitoring of the baby's heartbeat available?

Can an emergency C-section be performed promptly?

What happens if labour doesn't progress as expected?

These questions aren't about expecting something to go wrong. They're about making sure the right care is available if your circumstances change.

4. Look After Your Health During Pregnancy

There's no special food, exercise or routine that guarantees a VBAC. However, maintaining your health throughout pregnancy can help you prepare for labour.

Stay active: If your doctor approves, activities such as walking or swimming can help you maintain fitness.

Eat balanced meals: Focus on nutritious foods and take supplements prescribed by your doctor. You don't need a complicated diet to prepare for birth.

Attend antenatal appointments: Regular check-ups help your doctor monitor your pregnancy and identify any concerns that may affect your birth plan.

Get enough rest: Pregnancy already asks plenty of your body. You don't need to turn every day into a training session for childbirth.

The goal is to support your health, not to follow a perfect routine in the hope of guaranteeing a particular delivery outcome.

5. Understand Your Options If Labour Doesn't Start Naturally

Many women planning a VBAC hope labour will begin on its own. Spontaneous labour is generally associated with a higher likelihood of successful VBAC and a lower risk of uterine rupture than induced labour.

But what happens if your due date arrives and labour hasn't started?

This is worth discussing with your obstetrician beforehand. Depending on your circumstances, your doctor may recommend waiting, considering an appropriate method of induction or planning a repeat C-section.

Not all induction methods are suitable after a previous C-section, as some can increase the risk of uterine rupture. Your doctor will help you understand which options, if any, are appropriate for you.

Remember, reaching your due date without contractions doesn't mean you've done anything wrong. Sometimes, your birth plan simply needs to be reassessed.

6. Prepare Mentally and Keep Your Birth Plan Flexible

If your previous C-section was unexpected or difficult, the thought of labour again may bring mixed feelings. You might feel excited about trying for a vaginal birth while also worrying about what could happen.

Give yourself room to discuss those concerns with your doctor. Ask questions about your previous delivery, available pain-relief options and what to expect during labour. If your previous birth experience continues to cause distress, professional emotional support may also help.

It's equally important to remember that labour doesn't always follow a plan. If your baby's heartbeat becomes concerning or a complication develops, your medical team may recommend a C-section.

That doesn't mean you failed at VBAC.

A birth plan should communicate your preferences while leaving room for medical decisions. If a repeat C-section becomes the safest option, it can still be the right outcome for you and your baby.

Preparing for a VBAC: What Matters Most?

If you're thinking about a VBAC, you probably have a few questions. Is it safe for me? What are my chances? What if I need another C-section?

These are all valid questions and the answers depend on your previous delivery and your current pregnancy.

If you've had a C-section and are wondering whether a vaginal birth could be an option this time, Dr. Dhwany can help you understand what's possible in your case. Bring your questions, talk about your concerns and explore your options together.

Because when it comes to your next birth, you deserve to know what your choices are.