Labor and Delivery

Premier Health providers answer frequently asked questions about labor and delivery.

What makes a woman a good candidate for a vaginal birth after cesarean (VBAC)?

Dr. Stephen Guy discusses what makes a woman a good candidate for a VBAC. Click play to watch the video or read the transcript.

What makes a woman a good candidate for a vaginal birth after cesarean (VBAC)?

A good candidate for a VBAC is someone who's has had one previous c-section. We can do a VBAC if they've had two c-sections, but nothing more than that. It's important that the previous cesarean section has been what we call a transverse incision on the uterus. It doesn't really matter which way the incision is made on the abdomen, but it's really what it was like on the uterus. The chance of uterine rupture is much less for the transverse incision than the vertical incision on the uterus.

The other person that would be a really good candidate for VBAC would be someone that has had, maybe, they had a c-section for breech, or they had a c-section for fetal distress. Something that would not repeat itself again in another pregnancy. I think those would the best candidates for VBAC.

 

A good candidate for a vaginal birth after cesarean (VBAC) has had no more than two prior cesareans, according to the American Congress of Obstetricians and Gynecologists (ACOG).

It’s also important that a woman choosing a VBAC only has a low transverse incision below the navel (side-to-side) because they are at less risk of developing a ruptured uterus compared to a vertical (up and down) incisions, according to the ACOG.

Premier Health Specialists' (PHS) physicians say good candidates also would include people who had a C-section because their baby was breech or for fetal distress.

For more information about who makes a good candidate for VBAC, talk to your doctor.

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Source: Judith Burichin, MD, Hilltop Obstetrics and Gynecology; Juan Reina, MD, Hilltop Obstetrics and Gynecology; Stephen Guy, MD, Womens Health Specialist and Midwives of Dayton