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Home › Articles › VBAC › The Pros and Cons of VBAC

The Pros and Cons of VBAC

An Updated Look at Vaginal Birth After Cesarean

By Lisa A. Goldstein

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"The pros were many – avoiding major abdominal surgery, decreased recovery time (very important when you have another child at home), decreased likelihood of complications and being an active participant in the birth of my child," says Thompson, who also calls it the most meaningful, moving experience of her life.

Thompson's advice to moms contemplating a VBAC is to ignore the naysayers. "If you have to, switch doctors to find one who is truly willing to try for a VBAC," she says. "Just don't give up. VBAC is safe if properly monitored, recovery time is so much better and it's a wonderful experience!"

Candidates for VBAC

According to the ACOG practice bulletin from July 2004, selection criteria useful in identifying candidates for VBAC include the following:

  • One previous low-transverse Cesarean delivery.
  • Clinically adequate pelvis.
  • No other uterine scars or previous rupture.
  • Physician immediately available throughout active labor capable of monitoring labor and performing an emergency Cesarean delivery.
  • Availability of anesthesia and personnel for emergency Cesarean delivery.
  • Women with a previous low-vertical uterine incision were also just as likely to have a successful VBAC.


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