The VBAC Coach does not provide medical treatment or medical advice. Please discuss all medical decisions and treatment with your primary care provider.

Talking points with your care provider

Laboring at home

Intermittent vs Continuous Fetal Monitoring

Eating and drinking in labor

Frequency of vaginal exams

What is your cesarean rate?

What is your episiotomy rate?

What is your VBAC success rate?

Are you supportive of gentle cesarean births?

Will you be present for my birth? If not, does

your back up provider support my birthing choices?

How far past my due date are you comfortable with before discussing alternative to waiting?

How do you feel about...

Immediate skin to skin conact 

Delayed Cord Clamping

Delayed baths or newborn exam

Vaginal Birth after Cesarean or VBAC refers to a woman who achieves a vaginal birth following a birth(s) which previously ended in a cesarean. 

VBAC is also used interchangeably with TOLAC (Trial of Labor after Cesarean) however, TOLAC refers to the process of a women laboring with the goal of delivering vaginally.  

Previously it was believed "once a cesarean, always a cesarean." Research now supports that VBAC is not only a reasonable choice for most cesarean women, but often a safer one.  

Benefits of vaginal births for women include shorter hospital stays, lower infection rates, and quicker recovery. Babies born vaginally have a lower risk of respiratory problems (ACOG). Mother's may also then have the opportunity to immediately bond with their baby, breastfeed right away, and have their partner involved in the delivery of the baby if they desire. Parents may also request to delay the cutting of the umbilical cord and delivery of the placenta. 

The risks of repeat cesareans increase with each subsequent surgery. Risks may include blood loss, infection, injury to the bladder and other organs,  and scar tissue. Women are also at an increased risk of placenta accretea and placenta previa as well as uterine rupture in future pregnancies. 

Women, when given the opportunity, may still choose to have another cesarean. This is their right. Cesarean women should have the opportunity to choose what birth is best for themselves, their baby, and their family. Mothers and their care providers should work together to discuss the benefits and risks of all birthing options. Informed consent and informed refusal is what defines evidence based care.

No choice is better than the other, as long as it is the right decision for that woman. When women achieve their personal idea of a satisfying birth, it is apparent. 

What is a (VBAC)?