Can I Have a Vaginal Birth If I Had a Previous C-Section?
I had a C-section with my first child. Now that I'm pregnant with my second,
I'd really like to try to have a vaginal delivery. But is that safe — for
me and my baby? – Danae
Many women who have had a cesarean section (or C-section) with their first pregnancy
are interested in a vaginal delivery for their second or later births. For years,
women who'd had a C-section were encouraged to skip vaginal deliveries altogether
and schedule C-sections for all future births.
But these days, a vaginal birth after cesarean (or VBAC) is considered a safe option
for many women and their babies. And, with a vaginal delivery, you can come home sooner
and recover quicker.
The reason for your first C-section, the type of incision made on your uterus,
and other factors in your medical history will determine whether or not you can have
A transverse incision (also known as a horizontal incision) cuts
across the lower, thinner part of the uterus. It is used during most C-sections and
makes a VBAC much more likely.
A vertical incision cuts up and down through the uterine muscles
that strongly contract during labor, and is riskier for a VBAC because it might cause
uterine rupture (a tear in the uterine muscle).
The incision on your skin does not necessarily go in the same direction as the
incision on your uterus. Also, if you've had more than one C-section, a VBAC might
not be an option.
Of course, not all women who try to have a VBAC succeed. The American College of
Obstetricians and Gynecologists (ACOG) estimates that about 60% to 80% of women who
try to have a VBAC succeed.
Although a VBAC does come with risks, many women are able to have one with no complications
at all. If you're interested in having a VBAC, talk to your doctor to weigh the risks
and benefits. And check with your hospital well in advance to make sure they'll allow
it — if they don't and you have your heart set on a vaginal birth, you may need
to change hospitals.