Want To Try For A VBAC? What You Need To Know

Did you know that you can have a baby vaginally even after you have had one or more Cesareans? Yes! Its totally a thing! VBAC is the shorthand and popular term for Vaginal Birth After Cesarean. VBACs can be achieved by any birthing person, as long as there are healthy and have support from their healthcare provider. Choosing the right doctor is the most important decision you will need to make once you decide to try for a VBAC. It is essential to ensure that your provider is supportive of your decision and has a high VBAC rate. While Maryland’s VBAC rate is only 14.45%, Washington D.C is in the top 6 highest VBAC rates by states with 22.07%. (www.evidencebasedbirth.com).

Providers who are not supportive of VBACs typically may steer clients away from them, may discourage birthing persons, and site the 1% chance for uterine rupture (due to the uterus having a risk of tearing on the scar line from the previous Cesarean). Due to that risk, providers usually inform clients that they would need to go into labor on their own, as opposed to an induction. It is important to know that 90% of women who have had a Cesarean are eligible for a VBAC. While it is still very possible to have a VBAC while opting for a epidural (I did!), we recommend delaying a epidural until at least 5-6cm dilated.

Once you decide to have a VBAC, here are some things that can help you be successful:
1. Find a provider that is VBAC friendly. Having a supportive provider can make or break the ability to have a VBAC.
2. Hire a Doula. Statistics have shown that hiring a Doula has reduces your chance of having a cesarean. Doulas provide physical, emotional and educational support,
before, during and after birth. Having a doula can help with management of pain during labor, which can help women hold off on epidurals and support those going
completely unmedicated.
3. See your Chiropractor regularly. Chiropractic care is extremely proactive for pregnant women and can help align the pelvis to assist with a clear route for baby to the birth canal. Chiropractic adjustments can also help turn a breech or transverse baby!
4. Laboring at home for as long as possible (as supported by your care provider). Being able to walk around and get into different positions will help baby move down and you dilate. Holding out on a epidural will allow you to stay out of the bed and optimize your chances for a successful VBAC.
5. Be determined. Take control of your birth and your birthing options. Your birth experience is a important one and the way you birth is in your hands.

Doulas of PG County wishes you a happy birthing experience and a successful VBAC, if that is what you desire. We are available to help you navigate your options, support, and trust you to make the best decisions during your birth journey.

Be Trusted. Be Supported. Be Empowered.