The focus of this article centers on strategies and considerations related to vaginal birth after a prior cesarean delivery. Specifically, it addresses factors influencing the likelihood of a successful vaginal birth after cesarean (VBAC) following one prior cesarean and extends those considerations to situations involving a second prior cesarean. The ultimate goal is to provide information that allows patients and medical professionals to make informed decisions about the best course of action for each individual’s circumstances.
Attempting a VBAC can offer numerous benefits, including reduced maternal morbidity compared to repeat cesarean, shorter recovery times, and a potentially more positive birth experience for the individual. Historically, the rates of VBAC have fluctuated based on evolving medical guidelines and liability concerns. Understanding the factors that contribute to a successful trial of labor after cesarean (TOLAC) and carefully weighing the risks and benefits are essential for appropriate counseling.
