Factors that make a woman a good candidate for a vaginal birth after cesarean (VBAC) include:
- Having had a previous C-section with a low-transverse (horizontal) uterine incision, which is associated with a lower risk of uterine rupture.
- The reason for the previous C-section is important; for example, if the previous C-section was due to a baby being in breech position or twins, rather than labor not progressing, VBAC is more likely to be successful.
- No history of uterine rupture or other complications during prior deliveries.
- The absence of major health conditions such as hypertension, diabetes, or heart disease that could complicate labor.
- A sufficient time interval since the last C-section, generally recommended to be more than 18 months.
- Having had a previous vaginal birth, especially after the C-section, increases the likelihood of VBAC success.
- Planning to have more children, as VBAC reduces the risks linked to multiple C-sections.
- The pregnancy is uncomplicated, and the baby is in a favorable position for vaginal delivery.
- Availability of medical facilities and professionals capable of managing VBAC safely, including the ability to perform an emergency C-section if necessary.
Women should discuss their medical history and delivery options with their healthcare provider to evaluate their individual suitability for VBAC, weighing the benefits and risks carefully.
