Vaginal birth after cesarean delivery (VBAC) is possible for many women, but it depends on many factors. Insisting on VBAC may put both you and your baby at risk; hence, you need to discuss the pros and cons with your doctor.
The following factors play an important role:
Type of the previous incision used for cesarean delivery: Most cesarean deliveries nowadays are performed with a low transverse incision (the surgery cut along the bikini line). If you have had a prior high vertical-incision cesarean delivery (the cut runs from below your navel to your pubes), then normal vaginal delivery isn’t possible.
Previous uterine rupture: If you have uterine rupture (a tear in the womb muscle) in the past, then normal vaginal delivery is impossible.
Previous other surgeries on your uterus: If you have had other surgeries in your womb, such as for fibroid removal, then normal vaginal birth is not recommended due to the risk of uterine (womb) rupture.
No history of vaginal delivery: If you never had a vaginal delivery before or after your prior cesarean delivery, then it lowers your chances of having a vaginal normal delivery.
Multiple previous cesarean deliveries: Your doctor will not offer a normal vaginal delivery option for you if you have had more than two prior cesarean deliveries.
Duration since your last cesarean delivery: The risk of uterine (womb) rupture is higher if you attempt a normal vaginal delivery 18 months before your previous cesarean delivery.
Any other health concerns that may affect a vaginal delivery attempt: A normal vaginal delivery after cesarean delivery is not possible if
