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Vaginal Birth After Cesarean (VBAC)

Our certified nurse-midwives strongly support vaginal birth after cesarean (VBAC). We have a high success rate with about 80% of women who try to give birth vaginally after a cesarean with us achieve their goal.

We understand that some births, whether vaginal or cesarean, can leave women feeling disappointed or saddened. Past birth experiences can have a profound effect on your health. Each woman comes to us with a unique set of health needs. We personalize your care and welcome an open dialogue with you.

Part of our work as nurse-midwives is to learn about the circumstances of your cesarean birth and to counsel you regarding your options. There are many factors that influence decision-making about VBAC. Some women will choose to try to have their next baby vaginally and others will not. Making this decision is very personal. We respect and honor your values and perspectives. Please note that while your midwife will deliver your baby, VBACs are only allowed in the hospital setting.

What are the factors that increase my chances of birthing successfully after a prior cesarean birth?

  • Having had a prior successful VBAC
  • History of c-section for reasons not likely to happen again (breech, baby's inability to tolerate labor)
  • Starting your pregnancy at a normal weight and not gaining too much weight during pregnancy
  • For the obese woman, a certain amount of weight loss is safe
  • Maintain physical activity including aerobic exercise; 30 minutes, 3-5 days per week
  • Labor that starts on its own, progresses on its own (avoid induction of labor if possible)
  • Stay active during labor and use physiologic methods to facilitate and ease labor
  • Avoiding epidural until active labor established (6 cm or more)

Can I have a Water Birth VBAC?
Greenville Midwifery Care & Birth Center is pleased to offer hydrotherapy and waterbirth as an option for women desiring natural childbirth and VBAC. We are currently conducting a clinical trial to compare the outcomes of VBAC in water to VBAC without water. If you are interested in this option, please discuss this with the midwife at your next prenatal visit.