We are very capable obstetricians with lots of Vaginal Birth after Cesarean (VBAC) experience and a high VBAC success rate.
We are not afraid of VBAC but have seen the tragic results of complications of labor after c-section. The guidelines below are designed to both maximize your success at VBAC while maximizing the safety for you and your baby.
We strongly recommend that a doula be hired
We require a well-motivated woman and preferably partner too
Best approach is to wait for spontaneous labor
Labor should be done in the hospital
Reasonable to accept repeat c-section if not in labor and an indication for delivery arises such as preeclampsia or oligohydramnios
Reasonable to accept c-section if no labor by 41-42 weeks
Reasonable to accept c-section if LGA fetus
An assessment by anesthesia staff once admitted is required
IV access is required
When in labor, only clear liquids/no food, and continuous monitoring is required