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