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13 Myths About VBAC

Many women believe that the only safe choice after a cesarean is another cesarean. Social pressure plays a huge role in a woman’s decision making process and the prevailing American conventional wisdom is greatly influenced by persistent and pervasive myths about vaginal birth after cesarean (VBAC). The result is a 90% repeat cesarean rate in America (1) despite the fact that most women are candidates for VBAC and most VBACs are successful.  Let’s draw a clear line between myth and fact.

According to the National Institutes of Health (NIH), “VBAC is a reasonable and safe choice for the majority of women with prior cesarean.” (2) The American College of Obstetricians & Gynecologists (ACOG) concurred when they said “most” women with one prior cesarean and “some” women with two prior cesareans are candidates for VBAC. (3)

Power to Push VBAC Booklet

BC Women’s Cesarean Task Force Power to Push 2010 VBAC Booklet

Myth:  VBAC after one cesarean has a 60-70% risk of uterine rupture.

The risk of uterine rupture after one low transverse (bikini) cut cesarean is about 0.5% – 1% depending on factors. (2) (Keep in mind that this refers to the incision on the uterus, not on the abdomen.) First time moms are at risk for complications that are equally serious to uterine rupture and occur at a similar rate such as placental abruption, (4) cord prolapse, (5) and shoulder dystocia. (6)

Myth: Hospitals ban VBAC because it’s such a serious and unusual complication that they cannot manage it appropriately.

Hospitals with labor and delivery units have protocols in place to respond to obstetrical emergencies. The guidelines used to manage the complications from first time moms and repeat cesarean moms are also used to address uterine rupture in VBAC moms.

Myth: To expedite an emergency cesarean, epidurals are required in VBAC moms. VBAC moms can’t have epidurals because it will obscure the pain of uterine rupture.

Per ACOG, epidurals may be used in a VBAC (3) and evidence suggests that epidurals do not mask uterine rupture-related pain. (7, 8) Additionally, only 26% of women who experience a uterine rupture report abdominal pain, so it is an inconsistent and unreliable symptom. (9)

Myth: There is a 25% chance that either baby or mom will die during a VBAC.


ACOG 2010 VBAC Guidelines

The risk of maternal mortality is very low whether a woman plans a TOLAC (0.0038%) or an elective repeat cesarean (0.0134%). (2) Limited evidence suggests that there is a 2.8 – 6.2% risk of infant mortality after a uterine rupture. (2, 10)

The most serious cesarean-related complications become more likely as an individual woman has more cesareans. (11) These complications include placental abnormalities such as placenta accreta which carries a 7% maternal mortality rate (12) and a 71% hysterectomy rate. (13) After two cesareans, the risk of accreta is 0.57%, (11) similar to the risk of uterine rupture after one cesarean.

Myth: I can’t have a VBAC in my state because it’s illegal.

VBAC is legal throughout America and in some states, it’s legal for a midwife to attend an out-of-hospital VBAC.

Farah Diaz-Tello of the National Advocates for Pregnant Women clarifies, “I have never heard of a situation in which a physician has lost their license for adhering to a woman’s wishes after providing them will full informed consent, and attending them in a manner that is consistent with the standard of care. Even physicians who have been found liable for medical malpractice do not automatically lose their license.”

Myth: VBACs can’t, or shouldn’t, be induced.


NIH 2010 VBAC Conference

When a mom or baby develops a complication that requires the baby be born sooner rather than later, but not necessarily in the next ten minutes, induction can make the difference between a VBAC and a repeat cesarean. This is why ACOG maintains that medically indicated Pitocin and/or Foley catheter induction “remains an option” during a VBAC. (3, 14)

Myth: Hospitals ban VBAC because they can’t meet ACOG’s “immediately available” requirement.

Some hospitals interpret ACOG’s “immediately available” recommendation to be a mandate that an anesthesiologist must be in the hospital 24/7. Some hospitals that cannot provide that level of coverage have banned VBAC. However, “immediately available” does not have a standard definition and various hospitals implement the guideline in different ways. (15)

Myth: Hospitals that do not have 24/7 anesthesia coverage ban VBAC.

There are motivated hospitals that offer VBAC without 24/7 anesthesia. The rural hospitals that serve the Navajo Nation in New Mexico are an example and they report a 38% VBAC rate. (16)  The American VBAC rate is 10%. (1)



Myth: The evidence shows that 24/7 anesthesia coverage creates a safer environment for VBAC.

ACOG confirms that the data is not available: “Although there is reason to think that more rapid availability of cesarean delivery may provide an incremental benefit in safety, comparative data … are not available.” (3, 15) In the absence of empirical evidence, the “immediately available” recommendation is based on the lowest level of evidence which is “consensus opinion.” (3) Hospitals without 24/7 anesthesia implement a variety of policies to make VBAC safer including fire drills and cesarean under local anesthesia. (15)

Myth:  If your hospital doesn’t offer VBAC, you have to have a repeat cesarean.

As Howard Minkoff MD said at the 2010 NIH VBAC Conference, “Autonomy is an unrestricted negative right which means a woman, a person, anybody, has a right to refuse any surgery at any time.” (16) ACOG affirms that “restrictive VBAC policies should not be used to force women to undergo a repeat cesarean delivery against their will.” (3)

There are real risks and benefits to VBAC and elective repeat cesarean section.  Make the right decision for yourself: understand your options, discern truth from fiction, know your legal rights, and get down to the facts.

 DSC_0111 head Jennifer Kamel is the Founder & Director of VBAC Facts whose mission is to close the gap between what the best practice guidelines from ACOG and the NIH say about VBAC and repeat cesarean and what people generally believe.  While making information relative to post-cesarean birth options easily accessible to the people who seek it, VBAC Facts strives to create a deep understanding of  “the why” by providing political and historical context of the current VBAC climate as well as medical and scientific context for understanding obstetrical risk and evaluating birth-related research. VBAC Facts is an advocate for accurate and fair information and does not promote a specific mode of delivery, type of health care professional, or birth location. Ms. Kamel presents her class “The Truth About VBAC: History, Politics, & Stats” throughout the United States. Provider approved by the California Board of Registered Nursing, Continuing Education Provider #16238.


1. National Center for Health Statistics. User Guide to the 2012 Natality Public Use File. Hyattsville, Maryland : National Center for Health Statistics, 2013. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/UserGuide2012.pdf

2. Guise, J.-M.; Eden, K.; Emeis, C.; Denman, M. A.; Marshall, N.; Fu, R. (.; Janik, R.; Nygren, P.; Walker, M.; McDonagh, M. Vaginal Birth After Cesarean: New Insights; Agency for Healthcare Research and Quality (US): Rockville (MD), 2010. http://www.ahrq.gov/clinic/tp/vbacuptp.htm

3. American College of Obstetricians and Gynecologists. Practice Bulletin No. 115: Vaginal Birth After Previous Cesarean Delivery. Obstetrics and Gynecology 2010, 116 (2), 450-463, http://www.acog.org/Resources_And_Publications/Practice_Bulletins/Committee_on_Practice_Bulletins_–_Obstetrics/Vaginal_Birth_After_Previous_Cesarean_Delivery.

4. Deering, S. H.; Smith, C. V. Abruptio Placentae, 2013. Medscape. http://emedicine.medscape.com/article/252810-overview#a0199.

5. Beall, M. H.; Chelmow, D. Umbilical Cord Complications, 2012. Medscape. http://emedicine.medscape.com/article/262470-overview#a30.

6. Allen, R. H.; Chelmow, D. Shoulder Dystocia, 2011. Medscape. http://emedicine.medscape.com/article/1602970-overview#a03.

7. Johnson, C.; Oriol, N. The role of epidural anesthesia in trial of labor. Reg Anesth., Nov-Dec 1990, 304-308.

8. Kamel, J. Can you feel a uterine rupture with an epidural?, 2012. VBAC Facts. http://vbacfacts.com/2012/06/22/can-you-feel-a-uterine-rupture-with-an-epidural/.

9. Nahum, G. G. Uterine Rupture in Pregnancy , 2012. Medscape Reference. http://emedicine.medscape.com/article/275854-overview#aw2aab6b6.

10. Kamel, J. Confusing fact: Only 6% of uterine rutpures are catastrophic, 2012. VBAC Facts. http://vbacfacts.com/2012/04/03/confusing-fact-only-6-of-uterine-ruptures-are-catastrophic/.

11. Silver, R. M.; Landon, M. B.; Rouse, D. J.; Leveno, K. J. Maternal Morbidity Associated with Multiple Repeat Cesarean Deliveries. Obstetrics & Gynecology 2006, 107, 1226-1232. http://journals.lww.com/greenjournal/fulltext/2006/06000/maternal_morbidity_associated_with_multiple_repeat.4.aspx

12. American College of Obstetricians and Gynecologists. Placenta accreta. Committee Opinion No. 529. Obstet Gynecol 2012, 201-211. http://www.acog.org/~/media/Committee%20Opinions/Committee%20on%20Obstetric%20Practice/co529.pdf?dmc=1&ts=20120623T1523006523

13. Shellhaas, C. S.; Gilbert, S.; Landon, M. B.; Varner, M. W.; Leveno, K. J.; Hauth, J. C.; Spong, C. Y.; Caritis, S. N.; Wapner, R. J.; Sorokin, Y.; Miodovnik, M.; O’Sullivan, M. J.; Sibai, B. M.; Langer, O.; Gabbe, S. The frequency and complication rates of hysterectomy accompanying cesarean delivery. Obstet Gynecol 2009, 114 (2, Part 1), 224-229. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2771379/

14. Kamel, J. Myth: VBACs should never be induced, 2012. VBAC Facts. http://vbacfacts.com/2012/05/27/myth-vbacs-should-never-be-induced/.

15. Birnbach, D. J. Impact of Anesthesiologists on the Incidence of Vaginal Birth After Cesarean in the United States: Role of Anesthesia Availability, Productivity, Guidelines, and Patient Safety (video), 2010. Vimeo. http://vimeo.com/10808838.

16. National Institutes of Health. NIH VBAC Conference, Day 2, #04 – Discussion, 2010. Vimeo. http://vimeo.com/10898005.

17. Office of Statewide Health Planning and Development. Utilization Rates* for Selected Medical Procedures in California Hospitals, 2011. http://oshpd.ca.gov/HID/Products/PatDischargeData/ResearchReports/Hospipqualind/vol-util_indicatorsrpt/ (accessed June 12, 2013).

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136 comments to 13 Myths About VBAC

  • Paula

    Hi! I have had 2 c-sections, I agree that it is possible to have a VBAC but I also think that it is horrible for us, women who have never had a natural childbirth, to feel guilty about our C-sections, as if we were absolutely responsible for what happened. And, most of the time, we feel guilty because many women support natural birth. Even though it is important to support it, they shouldn’t make us feel guilty for the very simple fact that we couldn´t have a natural childbirth

    • Jen Kamel

      I absolutely agree with you Paula.

    • Hi Paula, I read your post with interest because it shows to me yet again, the impact a positive or negative birth experience has on women. Childbirth shapes how we feel about ourselves as a woman and mothers and impacts on our relationship with our children, partners, family and society as a whole – it’s as profound as that! Caesarean section can be a life saving operation and I am sure that your doctors offered for the very best clinical reasons for you and your baby’s wellbeing. You have no reason to feel guilt therefore and I hope you made a good recovery. The evidence strongly supports normal birth and VBAC; to ignore this evidence, we do so at our peril.

  • Sally Green

    I was a VBAC and am glad I didn’t cave in to the myths. It was amazing to experience that primal urge to push, just incredible. No judging; do what’s best for you! But I wouldn’t be afraid to be a VBAC if the doc thinks it’s fine.

  • Brenda Dotson

    I had my first child c-section due to her being breach. I then had 3 more children all VBAC without any issues. I never even considered having scheduled C sections for my other children. And I’m so glad my husband and I got to have the experience of labor.

  • Dr. OB


    What is your source of these “myths”. I do not know one OB around who has ever, for example, quoted a uterine rupture rate of 60%. It is insulting to imply that we as a Profession are behaving in such an un-ethical manner on any scale. It is not an “us vs. them” problem as you and your sites imply. I really do think that you are NOT being fair to the vast majority of OB/GYN’s that absolutely support “natural birth” which, unfortunately, does not always go so naturally.


    • Jen Kamel

      Some of these myths (such as the 60% uterine rupture statistic) are directly from the mouths of OB/GYNs who, apparently, do not know better. However, they absolutely do not represent all doctors as I personally know many wonderful, ethical doctors. It’s unfortunate that many take the “us vs. them” mentality. I do not and the practitioners, including OBs, who have taken my seminar can attest to that.

      Just like when people “shop doctors” when they need knee surgery – because we acknowledge that not all doctors are equal – I encourage women do to the same if they want to plan a VBAC as philosophies, protocols, and knowledge can vary greatly between practitioners.



      • Jen, as an independent midwife, practising in the UK, I can add a whole list of stuff and nonsense, lies and shroud waving statements that pregnant women I have worked with, have be subjected to. And often coming from midwives, I hasten to add!

  • Marlene

    I never believed any of these… except that VBACs USUALY should not be augmented or induced. I read uterine rupture was 12 times higher when VBACs were induced, but I forget where I read that; could have been the NIH 1982 study on C/S safety.

  • The surgical birth rate is so very high now that more and more women are dying!! This is real. Not to mention that the mothers and babies have serious breastfeeding problems and often quit.

  • Lea

    My first was a c-section. Then I had six children VBAC. I never had any problems. Of course I was warned each time of the risk but didn’t seem risky to me. I also breastfed them all. Did have some difficulty with the first. It was all worth it!

  • JudyC

    It is such a shame that so many women are denied a chance at VBAC. I had two CS which I hated and that turned me into a passionate midwife. I have attended so many VBAC over the years, at home an in hospital as well as several HBA2C. So far no trouble with any. If a woman wants it she should be given every opportunity to labour and birth normally as there is enough science out in the big wide world to prove it safer.

  • I’ve been told outright by the ONLY hospital within an hour of my home that I will “absolutely not be allowed to deliver there” if I choose a VBAC! I’m devastated! Is there anything I can do to legally fight this without being a total jerk?

    I want the right to choose. I was forced into a c-section first time. The second time I was coerced into a repeat cesarean. This will be my third baby. If at any time during my pregnancy or labor, it becomes obvious to my doctor that a repeat cesarean is medically necessary, then I will have no issue agreeing to one, however, I’d at least like the option to discuss VBAC until that point. Being told that it’s absolutely not an option seems illegal and unethical to me. With my second, I fully believe my body would’ve been successful in a VBAC situation. Because my OB/GYN had a patient coming to her office within a few hours, she coerced me into a repeat cesarean even though my water ruptured spontaneously and labor was progressing normally, confirmed in hospital by OB and EFM. Needless to say, I was devastated at being denied that right to choose.

  • Shaylee

    My daughter was an emergency Csection after 4 days of being in the hospital laboring. My doctors were very patient with me, I however never progressed past a .5 and even though contractions were off the charts I was going no where. My baby started on day 2 to slow down and have very very minimal movement. On day 3 my water finally broke on its own and I thought for sure we would have our baby. After 24 hours of no water she was in distress and I still never reached 1cm. I finally had to have a Csection. Come to find out she was very tangled. She had her leg over her head and the cord wrapped around that, then her elbow was infront of her face with the cord wrapped around her neck once again. She was in complete limbo. I am so glad we ended up where we did because I think we both would have died if it would have continued. I am now pregnant with baby 2 and my doctor has asked me what I would like to do. I am torn between doing a Vbac or a repeat CS. I feel there are many pros and cons to both. But the unknown and the chance of losing my baby scares me. Any advice would be great!! Thanks!

    • Jen Kamel


      I hear you. There are risks and benefits to both VBAC and repeat cesarean. As you walk this journey, you will find people who feel very strongly that VBAC or repeat cesarean was the best choice for them and thus, they reason, it must be the best choice for everyone else. But you know what? It doesn’t matter what anyone else decided. It matters which risks and benefits are acceptable to you as everyone is entitled to an individualized risk assessment. Which is why you may make a different decision than family members, friends, or people you encounter on-line.

      There are many resources for women evaluating their options. As you can see above, I link to several different documents on the right hand side of the article. I also invite you to check out the VBAC Facts Page on Facebook where conversations are on-going (I’ve posted your question there to get more feedback.) Also consider enrolling in the Winter Webinar Series of “The Truth About VBAC” which is a 6 hour program reviewing the history, politics, and stats of VBAC vs. repeat cesarean. I do offer discounts for couples and WIC recipients.

      If you have any other questions, don’t hesitate to ask.



    • Krisztina

      I had a VBA2C just 2 months ago. My 1st child, 17 years ago was vaginal, my 2nd was c-section because she was breech, I hated the thought but come to find out once she was born that she had the umbilical cord wrapped around her neck twice. My 3rd child 11 years later had to be a repeat c-section done by the same doctor I had my previous 2 with just because I already had a prior c-sec. He did not give me the choice of doing a VBAC even though my pregnancy and baby were healthy and he was in position to be born the way God intended. At the time I was not strong and confident enough to pursue having a VBAC and now I feel like I was pushed and pressured into a repeat c-sec. To this day I regret not doing all I could to avoid that 2nd c-section. When I became pregnant with my 4th child in December of last year I went with a new OB doctor but this doctors office once again did not give me a choice to do a VBAC. On my 1st visit they already informed me that I would have a scheduled repeat c-sec. As my pregnancy progressed I was starting to accept the fact that I would have another c-sec until I came across an artical about VBAC’s through a facebook page when I was about 30 weeks. Women were commenting about having succesful VBAC’s even after multiple c-sections with no previous vaginal births. So my mind started turning and all of a sudden I was not ok with another c-section! I did not want to be cut once again and have a major surgery just to have my baby. I started researching and came across the ICAN-online.org website and through there I found an office of a group of midwives in my area that support VBAC’s so I sent them an email explaining my situation. After I was emailed to make an appointment to have a consultation with one of the midwifes to see if I would be a good candidate. At my appointment she looked over my medical records and asked me some questions and she told me confidently that I could absolutely have a VBAC and if I transfer over to their office for care they would let me go into labor on my own and let me have a vaginal delivery because their is no need for me to have a c-sec. Of course I was informed of the possible small risk of a uterine rupture and the risks of a repeat c-sec. They also told me that they have an 86% VBAC success rate. When I left their office the day of my consultation I was on cloud nine and so ecstatic. I transfered care to them right away and I had my baby at 41 weeks with a successful vaginal delivery. My baby boy was a very healthy baby weighing 10lbs 3oz. My delivery went smoothly and quick. I became one of their offices success stories for VBAC’s. My midwife who delivered was extremely proud of me and said this is the reason they do what they do. I am so extremely happy I gave vaginal delivery a chance! I myself was willing to take the small risk with a VBAC because I hated the thought of another c-section and the painful recovery. The recovery with the VBAC was way less painful. With my midwife and the hospital I was at they were prepared for any and all kinds of emergencies just incase need be. But thank God everything went perfect and I am so happy I was able to birth the way I wanted to and the way a doctor wanted me to.

  • Marta Kurtz

    I had my first c-section for fetal distress in 1970. Had 2 VBACS 1976 and 1980 at a time when it was not a common thing. I was probably one of the first. I was lucky my doctor (found before I got pregnant) was head of high risk clinic at a teaching hospital. Only one shot of Demerol both times. Lamaze and Gentil Birth for Baby. I really hate that the system fell apart.
    I knew I would have no help after my children were born in 76 AND 80 so recovery from a surgery and care for children was not an option. When I had the first VBAC my doctor was not available and the resident tried to scare my husband into signing for C-SEC. I had prepared my husband well before we went to the hospital. Had worked in a women’s clinic that was influenced by the women’s movement of the time. I had told my husband that signing for me was grounds for divorce and he knew I meant it. To this day 40+ years later he does not sign for me if I have to go to the ER for any reason. My Body, My Choice.
    Marta K.

  • I keep referring back to this article, and I forward it on to my clients quite frequently. Thank you Science and Sensibility!


  • Eguolo

    I have had 3 C – sections, no vaginal birth . The reason for the first was a previa, the 2nd, was the baby had the umbilical cord tied round the neck thrice and on one arm so I labored for hours and ended up with an emergency c – section(baby became distressed), my third baby came in so quick, I never had the opportunity to opt for a vaginal birth because my doctor wont let me, so I had the 3rd C – section. Now, I’m pregnant again, how possible is it for me to have a VBAC . I’m dieing to have a vaginal birth; what should I do? What’s your take?

    • Jen Kamel


      I’m so sorry for the delay in my response. Somehow your comment got buried and I’m just seeing it now!

      Evidence is pretty limited on the risks of VBA3C. You can read more information here.

      The toughest part will be finding a provider in your area. I list some tips here.

      What area are you in? Perhaps I can post on my Facebook page to see if anyone has any referrals in your area.



  • Mary

    I had my first baby via csection in May 2011. When I got pregnant with my second, I knew I wanted to try for a vbac! My original doctor was a jerk when it came down to giving me information, so I took it upon myself to research & find a doctor who supported vbacs. I ended up at my local hospital at 37 weeks because I had a bladder infection & they admitted me to the ob & had me stay overnight. The doctor who checked up on me the next day was my oldest’s doctor & he tried to scare me out of having the vbac, telling me how I could die on the drive (the hospital I was planning on going to was 100 miles away), but I still said I was going. They didnt seem impressed. I was so worried they’d try to convince me to stay & deliver there but thankfully I asked questions & knew what my rights were. I went home & about 3 weeks later I went into labor & we left the house several hours later once my labor was progressed. About half way to the hospital, my water broke in our car & I knew we wouldnt make it much farther. I called 911 & they had us pull over. By the time they got there, baby was crowning. I got into the ambulance & the emt helped pull down my pants & with once push, my sweet little princess was born. It was the most intense, crazy experience ever, but thankfully we were both safe & I got my vbac! My doctor was so supportive of me since day one & I think that’s the most important part of trying for a vbac! Good luck to all other mommies trying for one!

  • Trying for VBAC

    My first child was a c-section because he was breech. Now we’re pregnant with our second child (6 years later) and I am going for a VBAC. I have 4 weeks until my due date. I am excited, but also a little nervous because I’ve never labored before. For those of you who have had a VBAC, is there any advice, insight or tips you can share with me to help me make this a successful VBAC?

    Thank you in advance for sharing!

  • Sarah

    I had an absolutely HORRIFIC 1st birth via cesarean. Worst experience of my life hands down. It was so bad that my husband and I are unsure if I should ever become pregnant again. I am researching VBAC because this is really the only feasible option for me. I have to find an OB team who will be supportive of VBAC and who will respect my wishes for NOTHING like what happened before to happen.

    I believe VBAC will be feasible for me, the main concern is that I produce children with very large heads and that they won’t fit through my pelvis. This will be my greatest obstacle. Do you have any information about this? I have heard that progesterone therapy can enable the pelvis to widen more.

    Also, is it true that you have to wait at least 18 months to become pregnant again after a cesarean in order to even be a VBAC candidate?

    • Jen Kamel

      Hi Sarah!

      I posted your question here and got a lot of great responses.

      Every baby and labor is different. Just because you had a baby with a large head in the first pregnancy doesn’t mean that will repeat. And there are women who have babies with average heads that just aren’t positioned optimally for a vaginal delivery. So perhaps the issue wasn’t so much a large head, but a large head that wasn’t positioned correctly. Either which way, there are many factors that impact how a labor plays out and it’s impossible to know how your next labor will play out until you are in the moment.

      You can also use this head circumference calculator to see how your child’s head compares to the averages.

      The range 18 – 24 months between pregnancies (delivery to conception) is the general recommended interval regardless of mode of delivery. It’s not just about the physical recovery from delivery (vaginal or cesarean.) It’s about the general stress and strain that our bodies and minds experience during pregnancy, delivery, breastfeeding, and then caring for an infant.

      Pregnancies that are too close together, or too far apart, are associated with higher complication rates. You can learn more via these articles from WebMD and the Mayo Clinic.

      While ACOG states that short interpregnancy intervals are associated with lower VBAC rates, they do not “risk out” women with short interpregnancy intervals from planning a VBAC. Read more on uterine rupture and birth intervals.

      Hope this helps!



  • Rosalyna

    I had to have an emergency c section with my first daughter because I went into labor 36-1/2 weeks and she was breech. Now 3 years later 33 weeks pregnant with baby #2. Iam being forced to have another c section. The hospitals in my area don’t allow it and my dr won’t do it. I’ve already scheduled the date and registered with the hospital but every single day it bothers me to think I’m being forced into this. If I wanted to try a vbach I’d have to find a new dr about 30 miles away. I don’t know what to do. Iam a petite women I’m only 4-9 so people keep saying they don’t think I would be able to have a normal birth anyways. So that’s what’s holding me back too. Sooo confused

    • Jen Kamel


      Many petite women plan a VBAC and many women find that they have to travel in order to have a VBAC supportive provider attend their birth. So the question is, do you want a VBAC? If so, 30 miles is not far to drive and being petite doesn’t “risk you out” of a vaginal delivery.

      I posted your comment here and got a lot of responses from petite women who had VBACs. Check it out and best wishes!


  • Jen

    I had to have an emergency c-section with my first child due to his position and head getting stuck. My incision opened up after a week once I came home and once it finally healed I developed a hernia at incision site. I am pregnant again, after only 6 months postpartum, and asked about whether VBAC is feasible with said hernia. One Dr. said yes and another Dr. said not likely or only if you have your heart set on it. Any info or other Moms that have been in the same situation? I was induced 2 weeks early with the first due to my blood pressure elevating the last month of pregnancy. And though I know what risk that makes for mother and baby, I feel like my body just wasn’t ready. 4 days of laboring to get to 10 cm, including Cervidil and the balloon catheter, only to push for 3 hours and told he is stuck. I did everything to make this child appear without surgery but ended up still having the section. I really feel like I missed out on “going into labor on my own”, so I wanted to VBAC unless the hernia makes it out of the question. They also said they will repair hernia at time of c-section again. Just need some extra advice, please!!!!

    • Jen Kamel

      Hi Jen!

      Unfortunately, I do not have any information on whether a hernia makes a difference in planning a VBAC. I posted your question here, but didn’t get any responses. Perhaps a third opinion will help break the tie?

      Sorry I can’t be more help!



  • Amber

    My first child was CS. 9 days over due with preeclampsia. I was induced and in labor for 23hrs. Her heart rate started dropping which resulted in emergency CS. She is now 10trs old. I am now 37wks pregnant with my second and will be attempting a VBAC. My doctor is very supportive of my choice. Does anyone know if the risks are less when the first CS was years ago?

    • Jen Kamel

      Hi Amber!

      This is a good question that I don’t have the answer for. I’ve shared your question here. Perhaps someone else can point you in the right direction.



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