Can I really have a vaginal birth after a C-section?
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You spent hours crafting the perfect birth plan—soft lighting, calming playlist, maybe a doula by your side. But then… things shifted. Maybe baby wasn’t positioned right, labor stalled, or your medical team made a quick call to keep you both safe. Suddenly, you were in the OR, being prepped for a cesarean.
Now you’re pregnant again—or planning to be—and that dream of a vaginal birth? Still alive and kicking. The big question is: can you really go for it?
Short answer? Yes. But like most things in motherhood, it’s not one-size-fits-all.
In this article
Let’s talk about VBAC (Vaginal Birth After C-section) Why even try for a VBAC? Okay, but what are the risks? Am I a good candidate for VBAC? Planning for VBAC? Here’s what helps Pack your hospital bag with VBAC-friendly essentials What if VBAC doesn’t work out? Final thoughts: You get to want what you want FAQs about VBAC (Because we know you're wondering) Related articles
Let’s talk about VBAC (Vaginal Birth After C-section)
Yes, there’s a name for it. Actually, two.
TOLAC : Trial of Labor After Cesarean (fancy speak for “let’s see how this goes”)
VBAC : Vaginal Birth After Cesarean (what happens if the trial is successful)
It’s not just a pipe dream or a fringe option. In fact, the American College of Obstetricians and Gynecologists (ACOG) supports VBAC as a safe and reasonable option for many women. Studies show that 60–80% of people who try for a VBAC succeed.
So if you’re wondering, “Am I crazy for wanting this?”—nope, not at all.
Why even try for a VBAC?
If your first C-section went smoothly, you might ask—why mess with success?
Here’s the thing: while cesareans save lives (and thank goodness for them), they’re major abdominal surgeries. And repeat C-sections come with increasing risks.
Here are some potential benefits of VBAC :
Faster recovery: You’ll probably be up and walking sooner—good news if you’re also chasing a toddler around this time.
Lower risk of surgical complications: Fewer chances of infections, adhesions, or bleeding
Better outcomes for future pregnancies: Less scarring on the uterus = lower risk for placental problems next time around.
Okay, but what are the risks?
Let’s not sugarcoat it—VBAC isn’t risk-free.
The rare but serious concern is uterine rupture , when the scar from your previous C-section reopens during labor. Scary, yes. But also very rare , especially if your previous incision was a low transverse (horizontal) cut—which is the case for most modern C-sections.
According to ACOG:
Uterine rupture occurs in about 0.5 to 1% of VBAC attempts.
Hospitals equipped for emergency C-sections (just in case) are safest for VBACs.
Other possible complications include infection, bleeding, or needing another C-section anyway. But those risks are also present in planned cesareans—it’s all about comparing likelihoods and what feels right for you.
Am I a good candidate for VBAC?
You know what? Most people with one prior low transverse cesarean are good candidates.
Here’s what your provider will look at:
Type of uterine incision (this is different from the external scar—ask if it’s not in your records)
Time between pregnancies (ideally at least 18 months, but shorter intervals don’t always rule you out)
Reason for the first C-section (was it something unlikely to happen again?)
Overall health and pregnancy status (things like gestational diabetes or preeclampsia may influence the recommendation)
Planning for VBAC? Here’s what helps
Once you and your provider agree that VBAC is an option, here are a few things that can improve your odds:
1. Find a VBAC-friendly provider
Not all OBs are equally supportive. Some practice in hospitals that won’t allow VBACs due to policy or lack of emergency surgical staff. Don’t be afraid to shop around , ask hard questions, and advocate for yourself.
2. Hire a doula
Doulas trained in VBAC support can be absolute rockstars in labor. They know how to work with your birth team, help you change positions, and keep you emotionally grounded. Plus, studies show doula support increases VBAC success rates.
3. Stay mobile in labor
Epidurals are totally fine (yes, you can get one during a VBAC), but staying upright and moving during early labor can help baby get into a good position and keep labor progressing.
4. Pack your hospital bag with VBAC-friendly essentials
Labor can be long, and comfort goes a long way:
Type of uterine incision (this is different from the external scar—ask if it’s not in your records)
Time between pregnancies (ideally at least 18 months, but shorter intervals don’t always rule you out)
Reason for the first C-section (was it something unlikely to happen again?)
Overall health and pregnancy status (things like gestational diabetes or preeclampsia may influence the recommendation)
Pack your hospital bag with VBAC-friendly essentials
Labor can be long, and comfort goes a long way. Some popular expert-approved products include:
Cooling towel
MISSION Original Cooling Towel
A Good Housekeeping Award Winner, the MISSION Cooling Towel offers instant, long-lasting relief (up to 2 hours)—just wet, wring, and snap to stay cool during labor.
Nursing-friendly gown
Frida Mom Labor and Delivery Gown for Hospital
Soft, stretchy, and made for real labor—Frida Mom’s Delivery Gown feels like your favorite T-shirt but with hospital-friendly snaps and full coverage where it counts.
Snacks (Because energy is key)
Soft, filling, gluten-free, vegan and easy on the stomach—perfect between contractions. Always check with your provider first to make sure eating during labor is okay at your hospital or birth center.
Handheld massager
Hangsun Handheld Neck & Back Massager
Relieve labor tension with the Hangsun Handheld Massager—perfect for easing back pain and soothing sore muscles during and after birth.
Electrolyte drink mix
Liquid I.V. Hydration Multiplier
Labor is a marathon, not a sprint. Staying hydrated during labor can help with energy and endurance. This one tastes good and works fast.
Lip balm
Burt’s Bees 100% Natural Lip Balm
Your lips can get seriously parched during labor. This one’s nourishing, non-greasy, and safe to use as often as needed. The cooling eucalyptus gives soothing relief for dry lips.Â
Comfy socks or non-slip slippers
Hospitals can be chilly, and you’ll want traction if you’re walking or changing positions. These are warm, cute, and won’t slip.
What if VBAC doesn’t work out?
Let’s be real. Sometimes VBAC plans end in a repeat C-section—and that’s okay.
You still did the hard work of labor. You made an informed choice. And you gave yourself the chance to birth your way, whatever that looked like.
There’s no shame in changing course. Just courage in showing up for yourself and your baby.
Final thoughts: You get to want what you want
You’re not being difficult. You’re not asking for too much. Wanting a VBAC is valid—and so is choosing another C-section if that feels safest to you.
Your birth, your body, your call.
So ask the questions. Talk with your provider. Gather your support team. And remember: hope is a plan —especially when it comes with good information and great support.
FAQs about VBAC (Because we know you're wondering)
Can I have a VBAC at home?
It depends on your area and the experience of your care team. Some midwives offer home VBACs, but hospital-based VBACs are more common due to emergency support availability.
How do I know what kind of uterine incision I had?
Ask your OB for your surgical records or operative report. The external scar isn’t always a giveaway.
Is labor after a C-section more painful?
Not necessarily. It really varies from person to person—and having gone through labor once can actually make the next one go smoother.
Can I be induced and still have a VBAC?
Yes, but it’s more complicated. Some methods of induction (like prostaglandins) increase rupture risk. Your provider will tailor a plan if induction is needed.
Does insurance cover doulas?
Most insurance plans don’t cover doula services yet, but some Medicaid programs and employer wellness benefits are starting to include them. It's worth calling your insurer to ask.
Are doulas worth it for second or third pregnancies?
Absolutely. Even experienced moms say each birth is different—and having a doula can help reduce anxiety, support your partner, and ensure continuity of care during labor, regardless of how many times you’ve done this.
References
American College of Obstetricians and Gynecologists (ACOG): Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Obstetrics & Gynecology, 2019.
NIH National Library of Medicine:Â Uterine rupture in pregnancy: An overview.Â
American College of Obstetricians and Gynecologists (ACOG): Support for Laboring Women
Evidence Based Birth®: The Evidence on VBAC
NIH National Library of Medicine: The Impact of Doulas on Birth Outcomes
The content on Awaiting the Stork™ is for informational purposes only and is not intended as medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare professional to address your unique health needs and circumstances.Â
Content contribution & expert reviewed by
Mindy Motta, FNP-CÂ
Mindy is a seasoned OB-GYN Nurse Practitioner and co-founder of Awaiting the Stork™. After overcoming her own years-long fertility journey, she now blends clinical expertise with heartfelt empathy to offer new mom advice and evidence-based support for every stage of motherhood. Mindy’s mission is to nurture confidence, connection, and clarity for women stepping into motherhood’s many joys and challenges.
