Can You Attempt a VBAC After Multiple C-Sections?

Many women who have experienced one or more cesarean deliveries wonder if a vaginal birth is still a possibility for future pregnancies. While a history of multiple C-sections can present some added risks of attempting VBAC (vaginal birth after cesarean), it does not automatically rule out the option of VBAC. However, it is important to choose a provider who is knowledgeable and experienced in the complexities of VBAC after multiple C-sections.

At Essential Women's Health Associates in Las Vegas and Henderson, NV, board-certified OBGYN Dr. Samantha Schoenhaus offers comprehensive VBAC counseling and care for women hoping to experience a vaginal delivery after previous C-sections. Keep reading to learn more about when VBAC may be considered safe and how multiple C-sections may affect your VBAC eligibility.

Is a VBAC safe after multiple C-sections?

Although the risk of VBAC complications can increase slightly with each additional cesarean, research shows that many women with more than one prior C-section can still be eligible for a VBAC, depending on the type of incision used in their previous C-section births, their overall health, and other individual factors. Dr. Schoenhaus will evaluate your full medical and obstetric history, including your previous delivery records, to help determine whether attempting VBAC after multiple cesareans is a safe option for you and your baby.

Who might qualify for a VBAC after more than one cesarean?

Just like with a standard VBAC, there are several key criteria that help determine a woman's eligibility for a VBAC after multiple cesarean births. These include physical health, pregnancy history, and how your current pregnancy is progressing. Women who may still qualify for a VBAC after more than one C-section often:

• Have had low transverse uterine incisions
• Have no history of uterine rupture
• Are carrying a single baby
• Have a supportive provider and delivery facility
• Understand and accept the potential risks

Again, it is important to be cared for by an experienced provider who is familiar with VBAC protocols and has access to emergency surgical support if needed.

What are benefits and risks of a VBAC after multiple C-sections?

Attempting a VBAC after more than one cesarean should be carefully considered with your provider. Like any delivery method, it carries both risks and benefits. Understanding these can help you make an informed decision. Potential benefits of VBAC after multiple c-sections include:

• Avoiding another surgery
• Shorter recovery time
• Reduced risk of infection
• Opportunity for future VBACs
• More personal birth experience

Risks that need to be discussed include a slightly higher chance of uterine rupture, especially with a vertical or unknown incision, and a higher likelihood of needing an emergency C-section if labor does not progress as expected. Dr. Schoenhaus will review the benefits and risks of VBAC with you at length throughout your prenatal care appointments as you work together to create a customized birth plan that aligns with your individual needs and goals.

Get the birth experience you want with VBAC in Las Vegas or Henderson, NV

If you are curious about the possibility of having a VBAC after multiple C-sections, the first step is talking to a provider who understands your goals and will assess your unique circumstances with care. At Essential Women's Health Associates, board-certified OBGYN Dr. Samantha Schoenhaus is committed to helping women explore their birth options with safety and confidence. Call our friendly team today to schedule a consultation at our Las Vegas or Henderson, NV office, and find out whether you may be a candidate for a VBAC after multiple cesarean deliveries.