VBAC: Vaginal Birth After Cesarean — What to Know
Most people with one prior cesarean are candidates for a TOLAC (trial of labor after cesarean), which leads to a successful VBAC in roughly 60–80% of cases.
Eligibility
Single prior low-transverse cesarean, no contraindicating uterine surgeries, and access to a facility able to perform an emergency cesarean if needed are the typical criteria.
Risks and Benefits
VBAC avoids major abdominal surgery and supports faster recovery. The primary risk is uterine rupture (under 1% for most candidates). Discuss specifics with your provider.
Find a Supportive Provider
Not all providers and not all hospitals support VBAC. Asking 'what's your VBAC rate?' is fair and important.
Frequently asked
Can I VBAC after two cesareans?
ACOG considers this reasonable for select candidates. Provider availability varies.