VBAC: making a mountain out of a molehill | Midwife Thinking's Blog



VBAC (vaginal birth after caesarean) is big. A google search for ?vbac? results in ?about 1,390,000′ results. Reviews, guidelines, policies and statements are being produced by every organisation with an interest in birth. Support groups and networks are growing. I am not going to add to this wealth of information. Others are doing a fantastic job and I will provide some links at the bottom of this post. This post is really aimed at putting VBAC into perspective risk-wise and discussing how we can best support women planning a vaginal birth after caesarean. I haven?t personally experienced the VBAC journey and would welcome some input from mothers who have via comments, suggestions and links. This is written from my perspective as a midwife?

With a c-section rate of around 1 in 3 (Australia) a significant proportion of women approach their subsequent birth with a scarred uterus. Of those women, 83% will have another caesarean. I can?t find the stats re. how many of these repeat c-sections are planned vs emergency. But, considering the 50-90% ?success? rate for VBACs, I am assuming that most repeat c-sections are planned. I wonder if more women would choose to experience a vaginal birth if they had adequate information and support from care providers who believed in them?
Great article!