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Shorter recovery time. You'll have a shorter hospital stay after a VBAC than you would after a repeat C-section. Avoiding surgery will help you resume your normal activities sooner, as well as reduce the expense of childbirth.
Opportunity for an individualized birth plan. For some women, it's important to experience a vaginal delivery.
Impact on future pregnancies. If you're planning to have a larger family, VBAC might help you avoid the risks of multiple cesarean deliveries, such as scarring. Scarring might make additional surgery difficult and increase the risk of placental problems in pregnancies.
Lower risk of surgical complications. Vaginal deliveries have lower rates of bleeding, infection, blood clotting in one or more of the deep veins in the body (deep vein thrombosis), and injury to abdominal organs, such as the bladder or bowel.
You might be a candidate for VBAC if you are:
Pregnant with one baby, have a history of one or two prior low transverse C-sections and have no problems that would prevent VBAC
Pregnant with one baby, have a history of one prior C-section with an unknown type of uterine incision and have no problems that would prevent VBAC - unless it's suspected that you had a prior high vertical (classical) uterine incision
Pregnant with twins, have a history of one prior low transverse C-section and are otherwise a candidate for a twin vaginal delivery
You're not a candidate for VBAC if you have had:
A prior high vertical (classical) uterine incision
An unknown type of prior uterine incision and it's suspected that it was a high vertical (classical) incision
A prior uterine rupture
Certain types of prior uterine surgery, such as fibroid removal
Some health care providers won't offer VBAC if you've had more than two prior C-sections. VBAC also generally isn't an option if you are pregnant with triplets or higher-order multiples.
Factors that decrease the likelihood of VBAC include:
Stalled labour
Advanced maternal age
A pregnancy that continues past 40 weeks
Body mass index greater than or equal to 40 (severe maternal obesity)
Excessive weight gain during pregnancy
Preeclampsia
Previous delivery within 18 months
History of two or more prior C-sections and no vaginal deliveries
A need labour induction
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