Preparing for a Successful VBAC – Key Questions to Ask

For mothers who have previously had a cesarean birth, the decision to have a Vaginal Birth After Cesarean (VBAC) can feel both empowering and overwhelming. As a labor and delivery nurse, birth coach, and certified Emotion Code practitioner, I help mothers prepare for VBACs with confidence—addressing both the physical and emotional aspects of birth. If you're considering a VBAC, asking the right questions is essential to ensuring a safe and successful experience.

Why Consider a VBAC?

Many women who have had a cesarean are told that future births will also require surgery, but in reality, VBAC is a safe and viable option for most mothers. The benefits of a successful VBAC include:

• A shorter recovery time compared to a repeat cesarean
• Lower risk of complications such as infection or blood loss
• Increased likelihood of future vaginal births

However, the success of a VBAC largely depends on factors like your birth provider, previous birth history, and how well your body is prepared for labor.Key Questions to Ask Your Provider About VBAC

1. Am I a good candidate for a VBAC?
   Your provider will assess your previous cesarean incision type, reasons for the initial C-section, and overall health to determine whether VBAC is a safe option.
2. What is your VBAC success rate?
   Not all providers are VBAC-friendly, so asking about their personal success rate can help you determine whether they genuinely support vaginal birth after cesarean.
3. What hospital policies affect VBACs?
   Some hospitals require continuous monitoring, IV access, or have restrictions on VBACs. Understanding these policies can help you make an informed decision about where to give birth.
4. What are the real risks, and how do you handle emergencies?
   While uterine rupture is often cited as a risk, the actual rate is low (less than 1%), and having a skilled provider can ensure safety measures are in place.
5. What pain management options are available for VBAC?
   While many VBAC mothers choose unmedicated birth to stay in tune with their bodies, options like epidurals or water immersion can also support a successful VBAC.

How to Prepare Your Body for a VBACEven with a supportive provider, physical preparation is key to a successful VBAC. Some important ways to prepare include:

• Pelvic Alignment & Fascia Release – Scar tissue from a previous cesarean can affect pelvic balance. Corrective exercises and gentle bodywork can help restore alignment for an easier birth.
• Emotional Clearing – If you experienced trauma from your previous birth, Emotion Code sessions can help release fears that may interfere with labor progression.
• Mindset & Visualization – Many women fear repeating a past birth experience, but birth is different every time. Visualizing a smooth, empowering birth can make a significant difference in how labor unfolds.

Your Path to a Confident VBAC

‍A successful VBAC starts with education, preparation, and the right support system. Choosing a provider who truly supports your goal, preparing your body for labor, and addressing any lingering fears can set the foundation for a safe and empowering birth.For more ways to prepare for birth, check out how mindset shapes your birth experience and the impact of oxytocin on labor.