Vaginal birth after C-section (VBAC) guide

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VBAC: Pros and cons

By Mayo Clinic staff

Unless your doctor says VBAC isn't an option, the choice is yours. Consider this summary of pros and cons.

ProsCons
A successful VBAC is generally safer for you and your baby than is a repeat C-section. When VBAC succeeds, you're less likely to get an infection, have serious blood loss or experience complications from the anesthesia. VBAC may not succeed. Twenty percent to 40 percent of women who attempt VBAC fail to deliver vaginally. They require an unplanned C-section, which has a slightly higher risk of complications than does a planned C-section.
Recovery is typically quicker, both in the hospital and at home. You have less pain after the birth. Your energy and stamina return more quickly. Though it rarely happens, uterine rupture is more likely in a VBAC delivery.
You may find VBAC to be more emotionally satisfying than a C-section. You can't schedule a VBAC as you can a repeat C-section.
If you're planning a larger family, VBAC may be a better option with each subsequent delivery. Repeat C-sections get more complicated each time, while repeat VBACs tend to become progressively easier.  
A successful VBAC costs less than a planned C-section does.  
Repeat C-section: The basics What to expect with VBAC

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April 19, 2008

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