Who's eligible for VBAC?

VBAC eligibility depends on many factors. For example:

• What type of uterine incision was used for the prior C-section? Most C-sections use a low transverse incision. Women who have had a low transverse or low vertical incision are usually VBAC candidates. If you've had a prior high vertical (classical) incision, VBAC isn't recommended because of the risk of uterine rupture.
• Have you ever had a uterine rupture? If so, you're not a candidate for VBAC.
• Have you had other surgeries on your uterus? If you've had other uterine surgeries, such as for fibroid removal, VBAC isn't recommended due to the risk of uterine rupture.
• Have you had previous vaginal deliveries? A vaginal delivery at least once before or after your prior C-section increases the probability of a successful VBAC.
• How many C-sections have you had? Many health care providers won't offer VBAC if you've had more than two prior C-sections.
• When did you last give birth? The risk of uterine rupture is higher if you attempt VBAC less than 18 months after your previous delivery.
• Do you have any health concerns that might affect a vaginal delivery? A C-section might be recommended if you have placental problems, your baby is in an abnormal position, or you're carrying triplets or higher order multiples.
• Where will you deliver the baby? Plan to deliver at a facility equipped to handle an emergency C-section. A home delivery isn't appropriate for VBAC.
• Will you need to be induced? Having labor induced decreases the likelihood of a successful VBAC.