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Holistic OB/GYN & Midwifery

Certified Nurse Midwives located in Paterson, NJ

If you’ve had a cesarean delivery in the past, you may still be able to deliver vaginally for your next baby. At Holistic OB/GYN & Midwifery Service in Clifton, New Jersey, Paola Escobar, MSN, CNM, and the team of midwives provide vaginal birth after one cesarean (VBA1C) delivery options for mothers who want to deliver as naturally as possible. Call Holistic OB/GYN & Midwifery Service or schedule a consultation online today to find out if you’re a VBA1C candidate.


What is a VBAC?

VBAC stands for vaginal birth after a cesarean (C-section). With nearly a third of babies delivered via C-section, it’s common to want to try a natural, vaginal delivery for later children. While historically, it was believed to be safer to continue to have C-sections, today approximately 90% of women who have had previous C-sections are candidates for VBAC.

Why would I want a VBAC?

Your reasons for wanting a VBA1C are your own, but many women want to have a natural pregnancy with few interventions. The vaginal birthing process provides benefits for your baby, such as helping to clear their lungs.

As the mother, you also benefit from a VBA1C. You don’t need to have surgery, which reduces the number of risks and allows you to go home with your baby more quickly. If you’re planning on having more children, a VBA1C also reduces the risks associated with multiple C-sections such as placental problems.

Am I a candidate for a VBA1C?

Your midwife needs to consider several factors to determine if you are a good candidate for VBA1C. For example, if you’ve had a baby vaginally either before or after your last C-section, your chances of successful VBAC increase. Other factors include:

  • Type of incision used on prior C-sections - low traverse or low vertical incisions have a lower risk for uterine rupture
  • Number of previous C-sections - less than two
  • Length of time since your last C-section - must be more than 18 months
  • Other health concerns - breech position, placenta problems, multiple babies, previous uterine rupture

If you want to have a VBA1C, you will need to deliver in a hospital so that if your labor doesn’t go as planned, you are in a facility that can accommodate an emergency C-section. At Holistic OB/GYN & Midwifery Service, Dr. Charles Haddad, MD, FACOG, is the consulting OB/GYN who is available for C-section deliveries.

If you’re considering a VBA1C, talk to your midwife about your wishes and be honest when you answer questions about your health and previous pregnancies and deliveries. While the team at Holistic OB/GYN & Midwifery Service work with you to accommodate your wishes, the health and safety of you and your baby are paramount.

Call Holistic OB/GYN & Midwifery Service or make an appointment online today to learn more about VBA1C and if it’s a delivery option for you.