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What is a VBAC?
If you have had a previous cesarean delivery (also called a C-section), what are your options for your new birth? It is possible that you may be able to deliver your next baby vaginally, this is called vaginal birth after cesarean, or VBAC. There are many factors you and your health care professional will take into consideration to see if you would be a good candidate for VBAC, including why you had a cesarean birth before and how many you have had. The greatest risk of VBAC is a uterine rupture if your cesarean delivery had a low transverse incision.
What is a TOLAC?
If it is determined that you can attempt a VBAC, then you will have what is called a “trial of labor after cesarean,” or TOLAC. This means that the physician works with you to try to deliver your baby vaginally. It is not possible to predict which women will have a successful vaginal delivery or a repeat cesarean.
Are there any Guidelines for Choosing to Have a VBAC in Arizona?
On 21 July 2010 the American College of Obstetricians & Gynecologists (ACOG) set guidelines regarding a TOLAC, stating that it is a safe and appropriate choice, in the right setting, for most women who have had a previous cesarean. Currently the Arizona Department of Health is allowing women their right to choose the setting and professional of their choice for birth if the woman has experienced a cesarean in the past. An Arizona birth mom may choose this option under some new state mandated rules.
Where can I Study More in Depth about Vaginal Birth After Caesarean?
If you would like more information we suggest reading Open Season: A Survival Guide for Natural Childbirth and VBAC in the 90s (30 Sept 1991) by Nancy Wainer Cohen. It is the newer “sibling” to her critically acclaimed Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean (VBAC) (30 March 1983) by Nancy Wainer Cohen & Lois J. Estner.