by Michelle Quashie

Vaginal birth after Caesarean section is a safe option for women to consider, including after two or more Caesarean sections. Both NICE and RCOG have written this in the national guidance for health care professionals to assist them them when counselling women on their options for birth after Caesarean section.

The benefits of vaginal birth after Caesarean section include: lower maternal risks than those associated with Caesarean, quicker recovery, fewer associated health problems later in life such as pain caused by scar adhesions, fewer reported cases of childhood conditions related to surgery including respiratory problems for the child through to adulthood. The majority of women also report feeling emotionally and mentally healthier after vaginal birth compared to their previous Caesarean birth.

There are many options and choices for you to consider when planning a vaginal birth compared to that of Caesarean birth, some of these include- place of birth, positions for labour and birth, various types of pain relief, creating the birth environment including, lighting, water, people present, home comforts. It will be beneficial to learn and understand the physiological changes a woman will experience during labour and birth, including the hormonal changes, understanding the important role of the love hormone, Oxytocin and what you can do to enhance it.

Sometimes couples planning a Vbac report their previous birth to have been traumatic, unexpected and may have feeling associated with fear and lack of control over that birth. It’s really important to talk through those feelings with each other, addressing any anxieties you may have in order to support each other and prepare for a positive Birth. Vbac support Uk is a great place to find support and information.