VBAC: vaginal birth after cesarean
Many women who have had a cesarean can safely try for a vaginal birth next time. We will help you decide what is right for you.
What are TOLAC and VBAC?
A trial of labor after cesarean (TOLAC) means planning to labor after a previous cesarean birth. When it results in a vaginal birth, it is called a VBAC. According to the American College of Obstetricians and Gynecologists (ACOG), about 60–80% of women who attempt TOLAC have a successful vaginal birth.
Who may be a candidate?
You may be a good candidate if:
- You have had one previous cesarean with a low transverse (side-to-side) uterine incision
- You have no history of uterine rupture
- You have no other condition that requires a cesarean, such as placenta previa
A prior “classical” (vertical) uterine incision usually means TOLAC is not recommended. We will review your previous operative report to understand your incision type.
Women who have had a vaginal delivery before are more likely to have a successful VBAC than those who have never given birth vaginally.
Possible benefits
- Avoiding major abdominal surgery
- Generally a shorter recovery and hospital stay
- Lower risk of complications in future pregnancies that increase with each cesarean, such as placenta accreta
Possible risks
- Uterine rupture: uncommon (about 1% with one prior low transverse incision) but serious for you and your baby, and requires an emergency cesarean
- Unplanned cesarean: if labor does not progress or there are concerns, a cesarean during labor may be needed
Planning your VBAC
We will review your history, discuss your chances of success and your preferences, and make a plan together — including what happens when labor starts and when a repeat cesarean becomes the safer choice. VBAC deliveries take place at HCA Florida University Hospital, which supports TOLAC and has emergency cesarean care available.
Induction of labor is not available for patients with a previous cesarean. TOLAC requires labor that starts on its own; if labor does not begin, we will plan a repeat cesarean with you.
Frequently asked questions
Can I have a VBAC after two cesareans?
Our practice offers TOLAC to women with one previous low transverse cesarean. If you have had two or more cesareans, we will discuss a planned repeat cesarean.
Can labor be induced for a VBAC?
No. Induction of labor after a previous cesarean is not offered at our delivering hospital. TOLAC requires labor that starts on its own.
Will I need a repeat cesarean if my labor doesn’t progress?
Sometimes. If labor stalls or there are concerns for you or your baby, a cesarean during labor may be the safest choice.
Medically reviewed by Rahil Malik, MD, FACOG, board-certified obstetrician-gynecologist. Last reviewed: September 2026. This page is general information and does not replace a visit with your doctor.