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Vaginal Birth After C- Section Specialist

Kingsley N. Asumugha, MD, FACOG -  - Board Certified OB/GYN

A'fina Houston OB/GYN

Kingsley N. Asumugha, MD, FACOG

Board Certified OB/GYN located in Webster, TX

If you’ve had a previous cesarean section and are pregnant again, you may be able to give birth vaginally this time. Board-certified OB/GYN Kingsley Asumugha, MD, FACOG, has helped many women with vaginal birth after cesarean (VBAC) at A'fina Houston OB/GYN in Webster, Texas. Call the office or request an appointment online today to find out if VBAC is the right option for you.

Vaginal Birth After C- section Q & A



What is vaginal birth after C-section?

Vaginal birth after C-section (VBAC) is when you deliver a baby vaginally after having had a previous cesarean delivery. VBAC is an option for about 90% of women who have undergone cesarean deliveries. 

An attempt to have a VBAC is called a trial of labor after cesarean (TOLAC). A successful TOLAC results in a vaginal birth. If it’s not successful, you need another C-section. 

Why should I consider a vaginal birth after C-section?

Women choose VBAC for a variety of reasons. A successful VBAC means you don’t have to undergo an abdominal surgery, which leads to less blood loss, a lower risk of infection, and a shorter recovery time. 

Additionally, many women want to experience a vaginal birth. If you’re planning to have more children in the future, a VBAC may also reduce your risk of health problems associated with multiple C-sections. 

What are the risks of a vaginal birth after C-section?

A VBAC has less risk of complications than an elective repeat C-section. In rare cases, VBAC may cause the uterine scar from your previous C-section to rupture, or break open. Though uterine rupture is rare, it’s a serious risk to you and your baby. If you’re at high risk of uterine rupture, Dr. Asumugha will not try VBAC.

Who is a good candidate for a vaginal birth after C-section?

In addition to listening to your personal preferences, Dr. Asumugha carefully evaluates your medical history and current state of health when creating your individualized delivery plan. 

One of the most important factors that determines whether you’re a good candidate for VBAC is the type of incision your previous doctor made for the C-section. VBAC is safest if you had a low transverse incision, which is a side-to-side cut across the lower part of your uterus. 

A high vertical, or up-and-down incision, carries the highest risk of uterine rupture during VBAC. Other factors that may decrease the likelihood of VBAC include:

  • Having an unknown type of uterine incision that’s suspected to be high vertical
  • A history of two or more C-sections and no vaginal births
  • Excessive weight gain during pregnancy or a body mass index greater than 40
  • Pregnancy that continues past 40 weeks or needs labor induction
  • Previous delivery within 18 months

If you’re thinking about a vaginal birth after C-section, call A'fina Houston OB/GYN, or request an appointment online today.