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How to Have a Successful VBAC

Compiled by LLM

In 2001, the US VBAC rate dropped by 72%* (see end). This is not because VBACs have become physically more difficult to have- but because "care" providers are increasingly refusing to attend them.

Regardless of this shocking and alarming trend, many women still have VBACs- at home with a midwife, unassisted- or even in the hospital, with a great deal of planning. Either way- a vaginal birth need not be a distant dream for women: it is as possible and real as a woman allows it to be. (Women can give birth- their bodies were born to give birth- birth is normal, and beautifully possible for women today.) See the VBAC birth stories page as well, and VBAC is Safe!.

Click for the desired responses.

  • Response from Wendy McNair Wendy had a home waterbirth after two cesareans- she values privacy, safety, quiet, and the belief that things will go well.
  • Response from Gretchen Humphries Gretchen had a VBAC waterbirth, and is a Contributing Expert on this site. Her response is simply amazing- it breathes power into women, and encourages them to make the births of their dreams come true.
  • Response from Leslie Leslie had a VBAC after three previous cesareans!
  • Response from Gloria Lemay Gloria is a private birth attendant with much VBAC homebirth experience. Important: choosing between a dramatic birth story and a smooth birth.
  • Response from Annette Avery Annette had three previous cesareans, then a hospital VBAC. She writes about things she did to grow confidence. This page includes the winning birth plan she wrote.
  • Response from Kiley Myers Kiley had two cesareans, then an unassisted homebirth. Knowledge was the key to her empowerment. Also read Kiley's VBAC List.
  • Response from Stephanie Coleman Stephanie had a brutal cesarean, then a midwife-attended homebirth- she speaks here of things she did to help her believe in herself-very important for her to have her VBAC.
  • Response from Tonya Jamois Tonya had a healing homebirth after cesarean, and speaks of the superior quality of midwifery care than OB care for VBAC women.

*In 2001 24.4% of American women got c-sections. VBACs were down by 72%. Read "Births: Preliminary Data for 2001" from the CDC's National Center for Health Statistics.

Excepted:

"The cesarean delivery rate rose sharply for 2001, by 7 percent, from 22.9 percent of all births for 2000 to 24.4 percent. The total cesarean rate declined steadily between 1989 and 1996 (tables A, 7, and figure 2), but has climbed 17 percent in 5 years (from 20.8 percent in 1996). The current level is the highest reported since these data have been available from birth certificates (1989). The 2001 primary cesarean rate (births to women with no previous cesarean) was 16.9, a 5-percent increase over 2000 (16.1 percent). The primary cesarean rate has risen 16 percent from the low of 14.6 percent reported for 1996 and 1997. The 2001 rate of first cesareans is also the highest reported from this data source. The rate of vaginal births after previous cesarean (VBAC) delivery tumbled 20 percent for 2000-2001, from 20.6 to 16.5 per 100 women with a previous cesarean delivery. The VBAC rate had risen 50 percent between 1989 and 1996, but has fallen 72 percent since the 1996 high (1)."

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