2. What is a VBAC?What is a VBAC? Vaginal birth after a previous cesarean Sarah Vaginal birth - VBAC Cesarean Is it safe ? (previous cesarean)

3. Risk of uterine rupture Uterus tears at previous scar Hospitals only Risk in hemorrhage Many contraindications Cesarean Vaginal Birth - VBAC

4. Cesarean Prior transfundal uterine surgery Uterine scar other than cesarean scar Contracted pelvis or small pelvis Use of a cervical ripening agent = increased risk of uterine rupture - Pregnancy with twins Diabetes High blood pressure Many contraindications Vaginal Birth - VBAC

5. Cesarean Less invasive Less medications Earlier bonding Breastfeeding earlier Costs less with Less Recovery time Less complications No sedatives

6. Vaginal Birth - VBAC Cesarean Criteria No more than TWO cesareans No other uterine scars Equipped birthing location No major medical problems Normal-sized baby Cephalic Position

7. Are you an advocate of VBAC or trial of labor? Questions for your Healthcare Provider What is the rate of success of the VBACs done here? How have you handled complications of VBACs? What are your requirements? Do I need an epidural? Do I need to be in a hospital or a birthing center? If you do not perform VBACs, who do you recommend?

8. Remember : Proper Guidance into Mother’s Decision Inform Accurately Intervene Appropriately