If you wish to optimise your chances of achieving a VBAC, or create a more positive experience if a repeat Caesarean is required, then there are steps you can take to help reach your goals. These can include:
A supportive caregiver
An appropriate birthplace
Professional support or 'doula'
A supportive caregiver
Women planning a VBAC are often confronted with negative attitudes from caregivers (even friends and relatives). Medical terms surrounding VBAC tend to be loaded with negative connotations for expectant parents including, 'trial of scar', 'trial of labour', 'unsuccessful' or 'failed' VBAC, 'attempting a VBAC' or the American term 'TOLAC' meaning trial of labour after Caesarean.
If your caregiver is not committed to helping you achieve a VBAC, then they may intervene with the most minor of reasons or with the slightest variation in your labour pattern. If you feel your caregiver is saying "It's OK", but has reservations or little intention of fully supporting you, it is worth changing caregivers.
Alternatively, you may have a caregiver who believes a VBAC is 'all that matters' and may allow the labour to continue unreasonably, or not respect your wishes if you decide a Caesarean is right for you. Finding a caregiver in tune with your needs is important.
Caregivers that believe in the safety and appropriateness of VBAC should be able to support your decision and know when 'enough is enough'. They should have the ability to inspire and care for you with their confidence, experience and expertise. You may need to shop around, make enquiries and do some research to find a supportive caregiver in your area.
Local VBAC support groups, midwives and childbirth educators can be instrumental in helping you find out about your options and appropriate caregivers, if you are considering a VBAC. They can also help you to contact others who are sympathetic, supportive and non judgemental. You can find out more about VBAC support in our