VBAC in Indore: Normal Delivery After a Previous C-Section

Many women believe that once they have had a caesarean, every future baby must also be born by caesarean. That is not true. Vaginal birth after caesarean (VBAC) is a safe and successful choice for many women with one previous low transverse caesarean. At Asian Navkar Hospital, Indore, we assess every woman individually and support planned VBAC in a setting with continuous monitoring, an operation theatre, anaesthesia and NICU available around the clock.

Who Can Try VBAC?

You may be a good candidate if:

• you have had one previous caesarean with a low horizontal cut on the uterus
• this pregnancy is single, head-down and without other complications
• the reason for your previous caesarean is unlikely to repeat (for example breech position or fetal distress)
• labour starts on its own

VBAC is usually not advised if you have had a previous uterine rupture, a classical (vertical) uterine cut, placenta praevia, or other reasons that make vaginal birth unsafe. Having had a vaginal birth before or after your caesarean increases the chance of a successful VBAC.

Benefits and Risks

Benefits of successful VBAC

• Avoiding major surgery and its risks
• Faster recovery and shorter hospital stay
• Lower risk of placenta problems in future pregnancies compared with repeated caesareans

Risks

• Uterine scar rupture – uncommon (about 1 in 200 women attempting VBAC, according to RCOG patient information) but serious; this is why continuous monitoring and immediate surgical access are essential
• Emergency caesarean – some women attempting VBAC will need a caesarean during labour
• Slightly higher chance of needing a blood transfusion or infection than planned repeat caesarean

About three out of four women who plan VBAC give birth vaginally (RCOG).

How We Support VBAC at Asian Navkar Hospital

• A dedicated discussion of your previous delivery notes and the reason for caesarean
• Assessment in the third trimester and a written birth plan
• Continuous electronic fetal monitoring in labour (see labour monitoring)
• Careful use of labour induction or augmentation, only when appropriate
• Epidural pain relief is available
• Operation theatre, anaesthetist and NICU available 24x7

Planning Your Next Birth After a Caesarean

Bring your previous discharge summary or operation notes to your first visit. If possible, allow at least 18 months between your caesarean and the next delivery. Your obstetrician will help you compare VBAC and elective repeat caesarean section, and you can change your decision at any time.

Why Families Choose Asian Navkar Hospital, Indore

• Over 30 years of maternity care in Indore with 20,000+ deliveries.
• Level 3 NICU on site and 24x7 in-house anaesthesia cover for epidurals and emergency caesareans.
• Water birth suite, painless delivery options and family-centred birthing rooms.
• Fetal medicine department led by an AIIMS-trained fetal medicine specialist for high-risk pregnancies.

Related Services

• C-Section Delivery in Indore
• Normal Delivery Hospital in Indore
• Labour and Delivery Care in Indore with Fetal Monitoring
• Painless Delivery in Indore with Epidural Pain Relief
• Maternity Hospital in Indore

Medical References

• RCOG - Birth after previous caesarean (patient information)
• NHS - Caesarean section
• WHO recommendations: intrapartum care for a positive childbirth experience

This page is for general information and does not replace a consultation. Treatment decisions are made only after an in-person evaluation by a qualified doctor at Asian Navkar Hospital, Indore.