Guide to VBAC: Vaginal Birth After C-Section Bangalore

In your second pregnancy, everything feels familiar yet different: with one previous caesarean behind you, the path to a VBAC delivery, also known as vaginal birth after c-section, brings renewed hopes, questions, and considerations.

If you’re in Bangalore, this blog explores what changes, what qualifies you for vaginal delivery after c-section in Bangalore, and what truly matters most as you plan. Whether you’re actively searching VBAC Bangalore or deciding between repeat caesarean and a trial of labour after caesarean (TOLAC), the information in this blog is rooted in Indian maternal health recommendations. Let’s dive in!

What’s Different the Second Time Around?

Every pregnancy carries its own rhythm, but second time birthing after a prior caesarean brings specific clinical and emotional shifts:

• Scar and Uterine Integrity
  Indian FOGSI Good Clinical Practice Recommendations emphasise that VBAC is most suitable when the previous surgery involved a single low-transverse caesarean scar. Complex scars (e.g. Tshaped, classical) or prior uterine rupture generally contraindicate TOLAC.
•  Interval Since Last Pregnancy
  An inter pregnancy interval of at least 18 months is considered ideal. Shorter intervals may slightly increase scar dehiscence risk, though spontaneous labour can still be acceptable with proper monitoring.
• Maternal & Obstetric Profile
  Factors favouring VBAC include: previous vaginal birth, non recurrence of the previous caesarean indication (e.g. foetal distress), favourable cervical Bishop score at admission, and spontaneous onset of labour.

VBAC Delivery: Key Considerations Based on FOGSI Guidance

If you’re exploring VBAC delivery in Bangalore, your obstetric team, ideally in a setting equipped for immediate operative intervention, will assess:

• Eligibility: singleton pregnancy, cephalic presentation, one prior low transverse CS.
• Contraindications: classical scars, placenta previa, previous rupture, abnormal incision type, cephalopelvic disproportion.
• Counselling & Consent: FOGSI mandates that all mothers with prior c-section receive structured antenatal counselling, with clear communication of risks and benefits of both VBAC and elective repeat CS (ERCS), ideally via a VBAC checklist and patient leaflet.

Outcomes to know:

• Success rate: Around 70–75 % of planned VBACs result in vaginal delivery.
• Uterine rupture risk: Approximately 0.5% (1 in 200) in women with one previous low transverse CS.
• Emergency CS risk: 25–28% of TOLACs convert to emergency CS, with associated increased morbidity if delays occur.

VBAC in Bangalore & Aastrika Hospital

Based in Bangalore, Aastrika Midwifery Centre extends a nurturing, well-equipped environment for women considering vaginal birth after c-section in Bangalore. With a VBAC supportive care team and proper emergency infrastructure, Aastrika aligns with FOGSI’s recommended standards: continuous monitoring, labour protocols, and immediate surgical backup.

By integrating Aastrika’s approach into your decision making, you get the assurance of India’s best practice aligned clinical care, with informed choice at the core.

What Truly Matters Most

Informed Choice Knowledge: about success rates, alternatives, and risks- empowers your decisions.

Safety & Monitoring: Your VBAC should be attempted only in settings where emergency surgery is immediately accessible. Continuous foetal and maternal monitoring is critical.

Individualised Planning: Each case is unique: personal health history, scar type, interval since last birth, and pregnancy complications must inform your choices- no one-size-fits-all.

Emotional Support & Respect: Feeling heard and supported by your care team and partner- matters just as much as clinical protocols. VBAC is successful when you enter labour with both confidence and careful preparation.

What Truly Matters Most

• Schedule a VBAC focused antenatal counselling session well before 36 weeks.
• Review your previous operative notes (e.g. scar type, indication for CS, closure technique).
• Choose a provider and facility- such as Aastrika’s Bangalore hospital- that supports TOLAC in line with FOGSI guidance and your personal values

As you weigh the option of a VBAC delivery for your second birth, consider taking these steps:

• Schedule a VBAC focused antenatal counselling session well before 36 weeks.
• Review your previous operative notes (e.g. scar type, indication for CS, closure technique).
• Choose a provider and facility- such as Aastrika’s Bangalore hospital- that supports TOLAC in line with FOGSI guidance and your personal values.

Taking the Next Step with Confidence

Choosing a VBAC delivery isn’t just about avoiding another surgery- it’s about reclaiming agency in your birthing journey. As you weigh your options for a vaginal birth after c-section in Bangalore, remember that the right guidance, preparation, and environment can make all the difference. Whether it’s understanding your eligibility, knowing the risks, or simply having your questions answered, support matters.

At Aastrika, we believe in informed, respectful, and individualised care. Our VBAC-supportive team is equipped to guide you through this journey- ensuring safety without compromising on your preferences. If you’re exploring VBAC in Bangalore, Aastrika offers both the medical expertise and the nurturing environment to help you birth with confidence, the second time around.