VBAC Vaginal Birth After Caesarean
Had a caesarean before? A repeat caesarean isn't your only option. Michael supports women considering a vaginal birth after a previous caesarean (VBAC), providing an honest assessment of your individual chances of success and the risks and benefits relevant to your specific history.
This starts with a detailed discussion of your previous birth, the reason for the caesarean, how your labour progressed, and any other relevant factors, so that any decision about this pregnancy is genuinely informed. If VBAC is appropriate for you, Michael provides close monitoring through labour.
What this involves
Detailed review of your previous caesarean and labour history
Individual assessment of factors relevant to VBAC success
Clear discussion of the risks and benefits specific to your situation
Support in deciding between VBAC and a planned repeat caesarean
Close monitoring through labour for women proceeding with VBAC
Who this is for
This is relevant to women who have had one or more previous caesareans and are considering their options for this birth, whether or not they ultimately choose to attempt a vaginal birth.
Why Choose Dr Michael Silagy
Michael's obstetric training spans tertiary and peripheral hospital sites, giving him broad experience across complex deliveries, including VBAC. Rather than applying a general statistic, he'll talk through your own labour and caesarean history in detail so any decision about this birth is genuinely informed. As a RANZCOG Fellow offering care at Cabrini Malvern and Jessie McPherson Private Hospital, Michael provides continuity through labour, with close monitoring should you proceed with a VBAC.
Frequently Asked Questions
Am I automatically a candidate for VBAC?
Suitability depends on individual factors including the reason for your previous caesarean, your obstetric history, and this pregnancy. Michael will assess your specific situation rather than applying a blanket rule.
Is VBAC safe?
For many women, VBAC is a safe option, but it carries its own risks and benefits relative to a repeat caesarean. These will be discussed in detail so you can make an informed decision based on your circumstances.
What if I decide partway through that I'd prefer a caesarean?
You remain able to change your preference at any point. Michael's approach is built around ongoing, informed decision-making rather than a fixed plan you must commit to in advance.
How closely will I be monitored during a VBAC labour?
Labour is monitored closely via continuous CTG, with a clear plan in place for escalation to caesarean if required at any stage.
Personalised Pregnancy Care & Birthing Toorak, Melbourne
Michael welcomes the opportunity to discuss your pregnancy care needs and help you plan for this special time in your life. Contact the practice to schedule your initial consultation and begin your personalised pregnancy care journey.