VBAC (Vaginal Birth After Cesarean)

VBAC (Vaginal Birth After Cesarean):  VBAC refers to the delivery of a baby vaginally after the mother has previously delivered a baby by cesarean section.  During a cesarean section delivery, an incision is made in the uterus to remove the baby.  That incision is sutured and heals but leaves a scar. The scarred uterus is weaker than an unscarred uterus and has a greater risk of uterine rupture in a later delivery.  Uterine rupture can be catastrophic to the mother and the baby.  Some doctors use the drug, Cytotec, in an “off-label” use as part of labor induction. Cytotec should not be used in VBAC mothers because of the increased risk of uterine rupture.