Olivia Culpo’s C-Section Decision Highlights an Important Conversation About Birth Plans and VBAC

When model and entrepreneur Olivia Culpo shared that she plans to have a scheduled cesarean delivery (C-section) for her second baby, her decision sparked conversations about C-sections, birth plans, and what options may be available after a previous C-section delivery.

Culpo shared that her first baby was delivered by C-section and that, because of her previous delivery, a vaginal birth after cesarean (VBAC) wasn’t an option for her current pregnancy. Her experience highlights an important part of childbirth conversations: Every pregnancy is different, and decisions about delivery are based on a person’s health, pregnancy history, and conversations with their doctor.

A previous C-section doesn’t always mean future deliveries must also be a C-section. For many women, a VBAC may be a safe option after a previous C-section. For others, a planned repeat C-section may be the safest choice.

What’s a VBAC?

A vaginal birth after cesarean, commonly known as VBAC, is when a baby is delivered vaginally after a previous C-section.

For many years, some women who had a C-section were automatically scheduled for another C-section. Today, many women may be candidates for a trial of labor after cesarean (TOLAC), which means attempting to have a vaginal delivery after a previous C-section. A successful trial of labor results in a VBAC.

Whether VBAC is a safe option depends on each person’s circumstances. Doctors consider factors such as:

• The reason for the previous C-section.
• The type of incision made during the previous C-section.
• The number of previous C-sections.
• The time between pregnancies.
• The health and position of the baby.
• The overall health and preferences of the patient.

Supporting Informed Birth Decisions

For women who are candidates, a successful VBAC may offer benefits such as avoiding another major surgery, a shorter recovery period, and a reduced risk of complications that can occur with multiple C-sections.

However, VBAC isn’t the safest choice for everyone. A patient’s doctor can help explain the potential benefits and risks of each option and determine the safest approach based on their pregnancy.

Every Birth Plan Is Unique

A birth plan allows expectant parents to discuss their preferences and goals for labor, delivery, and postpartum care. It’s important to keep in mind that childbirth is unpredictable, so plans may need to change based on medical circumstances.

Whether a patient delivers vaginally, has a VBAC, or has a planned C-section, the goal remains the same: a safe and healthy outcome for both mom and baby.

If you’re planning a pregnancy, or have questions about your delivery options, talk with your doctor.

Understanding your options early and having open conversations with your care team can help you make informed decisions throughout your pregnancy journey.

Jackson Health System supports VBAC deliveries for eligible patients in accordance with the American College of Obstetricians and Gynecologists’ (ACOG) practice guidelines. The Women’s Hospital at Jackson Memorial has also been recognized by the Maternal Safety Foundation as a VBAC Center of Excellence.

To learn more about maternity services and access Jackson’s online birth plan tool, visit maternity.jacksonhealth.org.

Image Credit: U.S. Embassy, Jakarta, Public domain, via Wikimedia Commons