Rewriting the Narrative Around VBACs

Vaginal Birth After Cesarean (VBAC) often carries an air of caution and hesitation, fueled by outdated myths and fear-based language. Yet, VBAC is a safe and empowering option for many families. For those who’ve had a cesarean, the chance to birth vaginally can feel like reclaiming their story, rediscovering trust in their body, and opening a new chapter in their journey as parents.

Changing the narrative around VBAC starts with the words we use and the knowledge we share. Positive language and accessible education can empower families to make informed decisions, breaking down fear and building confidence.

Why Language Matters

The way VBAC is discussed in medical settings and society at large has a profound impact on how families perceive it. Words like “trial of labor after cesarean” (TOLAC) can feel like a test to pass, creating unnecessary pressure. Even well-meaning phrases like “attempting a VBAC” carry a sense of doubt, implying failure if the birth doesn’t go as planned.

• "Planning a VBAC"

• "Choosing a VBAC"

• "Birthing vaginally after cesarean"

These phrases convey confidence and place the birthing person at the center of their experience, rather than framing it as a gamble or challenge.

The Power of Education

For many parents, fear of VBAC stems from uncertainty about its safety or whether it’s even an option. Education is one of the most effective ways to replace fear with empowerment.

🔹 Safety First

One of the most common concerns is uterine rupture, which can sound terrifying without context. While this is a real risk, it’s also rare, occurring in less than 1% of VBACs for most candidates. Educating families on these statistics, as well as the comparable risks of repeat cesareans, allows them to make decisions based on facts rather than fear.

🔹 Understanding Your Options

VBAC isn’t one-size-fits-all, and eligibility can depend on factors like the type of incision from the previous cesarean, the reason for the prior surgery, and the birthing parent’s overall health. Encouraging families to ask questions, seek second opinions, and explore supportive providers can help them feel confident in their choices.

🔹 Reframing the Narrative

VBAC isn’t about “going against the grain” or rejecting modern medicine—it’s about creating opportunities for autonomy and self-trust. When families learn that VBAC can be safe and empowering, it reframes the narrative from risk to possibility.

How Positive Language Creates Change

Changing the narrative around VBAC isn’t just about technical terms; it’s about shifting the emotional tone of the conversation.

• From Fear to Trust: Instead of focusing solely on risks, we can emphasize the body’s capability and resilience.

• From Doubt to Confidence: Celebrate VBAC as a valid and achievable option, not an exception to the rule.

• From Isolation to Support: Normalize VBAC through positive stories, testimonials, and open conversations, showing families they’re not alone in this journey.

The Role of Providers and Doulas

Care providers and doulas play a key role in rewriting the VBAC narrative. Providers can support families by presenting balanced information, using empowering language, and respecting their autonomy.

As a doula, my role is to walk alongside you, providing emotional support, advocacy, and encouragement. I hold space for your fears and dreams, helping you process your choices and trust in your journey. Whether your VBAC unfolds exactly as planned or takes an unexpected turn, my priority is that you feel respected and supported every step of the way.

Celebrating the VBAC Journey

VBAC isn’t just about how a baby is born—it’s about healing, empowerment, and the freedom to choose. Whether it’s a step toward reclaiming your birth story, building trust in your body, or embracing the power of education, VBAC is a journey worth celebrating.

Let’s rewrite the narrative together. With positive language, education, and support, families can approach VBAC with confidence, knowing they are in control of their story. 💛

If you’re considering VBAC or just want to explore your options, I’m here to listen, guide, and support. Let’s create a birth experience that reflects your strength and choices.