I've heard that if a woman/mother, for whatever reason, has a caesarean section (c-section), all the subsequent births thereafter most likely will be done via a c-section. Is this true? Why or why not? (Of course I know you can still deliver vaginally, but that many OBGYNs will opt for c-section).

I've heard that c-sections are on the rise because they tend to do c-sections just based on the fact that the mother had a previous c-section (even if this particular birth or pregnancy had no risks to the baby or mother)... But this has not always been the case. So what are the medical reasons for the uptick in c-sections? (If we are to assume that hospitals are not in it for the money momentarily). Does having a c-section impose an added risk on following births? What are they?

Why are obgyn's hesitant to do VBAC births?

  • 1
    Just for record: I'm a c-section and my younger brother isn't.
    – Narusan
    May 7, 2017 at 19:07
  • @Narusan, that's neat! Thanks for sharing. I should ask a question on the statistics on that! I'm interested in that May 8, 2017 at 23:38

1 Answer 1


There are clear risks to both VBAC and repeat C-section. The relative importance of each factor can only be determined by the individual woman. With both VBAC and repeat c section as safe choices, each woman must make a decision that is appropriate for her and her family. VBAC is considered a women’s rights issue with the American College of Obstetrician Gynecologists. Doctors are advised to educate patients about all of their options – VBAC and repeat C-section. If a doctor individually opts to not perform VBACs, (s)he is obligated to refer to other doctors who do. ACOG recommends that VBAC only be performed at hospitals that offer 24-hour in-hospital anesthesia coverage which limits the number of hospitals at which VBACs can be offered. Unfortunately, even in hospitals that provide 24-hour in-hospital anesthesia, many doctors refuse to allow their patients to VBAC. Frequently, fear tactics regarding permanent infant damage or death are used to discourage women from choosing to VBAC. These statements are not based on facts. The physician's preference for a repeat section is often due to the ability to schedule and quickly complete a c section (40 minutes). VBAC usually involves spontaneously labor which can occur during the day, night, or weekend, and might take 24 hours or more. The convenience, efficiency, and money earned per unit time are very influential, but should never supersede a women’s right to choose her method of delivery.

  • Welcome to Medical Sciences! We work differently than most SE sites in that we have a strict policy that all answers should be backed up with reliable references so that the answer can be independently verified regardless of the reader's background. See this list of reliable sources. If you still have trouble with this, feel free to visit the help center or Medical Sciences Meta. Unreferenced claims can lead to answers being deleted.
    – Carey Gregory
    Sep 21, 2020 at 18:44
  • 1
    Also, I edited your answer to remove the promotional material. You can mention your employer if it's relevant to the question, but you cannot promote them.
    – Carey Gregory
    Sep 21, 2020 at 18:45

Your Answer

By clicking “Post Your Answer”, you agree to our terms of service and acknowledge that you have read and understand our privacy policy and code of conduct.

Not the answer you're looking for? Browse other questions tagged or ask your own question.