Nebraska Medicine provides innovative birthing options for expectant mothers, focusing on safety and comfort. Among these options are vaginal birth after cesarean, or VBAC, and water birth, which allow for a more personalized birthing experience.

Many women who have previously had a C-section may be suitable candidates for a trial of labor after cesarean, or TOLAC. TOLAC is a plan to attempt a vaginal birth after a previous C-section. The decision to attempt a vaginal birth depends on several factors, such as the reason for the previous C-section, the type of uterine incision, and how many C-sections a woman has had. Because the decision to pursue a TOLAC is complex, it’s essential for patients to discuss their options with their providers. In the U.S., 60% to 80% of women attempting a TOLAC are successful. In comparison, Nebraska Medicine nurse-midwives have a remarkable success rate of 89% to 95%.

Water birth is another option available for eligible women. This method involves giving birth in a warm water tub, which can reduce pain, shorten labor and increase satisfaction while ensuring safety for both mother and baby. To qualify for a water birth, women must meet specific criteria, like having a low-risk pregnancy and being at least 37 weeks along with a single baby in a head-down position. Women with an epidural are not eligible for water birth, but they can still use hydrotherapy during labor to help manage pain and assist with relaxation.

The experienced nurse-midwives with Nebraska Medicine work closely with patients to create the best birthing plan, ensuring open communication and informed consent. Whether choosing VBAC, water birth or a combination, expectant mothers can trust in the support and expertise of the Nebraska Medicine birthing team.