Question
What are the signature techniques Hilary Erickson recommends for a successful VBAC?
1 answer · 0 votes
Hilary Ericksonsignature techniquesVBAC
Answer
From Hilary Erickson0 votes
Hilary here đź‘‹ Love this question.
From my articles and classes, these are the big “signature” pieces I emphasize for a successful VBAC (really, a safe, well‑informed TOLAC):
- Choose the right provider
- Ask their VBAC rate and if they actually support TOLAC (not just in theory).
- Make sure they’re comfortable with your specific history and incision type.
- Understand why you had your first C‑section
- Breech or twins? You may be an excellent VBAC candidate.
- True “failure to descend” with similar‑sized baby? Chances of repeat are higher.
- Know the real risks and numbers
- Primary concern is uterine rupture; risk is low but real and higher with induction.
- Learn what monitoring and rapid-response looks like at your hospital.
- Use an early epidural strategically
- An in‑place epidural can let you avoid general anesthesia if an emergency C‑section is needed.
- Have a clear, flexible birth plan
- Decide ahead what you’re comfortable with (induction, continuous monitoring, epidural, etc.).
- Remember my “golden rule”: your provider can’t make you have a C‑section, and you can’t make them induce you.
- Get fully educated, not just “VBAC‑educated”
- Take a full prenatal class, because you may end up with a vaginal birth, an induction, or another C‑section.
- Understanding normal labor patterns helps you recognize when something is off.
- Prioritize movement and positioning
- Stay mobile in labor as much as monitoring and epidural allow.
- Good positioning can help baby descend well and avoid another “wonky” position.
- Build trust and communication
- Find a provider you trust, then really listen to each other.
- Bring your questions early, not at 39 weeks in triage.
Would you like help walking through your own C‑section history to see what might matter most for your VBAC?
