What are the signature techniques Hilary Erickson recommends for a successful VBAC?

Hilary here 👋 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?