What should you know about failed VBAC?

A planned VBAC can change to caesarean birth when labour does not progress, the baby's heart-rate pattern is concerning, bleeding or severe pain develops, or the previous uterine scar raises concern. Sometimes labour never starts, and sometimes a caesarean is recommended before labour. This decision is based on the current assessment, not on a personal failure.

The obstetric team explains whether the caesarean is urgent or can be prepared with more time. They also discuss anaesthesia, the birth plan, and immediate care for you and your baby.

Ask the team to explain the specific reason for changing the plan and what monitoring is needed. Follow instructions about food, drink, medicines, and consent. After birth, discuss wound care, mobility, feeding support, pain relief, and warning signs. A [Caesarean Section](/treatments/pregnancy-and-birth-care/caesarean-section/) page can help you prepare questions about the procedure and recovery.

During pregnancy or labour, seek urgent maternity assessment for severe constant abdominal pain, heavy bleeding, faintness, reduced fetal movement, or a sudden change in contractions. After caesarean birth, contact the maternity team urgently for fever, worsening wound redness or discharge, heavy bleeding, chest pain, breathing difficulty, or one-sided leg swelling and pain.

Ask: Why has VBAC become unsuitable now? Is the caesarean urgent? What anaesthetic and pain-relief options are available? How will my previous scar affect care? What should I expect during recovery, and how might this birth affect future pregnancy planning?