The Birth Wave – By Dr. Santoshi Nandigam

VBAC — Vaginal Birth After Caesarean

Had a caesarean before? Let's discuss your options for this pregnancy.

VBAC isn't right for everyone, and it isn't ruled out for everyone either. We assess your previous birth history and this pregnancy individually, and plan from there.

Birth preparation workshop group session at Birthwave

What a VBAC conversation covers

Whether vaginal birth after a caesarean is appropriate depends on your specific history and this pregnancy — it's assessed individually, not assumed either way. Another caesarean may still be recommended, and that's discussed openly, not as a fallback to avoid.

  • A review of your previous caesarean(s) and the reasons behind them
  • Assessment of this pregnancy's individual factors
  • An honest discussion of what VBAC would involve, including monitoring during labour
  • Planning that stays open to a repeat caesarean if that's the safer path

Who this may be relevant for

  • You've had one previous caesarean and want to understand your options this time
  • You want an individual assessment, not a blanket yes or no
  • You want to understand what closer monitoring during a VBAC labour involves
  • You want a doctor who will discuss a repeat caesarean honestly if that's the better path
Dr. Santoshi Nandigam, Founder · Obstetrician & Gynaecologist · Natural Birth & VBAC Specialist · Holistic Fertility Coach

Dr. Santoshi Nandigam

Founder · Obstetrician & Gynaecologist · Natural Birth & VBAC Specialist · Holistic Fertility Coach

Doctor Led, Patient Centred

An individual assessment, not a default answer

VBAC eligibility depends on factors specific to you — the reason for your previous caesarean, how this pregnancy is progressing, and how labour unfolds if you choose to attempt VBAC. We won't promise an outcome either way.

  • Clear explanations before decisions
  • Care plans that connect your birth history to this pregnancy
  • Support for sensitive conversations without judgement
Meet the care team

How A Vbac Conversation Unfolds

From your previous birth to a plan for this one.

Every step is based on your individual history — nothing is assumed in advance.

  1. 01

    Previous caesarean

    We start with what happened and why, in your own words and your records.

  2. 02

    Consultation

    An open conversation about what VBAC would involve for you.

  3. 03

    Assessment

    Your history and this pregnancy are assessed together, individually.

  4. 04

    Planning

    A plan that stays realistic about both a VBAC and a repeat caesarean.

  5. 05

    Birth care

    Closer monitoring through labour, with the plan adjusted as needed.

Before You Book

Questions about VBAC (Vaginal Birth After Caesarean)

No — eligibility depends on individual factors, including why your previous caesarean was needed and how this pregnancy is progressing. It's assessed, not assumed.

Both pathways carry different considerations, which we'll walk through for your specific situation during consultation — this isn't something we generalise.

Labour is monitored closely, and the plan can shift to a caesarean if that becomes the safer option at any point.

Yes — a repeat caesarean is a valid, openly discussed option if that's what's appropriate or what you prefer.

Ready When You Are

Want to talk through your VBAC options?

Reach out by phone or WhatsApp — we'll start with your previous birth history.

Send an enquiry

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