Supporting women in their next birth after caesarean

This chapter examines women and gender-diverse people’s experiences of planning a vaginal birth after caesarean (VBAC), emphasising that women’s feelings about birth are shaped not only by outcomes but by how care is provided. Delving into qualitative research and other data, it introduces four interrelated factors that influence VBAC experiences: control, confidence, relationships with care provider, and activity in labour. Through women’s narratives and evidence-informed discussion, the chapter illustrates how respectful communication, continuity of care, and support for physiological labour can foster resolution and empowerment. Practical insights are offered to support midwives and other clinicians in providing compassionate, person-centred care for those planning a birth after caesarean regardless of mode of birth.