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    VBAC Midwife · Coastal Georgia

    Homebirth VBAC support, gently and safely held

    For families in Richmond Hill, Savannah, and Coastal Georgia ready to plan a Vaginal Birth After Cesarean with a Certified Nurse Midwife.

    What is a VBAC?

    A VBAC — Vaginal Birth After Cesarean — is exactly what it sounds like: giving birth vaginally after a previous cesarean delivery. For many low-risk families, planning a VBAC is a safe, evidence-supported option that can offer faster recovery, lower surgical risk for future pregnancies, and a deeply restorative birth experience.

    As a VBAC midwife in Georgia, Roxanne combines advanced clinical training with the unhurried, individualized care that VBAC families deserve.

    CNM consulting with expectant couple

    Candidate criteria for homebirth VBAC

    Every family is evaluated individually. Generally, candidates for homebirth VBAC meet the following:

    One prior low-transverse cesarean (no classical incision)
    Singleton, head-down pregnancy
    Spontaneous labor between 37 0/7 and 42 0/7 weeks
    No history of uterine rupture
    At least 18 months between deliveries
    Low-risk current pregnancy
    Close proximity to a hospital with surgical capability
    Informed, motivated, and ready to plan transparently

    Potential Benefits & Risks to Consider

    Potential benefits

    • Shorter recovery vs. repeat cesarean
    • Lower risk for future pregnancies
    • Avoidance of major abdominal surgery
    • Often a deeply restorative birth experience

    Risks to weigh

    • Small but real risk of uterine rupture — approximately 0.5% (ACOG)
    • Possibility of needing repeat cesarean
    • Need for rapid hospital transfer if complications arise
    • Requires informed, ongoing risk assessment

    Talk through your VBAC story with a Certified Nurse Midwife

    A free, unhurried consultation to review your history and explore what's possible.

    Book a VBAC Consultation
    VBAC FAQ

    Your VBAC questions, answered

    The questions VBAC families ask us most often.

    Most families with one prior low-transverse cesarean, a singleton head-down baby, and a low-risk current pregnancy are good candidates. We review your operative report and full history together at your first visit before confirming.

    At home you receive continuous one-on-one care from your midwife, freedom to move, eat, labor in water, and birth in your own space — without IV protocols or continuous monitoring tethers. Safety preparation (NRP, ACLS, BLS, emergency equipment, transfer plan) travels with us.

    For a spontaneous labor after one low-transverse cesarean, the risk of uterine rupture is roughly 0.4–0.5%. We monitor closely for the early warning signs and have a clear, pre-arranged transfer pathway if anything changes.

    We move quickly to your identified backup hospital, call ahead with a warm handoff, bring your records, and stay with you as part of your support team throughout admission and birth.

    VBA2C is evaluated case-by-case. It is not automatically excluded, but it requires a careful review of your prior surgeries, recovery, and current pregnancy. Reach out and we'll talk it through honestly.

    We look for at least 18 months between your prior cesarean delivery and your next due date to allow the uterine scar to heal well. Shorter intervals are reviewed individually.

    No. We use intermittent auscultation with a handheld Doppler on the schedule recommended by current evidence for VBAC, which lets you stay mobile while we track baby closely.

    Persistent breech presentation or pregnancies extending beyond 42 0/7 weeks fall outside the homebirth VBAC criteria. We help you plan next steps with a supportive hospital provider when that happens.

    Book a free VBAC consultation. We'll review your story, answer your questions, and decide together whether planning a homebirth VBAC is the right next step for your family.
    Book Free Consult