Induction for VBAC


Dear Midwife,
I had a c-section with my first baby and now I'm pregnant again.

I think I want to try a VBAC. But I've been reading that pitocin can increase the risk of problems with a VBAC.

If I don't go into labor will a doctor use pitocin or just perform another c-section?


There are many factors that go into this decision, but under no circumstances with the doctor "just perform another c-section." Major abdominal surgery is your decision, and yours alone, as long as you are conscious. I'd suggest that you visit for more information about VBAC and how to increase your chances of having a healthy delivery. Good luck!

--Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.