Is Natural Birth After Cesarean Safe? Insights from Dr. Engy Islam

Many women ask: “Can I have a natural birth after a previous cesarean?”
Dr. Engy Islam, Specialist in Obstetrics, Gynecology, and Infertility Treatment, confirms that vaginal birth after cesarean (VBAC) is possible in many cases — but it requires specific conditions and thorough evaluation to ensure the safety of both mother and baby.

Conditions for Natural Birth After Cesarean

According to Dr. Engy Islam, the success of VBAC depends on:

• The type of incision from the previous cesarean (a low transverse cut is preferred)

• A sufficient gap between deliveries (usually 18–24 months or more)

• No more than one prior cesarean delivery

• No complications such as placenta previa or uterine rupture risk

• Regular prenatal checkups and assessment with a qualified OB/GYN

When Is Natural Birth Not Recommended?

Dr. Engy Islam explains that repeat cesarean delivery may be the safer option in cases such as:

• A history of uterine rupture

• Abnormal fetal position (e.g., breech presentation)

• Narrow pelvis or any structural issues that prevent safe vaginal delivery

• Maternal health conditions like preeclampsia or gestational diabetes

• Personal or medical preference for a planned C-section

Benefits of Natural Birth After Cesarean

As Dr. Engy Islam highlights, VBAC can offer many advantages:

• Avoiding surgical and anesthesia-related risks

• Faster postpartum recovery

• Reduced complications in future pregnancies

• A greater sense of fulfillment and achievement for many mothers

Close Medical Follow-Up Is Crucial

Dr. Engy Islam emphasizes the need for regular monitoring throughout pregnancy and delivering at a hospital fully equipped for emergency C-section, should complications arise during labor.

Conclusion

Vaginal birth after cesarean is a safe and viable option for many women — but it requires careful assessment and support from an experienced doctor like Dr. Engy Islam, who provides comprehensive care for a smooth and safe delivery.