The midwife should obtain and review the complete health, obstetrical and medical history of a prospective VBAC client.

The midwife should obtain and review all hospital labor and delivery records, including documentation of uterine incision type, any possible complications, reasons for cesarean delivery and any other helpful information.

The midwife should discuss benefits and risks of home VBAC early in pregnancy with the client. Discussion of possible options besides home VBAC may be included.

The midwife, birthing team and the client(s) should be made aware of possible increased emotional needs and be prepared to make appropriate referrals, if needed. Extra time spent during prenatal visits, education and support are to be expected.

MoonDragon Birthing Services considers it likely that the risks of home VBAC are minimal but present. The midwife should become educated about the potential signs and symptoms of complications. MoonDragon Birthing Services supports the risk assessment of home VBAC as stated in Risk Factor Guidelines.