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VBAC Specialist

Tristan E. Bickman, MD

OB-GYN located in Santa Monica, CA

Women who have had previous C-sections may still be able to have a vaginal delivery if they have a skilled doctor who's experienced in VBAC. Dr. Bickman provides guidance and care for women throughout the Santa Monica area who decide VBAC (vaginal birth after cesarean) is the right choice for them. 


What are the benefits of VBAC?

VBAC (vaginal birth after cesarean) offers several benefits for women who are good candidates. Vaginal delivery avoids the risks that go along with abdominal surgery as well as the prolonged recovery time. Plus, for women who plan to have several children, vaginal delivery can reduce the risks that have been associated with repeated C-sections, including bowel or bladder injury leading to incontinence, infection, abnormal placenta growth and future hysterectomy. 

What are the risks of VBAC?

In women who are good candidates, the risks associated with VBAC are very rare. The most common serious risk is rupture of the uterus, which occurs in about 1 percent of VBACs. Uterine rupture can cause significant risks and complications for both the mother and the baby, including significant loss of blood and lack of oxygen to the baby's brain which can result in brain damage. The risk of death for the baby is also elevated when the uterus ruptures.

Am I a good candidate for VBAC?

The short answer is, it depends on why you had a C-section in the prior pregnancy. For instance, if your C-section arose as a result of specific health risks to you or your baby and those risks are still present, you may not be a good candidate for a VBAC. More specifically, women who have had a previous failed VBAC have elevated risks, including higher chances of needing a transfusion, injuring the bladder or bowel, infection and prolonged recovery. Other factors that can affect the success of your VBAC include maternal obesity, advanced gestational age (over 40 weeks) and preeclampsia (high blood pressure during pregnancy). Dr. Bickman will be able to provide you with more detailed information about your specific risks during your office visit.

*Individual Results May Vary

Major Insurance Providers Accepted

Dr. Bickman accepts most types of health insurance. Below is a short list of in-network insurance plans. Please contact our office if you do not see your insurance provider listed below.

  Regence Blue Cross Blue Shield
Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
Arkansas Blue Cross Blue Shield
Assurant Health
Beech Street
Blue Cross Blue Shield
Capital Blue Cross
CareFirst Blue Cross Blue Shield
CBA Blue
Choice Care Network
Coventry Health Care