Vaginal Birth is possible after a C-Section

The VBAC, short for Vaginal Birth After Cesarean Section, describes the vaginal delivery of a baby in a patient who has previously had at least one delivery by Cesarean Section.

Over the past thirty years there has been an enormous amount of controversy regarding this procedure with advocates both "for and against" the VBAC touting its benefits as well as its associated risks.

What has made it all the more confusing to the general public has been the apparent shifts in recommendations "for and against" within the medical community, specifically within the specialty of Obstetrics and Gynecology (OB/GYN).

Since the first month of my residency, back in August 1995, I have been a very strong advocate for the VBAC. My senior residency award research paper titled, "Risk Assessment of Uterine Rupture During Trial of Labor: Evaluation of a VBAC Scoring System," specifically addressed the management of a trial of labor using a scoring system to calculate the probability of a successful vaginal delivery.

After reading thousands of pages of literature on the subject and having performed thousands of normal vaginal deliveries and hundreds of VBACs, I continue to promote the option of the VBAC to my patients.

This website will review the history, risks, benefits and current recommendations regarding the VBAC and hopefully will serve as a guide my patients interested in attempting the VBAC by providing the comprehensive unbiased review and opinion on the subject.

Novoa Picture

Julio C. Novoa, M.D.

Dr. Novoa graduated with honors from Meharry Medical School in 1995. He practices a multi-disciplinary "Minimally Invasive Surgery" approach to the management of women's health care.

  • icon
    Dr. Novoa has one of the lowest primary Cesarean Section rates in the United States which is currently lower than 10 percent for primary Cesarean Section deliveries. Dr. Novoa specializes in Vaginal Birth After Cesarean Section (VBAC) and Twin Vaginal Delivery (TVD).
  • icon
    Dr. Novoa is trained in minimally invasive laparoscopic surgery, as well as, in-office and outpatient procedures for the diagnosis and management of urinary incontinence, abnormal vaginal bleeding and abnormal PaP smears.

    Dr. Novoa is recognized is an international expert in the management and removal of the Essure permanent sterilization device, Filshie clips and Hulka clips.
Novoa Picture
In order to be a good doctor, it is important that you treat each patient as if they were your grandmother, mother, wife, sister or daughter. Each patient is special and they
should be made to feel that way.


The Novoa Women & Teen Centers provide expert management of normal and high-risk pregnancy. Dr. Novoa will monitor your health and the health of your baby throughout prenatal and post-partum period.

Our Gynecological services range from well-woman, preventive care to diagnostic and treatment of complex gynecological concerns. For your convenience and comfort, we provide a full range of office gynecological procedures in our warm and friendly office environment. Additionally, Dr. Novoa also offers inpatient and outpatient surgery.

Contact Us

If you have a life-threatening emergency, call 911. If your matter is an emergency (only) and you need to speak to Dr. Novoa concerning this emergency after the office has closed, please call 951.595.9944 (Wait for the prompt and you will be connected to Dr. Novoa). If you have a question that is not an immediate emergency, please call during office hours. A nurse or physician will assist you as soon as possible.


10781 Pebble Hills, Suite A
El Paso, TX 79935

Call Us


Office Hours

Monday - Friday:
9:00am - 5:00pm



Secure HIPAA Compliant Email