Vaginal Birth after Cesarean: An Effective Method to Reduce Cesarean

Bethany Sabol, Mary Anna Denman, Jeanne Marie Guise

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Cesarean deliveries represent almost one third of US births. Given that repeat cesarean is the most common single indication for cesarean, trial of labor after cesarean (TOLAC) with subsequent vaginal birth after cesarean (VBAC) is an important mechanism to reduce the overall cesarean rate. The 2010 National Institutes of Health Conference found that one of the biggest barriers to VBAC is the lack of patient access to TOLAC. Many women who currently deliver by repeat cesarean would be candidates for a TOLAC. This manuscript will summarize the evidence on VBAC to help clinicians identify candidates, provide evidence-based counseling, and guide management of TOLAC.

Original languageEnglish (US)
Pages (from-to)309-319
Number of pages11
JournalClinical Obstetrics and Gynecology
Volume58
Issue number2
DOIs
StatePublished - Dec 1 2015

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Keywords

  • Pregnancy
  • cesarean
  • evidence-based medicine
  • vaginal birth after cesarean

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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