Vaginal Birth After Cesarean Trends

Which Way Is the Pendulum Swinging?

James Sargent, Aaron Caughey

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

The cesarean delivery rate has plateaued at 32%; concurrently, after peaking in the mid-1990s, trial of labor after cesarean (TOLAC) rates have declined. Less than 25% of women with a prior cesarean delivery attempt a future TOLAC. This decreasing trend in TOLAC is caused by inadequate resource availability, malpractice concerns, and lack of knowledge in patients and providers regarding the perceived risks and benefits. This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations.

Original languageEnglish (US)
Pages (from-to)655-666
Number of pages12
JournalObstetrics and Gynecology Clinics of North America
Volume44
Issue number4
DOIs
StatePublished - Dec 1 2017

Fingerprint

Vaginal Birth after Cesarean
Trial of Labor
Malpractice
Mothers
Population

Keywords

  • Cesarean
  • Labor and delivery
  • TOLAC
  • VBAC

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Vaginal Birth After Cesarean Trends : Which Way Is the Pendulum Swinging? / Sargent, James; Caughey, Aaron.

In: Obstetrics and Gynecology Clinics of North America, Vol. 44, No. 4, 01.12.2017, p. 655-666.

Research output: Contribution to journalReview article

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