VBAC: what does the evidence show?

Clin Obstet Gynecol. 2012 Dec;55(4):961-8. doi: 10.1097/GRF.0b013e318263c55d.

Abstract

Declining rates of vaginal birth after cesarean (VBAC) are contributing to rising total cesarean delivery rates. The reasons behind the decreased utilization of VBAC are complex, but concerns about the safety of a trial of labor after cesarean are often cited. This manuscript will present a summary of existing evidence on maternal and fetal/neonatal outcomes associated with trial of labor after cesarean/VBAC, and highlight findings from recent contributions to this literature.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Hypoxia-Ischemia, Brain / epidemiology
  • Hysterectomy / statistics & numerical data
  • Infant Mortality
  • Infant, Newborn
  • Maternal Mortality
  • Perinatal Mortality
  • Pregnancy
  • Respiratory Tract Diseases / epidemiology
  • Trial of Labor*
  • Uterine Rupture / epidemiology*
  • Uterine Rupture / etiology
  • Vaginal Birth after Cesarean / adverse effects*
  • Vaginal Birth after Cesarean / mortality
  • Vaginal Birth after Cesarean / statistics & numerical data*
  • Vaginal Birth after Cesarean / trends