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 language | English (US) |
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Pages (from-to) | 309-319 |
Number of pages | 11 |
Journal | Clinical Obstetrics and Gynecology |
Volume | 58 |
Issue number | 2 |
DOIs | |
State | Published - Dec 1 2015 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2015 Wolters Kluwer Health, Inc.
Keywords
- cesarean
- evidence-based medicine
- Pregnancy
- vaginal birth after cesarean