Korean J Obstet Gynecol.  2008 Mar;51(3):269-274.

Vaginal birth after cesarean

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine,Chungbuk National University, Cheongju, Korea. iwji@chungbuk.ac.kr

Abstract

The American College of Obstetricians and Gynecologists (ACOG) has recommended that the most women with one previous cesarean delivery with a low-transverse incision are candidates for vaginal birth after cesarean and should be counseled about VBAC and offered a trial of labor in the hospital which has physicians immediately available to provide emergency care including cesarean section and personnel familiar with the potential complications of a trial of labor who should be vigilant for nonreassuring fetal heart rate patterns and inadequate progress of labor. The safer VBAC will be provided when the physicians and patients are alert about the risk, benefit and disadvantage of VBAC, and when the reasonable management of the labor is performed. The success of VBAC will contribute to prevent unnecessary primary cesarean and reduce the overall cesarean delivery rate.

Keyword

Vaginal birth after cesarean; Recommendation; Uterine rupture risk

MeSH Terms

Cesarean Section
Emergency Medical Services
Female
Heart Rate, Fetal
Humans
Pregnancy
Trial of Labor
Vaginal Birth after Cesarean
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