Vaginal Birth After Cesarean Section (VBAC)
(GY018)
Introduction
For decades, it was thought that women who had a previous cesarean delivery (CD) had to deliver subsequent babies by CD because of the risk of complications such as rupture of the old abdominal and uterine incision sites during contractions and the birthing process.
The old medical adage, "Once a cesarean, always a cesarean" is no longer accepted as a general standard. VBAC is now considered a safe, and even preferable, alternative for most women, including women who have undergone more than one CD in the past. In fact, it is thought that 80-90% of women are candidates for VBAC which are successful in 60-80% of cases.
This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:
Vaginal birth after cesarean delivery. Obstetrics & Gynecology Clinics of North America. 1999
ACOG practice bulletin. Vaginal birth after previous cesarean delivery. Number 2, October 1998. Clinical management guidelines for obstetrician-gynecologists. American College of Obstetricians and Gynecologists. International Journal of Gynaecology & Obstetrics. 1999
Vaginal birth after cesarean section: selection and management. Clinical Obstetrics & Gynecology. 1999
Vaginal birth after cesarean. Clinical Obstetrics & Gynecology. 1998
Avoiding labor problems during vaginal birth after cesarean delivery. Clinical Obstetrics & Gynecology. 1997
Vaginal birth after cesarean section: current opinion. International Journal of Gynaecology & Obstetrics. 1996
Vaginal birth after cesarean delivery. Clinics in Perinatology. 1996
Rupture of a cesarean-scarred uterus: a community hospital experience. Journal of the National Medical Association. 2000
Labor after previous cesarean: influence of prior indication and parity. Obstetrics & Gynecology. 2000
U.S. cesarean and VBAC rates stalled in the mid-1990s. Birth. 2000
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