Vaginal birth after cesarean (VBAC) has been a contentious and controversial issue for fifty years. Once a woman is delivered by cesarean, her options in a subsequent pregnancy are either a planned trial of labor or a planned elective repeat cesarean. There are no randomized trials comparing the two choices to definitively guide patients and physicians. Complicating the VBAC issue is the rising primary cesarean rate, viewed by many as too high, at a time when VBAC rates are decreasing.
VBAC, cesarean section, vaginal birth
Copyright © James R. Scott, 2011.
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