Vaginal birth after cesarean delivery.
The rate of vaginal birth after a previous cesarean delivery continues to rise due to both national organization recommendations and trials spanning 10 years of experience demonstrating its effectiveness and general safety. Broadening eligibility criteria and investigation of the clinical and nonclinical factors influencing this rate should place us on the glide path to reduction of the overall cesarean rate by the year 2000. Remaining controversies and management strategy will be discussed.
Martins
M E
ME
Division of Maternal-Fetal Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School/St. Peter's Medical Center, New Brunswick, USA.
D005260:Female; D005544:Forecasting; D006801:Humans; D011247:Pregnancy; D012449:Safety; D014481:United States / Q000453:epidemiology; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends