title: Vaginal birth after cesarean: what's new in the new millennium?
abstract: OBJECTIVE
  This brief review will focus exclusively on very recent developments and controversial aspects of vaginal birth after cesarean. Only papers published in 2001 or 2002 are included.
  
  
  RESULTS
  Recent studies have addressed the intrapartum management of vaginal birth after cesarean patients and the safety of trial of labor compared with elective repeat cesarean.
  
  
  CONCLUSIONS
  The recent trend has been towards a more cautious approach to vaginal birth after cesarean. Some are concerned that this trend may limit childbirth options for those women who wish to avoid repeat cesarean operations.
authors.affiliation: Kaiser Permanente Medical Center, Riverside, California 92505, USA. bruceflamm@aol.com
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Flamm
mesh_terms: D005260:Female; D006801:Humans; D007258:Informed Consent; D016365:Liability, Legal; D010923:Placenta Previa / Q000150:complications / Q000209:etiology; D011247:Pregnancy; D012307:Risk Factors; D014219:Trial of Labor; D014597:Uterine Rupture / Q000150:complications / Q000209:etiology; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects* / Q000379:methods*