Current concepts regarding vaginal birth after cesarean delivery.
OBJECTIVE
To review the current literature on vaginal birth after cesarean delivery efficacy and safety.


RESULTS
There are two major themes in current vaginal birth after cesarean delivery research. The first is continued work on the short-term safety, including maternal events such as uterine rupture and perinatal death. The second theme focuses on identifying predictors for success and failure.


CONCLUSIONS
Current information suggests that the rate of major maternal and neonatal complications with vaginal birth after cesarean delivery is low, and this option should be offered to women with a single prior low transverse cesarean. Future research should focus on an evaluation of both short-term and long-term consequences of vaginal birth after cesarean delivery compared with elective repeat cesarean section.
Odibo
Anthony O
AO
Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Macones
George A
GA
D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects