Vaginal birth after cesarean delivery: evidence-based practice.
Given the high national rate of cesarean delivery in current obstetric practice, patients considering vaginal birth after cesarean (VBAC) in subsequent pregnancies are frequently encountered. A recently growing body of literature on VBAC has produced concrete evidence to define the VBAC-associated risks and identify factors influencing success. An evidence-based approach can guide practitioners and patients through the complex counseling, decision-making, and management issues when considering VBAC delivery.
Cahill
Alison G
AG
Department of Obstetrics and Gynecology, Washington University, St Louis, Missouri, USA. cahilla@wustl.edu
Macones
George A
GA
D002585:Cesarean Section / Q000009:adverse effects*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D018570:Risk Assessment; D016064:Vaginal Birth after Cesarean