title: Vaginal birth after cesarean delivery: comparison of ACOG practice bulletin with other national guidelines.
abstract: Evidence-based guidelines regarding vaginal birth after cesarean from 3 countries (United States, Canada, and United Kingdom) were reviewed. The similarities in the 3 national guidelines (trial of labor after 1 previous cesarean, informed consent, delivery facility and available resources, epidural analgesia, continuous fetal monitoring, and induction and augmentation of labor) are understandable. Differences in recommendations (uterine rupture risk, success rate, intrauterine pressure catheter, and mechanical cervical ripening) are not explained. The likelihood of recommendations being categorized as level A differed: United States, 27% (3/11); Canada, 32% (6/19); and United Kingdom, 0% (0/17). Only 6 publications were cited by all 3 guidelines.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Eastern Virginia Medical School, Norfolk, VA, USA. hilljb@evms.edu
authors.forename: James B
authors.initials: JB
authors.lastname: Hill
authors.forename: Alex
authors.initials: A
authors.lastname: Ammons
authors.forename: Suneet P
authors.initials: SP
authors.lastname: Chauhan
mesh_terms: D000075202:Contraindications; D003376:Counseling; D005260:Female; D005323:Fetal Monitoring; D006761:Hospitals; D006801:Humans; D007258:Informed Consent; D007751:Labor, Induced / Q000009:adverse effects; D008505:Medical Staff, Hospital; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D018570:Risk Assessment; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects