title: Contemporary management of VBAC.
abstract: Elective repeat cesarean contributes substantially to the overall rising rate of cesarean delivery in the United States. Many women opting for an elective repeat cesarean are good candidates for a trial of labor after cesarean (TOLAC). Physicians should be able to identify women who are good candidates for TOLAC and provide accurate patient counseling to women considering TOLAC. Currently, evidence-based recommendations regarding intrapartum management should be followed in a well-equipped facility with all necessary personnel. With the selection of proper candidates and appropriate intrapartum management, outcome can be optimized for both mother and fetus.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Utah, Salt Lake City, UT, USA. torri.metz@ucdenver.edu
authors.forename: Torri D
authors.initials: TD
authors.lastname: Metz
authors.forename: James R
authors.initials: JR
authors.lastname: Scott
mesh_terms: D003376:Counseling; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007751:Labor, Induced; D010120:Oxytocics / Q000627:therapeutic use; D010121:Oxytocin / Q000627:therapeutic use; D010353:Patient Education as Topic; D018579:Patient Selection; D058725:Peripartum Period; D011247:Pregnancy; D018570:Risk Assessment; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects
chemical_list: D010120:Oxytocics; D010121:Oxytocin