Journal of Women's Health Care-Lupine Publishers


From the late 1980s to mid-1990s vaginal birth after caesarean (VBAC) rates increased in North America. This was a response to public and professional concerns about rising caesarean section rates and increasing evidence indicating that in the absence of contraindications, VBAC is a safe choice [1]. however, since the mid-1990’s, the rate of VBAC has declined dramatically in Canada, with the repeat caesarean section (C/S) rate having increased from 64.7% in 1995 to 82.4% in 2008 [2,3]. this increase has occurred despite a consensus, reflected in professional guidelines, that VBAC is a safe and appropriate option for most women who have had a previous cs [4-7]. Although attempts at a trial of labor after a cesarean birth (TOLAC) have become accepted practice, the rate of successful vaginal birth after cesarean delivery (VBAC), as well as the rate of attempted VBACs, has decreased during the past 10 years. Whereas, 40-50% of women attempted VBAC in 1996, as few as 20% of patients with a prior cesarean delivery attempted a trial of labor in 2002. This number is drifting down toward the 10% mark with fewer than 10% of women achieving successful VBAC in 2005[1]. This study attempts to highlight the various factors which have a prognostic significance for success of VBAC. To know more click on below link.


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