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Clin Obstet Gynecol. 2007 Jun;50(2):518-25.

Vaginal birth after cesarean delivery: evidence-based practice.

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  • 1Department of Obstetrics and Gynecology, Washington University, St Louis, Missouri, USA.


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.

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