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Vaginal birth after caesarean (VBAC).

B L Flamm1

  • 1Kaiser Permanente Medical Center, 10800 Magnolia Avenue, Riverside, California 92505, USA.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|May 22, 2001
PubMed
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This review discusses vaginal birth after caesarean (VBAC), a practice common in Europe but less so in North America. While VBAC rates rose in the 1980s-90s, trial of labour remains controversial.

Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine

Background:

  • Vaginal birth after caesarean (VBAC) has a history of varying acceptance globally.
  • Historically, North American hospitals largely mandated repeat caesarean deliveries.
  • European nations have a longer-standing practice of VBAC.

Purpose of the Study:

  • To provide practical insights into VBAC for medical professionals.
  • To address the ongoing controversies surrounding trial of labour after caesarean delivery.

Main Methods:

  • Literature review focusing on clinical practice and physician training.
  • Analysis of historical trends in VBAC policies and rates.

Main Results:

  • VBAC has seen increased rates in many countries since the 1980s.

Related Experiment Videos

  • Significant regional differences exist in VBAC adoption (e.g., Europe vs. North America).

    • Conclusions:

    • Despite increased rates, trial of labour after caesarean remains a debated topic.
    • Practical guidance is needed for clinicians managing VBAC cases.