Vaginal birth after cesarean checklist: an evidence-based approach to improving care during VBAC trials

Several medical organizations and specialty societies, as part of their approach to patient safety, have recommended that checklists be introduced and followed in certain high-risk healthcare situations. There is now evidence that following these kinds of checklists leads to improved outcomes. This article recommends a checklist that can be completed for each patient when she is admitted for a trial of labor after a previous cesarean delivery (VBAC). The elements of the checklist will help confirm the preparedness of the organization, compliance with national standards, and the consent of the patient for the VBAC trial.