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Blood Studies I: ABG and VBG

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Methods of Documentation V: CBE01:23

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Related Experiment Video

Updated: May 17, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

VBAC: what does the evidence show?

Caroline Signore1

  • 1Department of Health and Human Services, Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA. signorec@mail.nih.gov

Clinical Obstetrics and Gynecology
|October 24, 2012
PubMed
Summary
This summary is machine-generated.

Vaginal birth after cesarean (VBAC) rates are declining due to safety concerns. This review summarizes evidence on maternal and infant outcomes for trial of labor after cesarean, highlighting recent findings.

Related Experiment Videos

Last Updated: May 17, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Reproductive Health

Background:

  • Declining rates of vaginal birth after cesarean (VBAC) contribute to increasing cesarean delivery rates.
  • Complex factors underlie reduced VBAC utilization, with safety concerns regarding trial of labor after cesarean (TOLAC) frequently cited.
  • Evidence-based understanding of TOLAC/VBAC outcomes is crucial for clinical decision-making.

Purpose of the Study:

  • To summarize existing evidence on maternal and fetal/neonatal outcomes associated with TOLAC/VBAC.
  • To highlight recent research contributions to the literature on TOLAC/VBAC safety and efficacy.
  • To inform clinical practice and patient counseling regarding VBAC.

Main Methods:

  • Systematic review of existing literature on maternal and fetal/neonatal outcomes.
  • Analysis of recent studies focusing on trial of labor after cesarean.
  • Synthesis of evidence regarding safety and efficacy of VBAC.

Main Results:

  • Evidence indicates specific maternal and neonatal risks and benefits associated with TOLAC/VBAC.
  • Recent studies provide updated data on outcomes, refining risk-benefit assessments.
  • Findings underscore the importance of individualized patient assessment for TOLAC/VBAC candidacy.

Conclusions:

  • Understanding the evidence on maternal and fetal/neonatal outcomes is essential for addressing declining VBAC rates.
  • Recent literature supports informed decision-making for trial of labor after cesarean.
  • Optimizing VBAC rates requires addressing safety concerns through evidence-based practice.