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Updated: May 11, 2026

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

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

Published on: June 6, 2020

Vaginal birth after cesarean section.

Vidyadhar B Bangal¹, Purushottam A Giri, Kunaal K Shinde

¹Department of Obstetrics and Gynaecology, Rural Medical College and Pravara Rural Hospital of Pravara Institute of Medical Sciences, (Deemed University) Loni, Maharashtra, India.

North American Journal of Medical Sciences

|May 4, 2013

Summary

This summary is machine-generated.

Vaginal birth after cesarean (VBAC) is a safe and successful option for many women with a history of one previous lower segment cesarean section (LSCS). This approach is crucial given the rising rates of primary cesarean sections.

Keywords:

Lower segment cesarean section Rural India Scar dehiscence Trial of labor Vaginal birth after cesarean section

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Area of Science:

Obstetrics and Gynecology
Reproductive Medicine

Background:

Increasing rates of primary cesarean section (CS) necessitate alternatives for women with prior CS.
Vaginal birth after cesarean (VBAC) offers a way to avoid repeat CS and its associated risks.

Purpose of the Study:

To evaluate the safety and success rate of VBAC in carefully selected women with one prior lower segment cesarean section (LSCS).

Main Methods:

A prospective observational study conducted over two years in a tertiary care teaching hospital.
One hundred pregnant women with a history of one previous LSCS were enrolled.

Main Results:

85% of women achieved a successful VBAC; 15% required an emergency repeat LSCS.
Cervical dilation >3 cm at admission and lower birth weight (<3,000g) were associated with higher VBAC success.
Scar dehiscence occurred in 2% of cases, with no maternal or neonatal mortality.

Conclusions:

VBAC is an important consideration for women with a history of one LSCS, particularly in light of rising primary CS rates.
Selecting appropriate candidates is key to achieving successful VBAC outcomes.