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Vaginal birth after cesarean delivery
1University of Wisconsin School of Medicine, Madison.
American Family Physician
|June 1, 1988
Summary
Vaginal birth after cesarean (VBAC) is safe, with no increased risk to newborns. VBAC delivery shows lower maternal complication rates compared to repeat cesarean sections.
Area of Science:
- Obstetrics and Gynecology
- Family Medicine
Background:
- Vaginal birth after cesarean (VBAC) is a documented delivery option.
- Previous research indicates established safety profiles for VBAC.
Purpose of the Study:
- To summarize the safety and benefits of vaginal birth after cesarean (VBAC) delivery.
- To inform family physicians about VBAC and encourage its support.
Main Methods:
- Review of existing literature on VBAC safety.
- Analysis of fetal, neonatal, and maternal morbidity and mortality rates associated with VBAC versus repeat cesarean section.
Main Results:
- Fetal and neonatal morbidity are not increased with VBAC.
- VBAC mortality rates are less than one in 2,000 deliveries.
- Maternal morbidity and mortality rates are significantly lower for VBAC compared to repeat cesarean section.
Conclusions:
- VBAC delivery is a safe option with favorable outcomes.
- Family physicians should counsel patients on VBAC and advocate for its availability.
- Support for VBAC services in facilities with appropriate resources is recommended.