Delivery After Prior Cesarean: Success Rate and Factors

Anthony L. Shanks; Alison G. Cahill

doi:10.1016/j.clp.2011.03.011

Delivery After Prior Cesarean: Success Rate and Factors

Anthony L. Shanks
, Alison G. Cahill

Division of Maternal-Fetal Medicine & Ultrasound

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

Abstract

Cesarean delivery rates in the United States have reached an all-time high. The current rate of 31% is 6 times higher than the 1970s rate. Many factors including physician preference and hospital accessibility account for this trend. A decreased vaginal birth after cesarean (VBAC) rate and an increased repeat cesarean rate have important consequences for women in future pregnancies. Because of these considerations, VBAC has been an important issue within the obstetric community for over 3 decades. Identifying the best candidates for VBAC using factors available to the obstetrician can increase the VBAC success rate while minimizing maternal morbidity.

Original language	English
Pages (from-to)	233-245
Number of pages	13
Journal	Clinics in Perinatology
Volume	38
Issue number	2
DOIs	https://doi.org/10.1016/j.clp.2011.03.011
State	Published - Jun 1 2011

Keywords

Factors
Prior cesarean
Success
Trial of labor after cesarean
Vaginal birth after cesarean

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10.1016/j.clp.2011.03.011

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abstract = "Cesarean delivery rates in the United States have reached an all-time high. The current rate of 31\% is 6 times higher than the 1970s rate. Many factors including physician preference and hospital accessibility account for this trend. A decreased vaginal birth after cesarean (VBAC) rate and an increased repeat cesarean rate have important consequences for women in future pregnancies. Because of these considerations, VBAC has been an important issue within the obstetric community for over 3 decades. Identifying the best candidates for VBAC using factors available to the obstetrician can increase the VBAC success rate while minimizing maternal morbidity.",

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N2 - Cesarean delivery rates in the United States have reached an all-time high. The current rate of 31% is 6 times higher than the 1970s rate. Many factors including physician preference and hospital accessibility account for this trend. A decreased vaginal birth after cesarean (VBAC) rate and an increased repeat cesarean rate have important consequences for women in future pregnancies. Because of these considerations, VBAC has been an important issue within the obstetric community for over 3 decades. Identifying the best candidates for VBAC using factors available to the obstetrician can increase the VBAC success rate while minimizing maternal morbidity.

AB - Cesarean delivery rates in the United States have reached an all-time high. The current rate of 31% is 6 times higher than the 1970s rate. Many factors including physician preference and hospital accessibility account for this trend. A decreased vaginal birth after cesarean (VBAC) rate and an increased repeat cesarean rate have important consequences for women in future pregnancies. Because of these considerations, VBAC has been an important issue within the obstetric community for over 3 decades. Identifying the best candidates for VBAC using factors available to the obstetrician can increase the VBAC success rate while minimizing maternal morbidity.

KW - Factors

KW - Prior cesarean

KW - Success

KW - Trial of labor after cesarean

KW - Vaginal birth after cesarean

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ER -

Delivery After Prior Cesarean: Success Rate and Factors

Abstract

Keywords

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