Vaginal Birth After Cesarean Trends: Which Way Is the Pendulum Swinging?

James Sargent; Aaron B. Caughey

doi:10.1016/j.ogc.2017.08.006

Vaginal Birth After Cesarean Trends: Which Way Is the Pendulum Swinging?

James Sargent, Aaron B. Caughey

Obstetrics and Gynecology

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

19 Scopus citations

Abstract

The cesarean delivery rate has plateaued at 32%; concurrently, after peaking in the mid-1990s, trial of labor after cesarean (TOLAC) rates have declined. Less than 25% of women with a prior cesarean delivery attempt a future TOLAC. This decreasing trend in TOLAC is caused by inadequate resource availability, malpractice concerns, and lack of knowledge in patients and providers regarding the perceived risks and benefits. This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations.

Original language	English (US)
Pages (from-to)	655-666
Number of pages	12
Journal	Obstetrics and Gynecology Clinics of North America
Volume	44
Issue number	4
DOIs	https://doi.org/10.1016/j.ogc.2017.08.006
State	Published - Dec 2017

Keywords

Cesarean
Labor and delivery
TOLAC
VBAC

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1016/j.ogc.2017.08.006

Cite this

@article{73907cc7b4c54fd1bea1a03393cd06bb,

title = "Vaginal Birth After Cesarean Trends: Which Way Is the Pendulum Swinging?",

abstract = "The cesarean delivery rate has plateaued at 32%; concurrently, after peaking in the mid-1990s, trial of labor after cesarean (TOLAC) rates have declined. Less than 25% of women with a prior cesarean delivery attempt a future TOLAC. This decreasing trend in TOLAC is caused by inadequate resource availability, malpractice concerns, and lack of knowledge in patients and providers regarding the perceived risks and benefits. This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations.",

keywords = "Cesarean, Labor and delivery, TOLAC, VBAC",

author = "James Sargent and Caughey, {Aaron B.}",

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2017",

month = dec,

doi = "10.1016/j.ogc.2017.08.006",

language = "English (US)",

volume = "44",

pages = "655--666",

journal = "Obstetrics and Gynecology Clinics of North America",

issn = "0889-8545",

publisher = "W.B. Saunders Ltd",

number = "4",

}

TY - JOUR

T1 - Vaginal Birth After Cesarean Trends

T2 - Which Way Is the Pendulum Swinging?

AU - Sargent, James

AU - Caughey, Aaron B.

PY - 2017/12

Y1 - 2017/12

N2 - The cesarean delivery rate has plateaued at 32%; concurrently, after peaking in the mid-1990s, trial of labor after cesarean (TOLAC) rates have declined. Less than 25% of women with a prior cesarean delivery attempt a future TOLAC. This decreasing trend in TOLAC is caused by inadequate resource availability, malpractice concerns, and lack of knowledge in patients and providers regarding the perceived risks and benefits. This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations.

AB - The cesarean delivery rate has plateaued at 32%; concurrently, after peaking in the mid-1990s, trial of labor after cesarean (TOLAC) rates have declined. Less than 25% of women with a prior cesarean delivery attempt a future TOLAC. This decreasing trend in TOLAC is caused by inadequate resource availability, malpractice concerns, and lack of knowledge in patients and providers regarding the perceived risks and benefits. This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations.

KW - Cesarean

KW - Labor and delivery

KW - TOLAC

KW - VBAC

UR - http://www.scopus.com/inward/record.url?scp=85032732980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032732980&partnerID=8YFLogxK

U2 - 10.1016/j.ogc.2017.08.006

DO - 10.1016/j.ogc.2017.08.006

M3 - Review article

C2 - 29078947

AN - SCOPUS:85032732980

SN - 0889-8545

VL - 44

SP - 655

EP - 666

JO - Obstetrics and Gynecology Clinics of North America

JF - Obstetrics and Gynecology Clinics of North America

IS - 4

ER -

Vaginal Birth After Cesarean Trends: Which Way Is the Pendulum Swinging?

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this