Vaginal Birth After Cesarean Section In A Connnunity Hospital: A Fantily Practice Residency Experience

Abstract: Several tertiary care, multicenter studies have shown vaginal birth after Cesarean section (VBAC) to be a viable alternative in a select patient population. The premise of our study was that VBAC is a safe option in a community hospital setting. Any patient meeting the criteria of the American College of Obstetricians and Gynecologists (ACOG) was eli-gible for a trial of labor, and ACOG guidelines re-garding mandatory facilities and personnel were fol-lowed. One hundred six women with a history of The popularity of vaginal birth after Cesarean sec-tion (VBAC) has been increasing in the United States. VBAC appears to be a safe, effective alter-native to repeat Cesarean section in a select pa-tient population. 1-7 Several large studies in the tertiary care centers have shown VBAC to have low morbidity and success rates between 70 and 80 percent. 1-6,8,9 It was previously believed that uterine rupture would occur if women were allowed to deliver vaginally after Cesarean section. Dr. Edwin CraginlO first stated in 1916 the often quoted dic