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Contemporary Management of VBAC


Clinical Obstetrics and Gynecology: December 2012 - Volume 55 - Issue 4 - p 1026–1032
doi: 10.1097/GRF.0b013e318261a2ad
Update on Vaginal Birth After Cesarean

Elective repeat cesarean contributes substantially to the overall rising rate of cesarean delivery in the United States. Many women opting for an elective repeat cesarean are good candidates for a trial of labor after cesarean (TOLAC). Physicians should be able to identify women who are good candidates for TOLAC and provide accurate patient counseling to women considering TOLAC. Currently, evidence-based recommendations regarding intrapartum management should be followed in a well-equipped facility with all necessary personnel. With the selection of proper candidates and appropriate intrapartum management, outcome can be optimized for both mother and fetus.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Utah, Salt Lake City, Utah

The authors declare that they have nothing to disclose.

Correspondence: Torri D. Metz, MD, 777 Bannock Street, MC 0660, Denver, CO. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.