American Journal of Obstetrics & Gynecology
Volume 195, Issue 4 , Pages 1143-1147 , October 2006

Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery?

  • Alison G. Cahill, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Washington University in St. Louis, MO
    • ,
  • David M. Stamilio, MD, MSCE

      Affiliations

    • Departments of Obstetrics and Gynecology
    • Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia PA
    • ,
  • Anthony O. Odibo, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Washington University in St. Louis, MO
    • ,
  • Jeffrey F. Peipert, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Washington University in St. Louis, MO
    • ,
  • Sarah J. Ratcliffe, PhD

      Affiliations

    • Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia PA
    • ,
  • Erika J. Stevens, MA

      Affiliations

    • Department of Obstetrics and Gynecology, Washington University in St. Louis, MO
    • ,
  • Mary D. Sammel, ScD

      Affiliations

    • Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia PA
    • ,
  • George A. Macones, MD, MSCE

      Affiliations

    • Department of Obstetrics and Gynecology, Washington University in St. Louis, MO

Received 10 March 2006 ,Revised 17 May 2006 ,Accepted 10 June 2006.

References 

  1. Martin J, Hamilton B, Sutton PD, Ventura S, Menacker F, Munson M. Births: final data for 2002. Natl Vital Stat Rep. 2003;52:1–113
  2. Macones GA, Peipert J, Nelson DB, Odibo A, Stevens EJ, Stamilio DM, et al. Maternal complications with vaginal birth after cesarean delivery: a multicenter study. Am J Obstet Gynecol. 2005;193:1656–1662
  3. Landon MB, Leindecker S, Spong CY, Hauth JC, Bloom S, Varner MW, et al. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. The MFMU cesarean registry: Factors affecting the success of trial of labor after previous cesarean delivery. Am J Obstet Gynecol. 2005;193:1016–1023
  4. ACOG Practice Bulletin #54: vaginal birth after previous cesarean. Obstet Gynecol. 2004;104:203–212
  5. Hendler I, Bujold E. Effect of prior vaginal delivery or prior vaginal birth after cesarean delivery on obstetric outcomes in women undergoing trial of labor. Obstet Gynecol. 2004;104:273–277
  6. Zelop CM, Shipp TD, Repke JT, Cohen A, Lieberman E. Effect of previous vaginal delivery on the risk of uterinre rupture during a subsequent trial of labor. Am J Obstet Gynecol. 2000;183:1184–1186
  7. McMahon MJ, Luther ER, Bowes WA, Olshan AF. Comparison of a trial of labor with an elective second cesarean section. N Eng J Med. 1996;335:689–695
  8. Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Eng J Med. 1994;351:2581–2589
  9. Cahill AG, Stamilio DM, Paré E, Peipert JP, Stevens EJ, Nelson DB, et al. Vaginal birth after cesarean (VBAC) attempt in twin pregnancies: is it safe?. Am J Obstet Gynecol. 2005;193:1050–1055
  10. Macones GA, Cahill AG, Pare E, Stamilio DM, Ratcliffe S, Stevens EJ, et al. Obstetric outcomes in women with two prior cesarean deliveries: is vaginal birth after cesarean delivery a viable option?. Am J Obstet Gynecol. 2005;192:1223–1229

 Supported by a grant from NICHD (RO1 HD 35631; to GAM). G. A. M. is a recipient of a K24 grant from NICHD (K24 HD01289), which partially supports this work. J. F. P. is a recipient of a K24 grant from NICHD (K24 HD01298), which partially supports this work.Presented at the 26th Annual Meeting of the Society for Maternal Fetal Medicine, January 30-February 4, 2006, Miami, FL.Reprints not available from the authors.

PII: S0002-9378(06)00769-1

doi: 10.1016/j.ajog.2006.06.045

American Journal of Obstetrics & Gynecology
Volume 195, Issue 4 , Pages 1143-1147 , October 2006

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