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Chapter 18 - Vaginal Birth after Cesarean Section

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Alan D. Cameron
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

You are seeing a 29-year-old G2P1 with a singleton pregnancy at 34+6 weeks’ gestation for a routine prenatal visit. Pregnancy dating was confirmed by first-trimester sonography. She reports normal fetal activity and has no clinical complaints. Your colleague following her obstetric care is now on a two-month leave. Although mode of delivery was addressed early in prenatal care, your colleague left you a note to discuss a trial of vaginal birth after Cesarean delivery (VBAC) with the patient.

Keywords

Vaginal birth after Cesarean sectionTrial of labor after Cesarean sectionCounselingContraindicationsInduction of laborPredictors of successLower uterine segment thickness, sonographyIntrapartum careUterine rupture
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 252 - 262
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins – Obstetrics. ACOG Practice Bulletin No. 205: Vaginal birth after Cesarean delivery. Obstet Gynecol. 2019;133(2):e110–e127.Google Scholar
Di Spiezio Sardo, A, Saccone, G, McCurdy, R, et al. Risk of Cesarean scar defect following single- vs double-layer uterine closure: systematic review and meta-analysis of randomized controlled trials. Ultrasound Obstet Gynecol. 2017;50(5):578–583.Google Scholar
Dodd, JM, Crowther, CA, Grivell, RM, et al. Elective repeat caesarean section versus induction of labour for women with a previous caesarean birth. Cochrane Database Syst Rev. 2017;7(7):CD004906.Google ScholarPubMed
Dy, J, DeMeester, S, Lipworth, H, et al. No. 382 – trial of labour after Caesarean. J Obstet Gynaecol Can. 2019;41(7):992–1011. [Corrections in J Obstet Gynaecol Can. 2019 Sep;41(9):1395; J Obstet Gynaecol Can. 2020 Nov;42(11):1452]CrossRefGoogle ScholarPubMed
Fox, NS. Pregnancy outcomes in patients with prior uterine rupture or dehiscence: a 5-year update. Obstet Gynecol. 2020;135(1):211–212.Google Scholar
Landon, MB, Grobman, WA; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network. What we have learned about trial of labor after Cesarean delivery from the Maternal-Fetal Medicine Units Cesarean Registry. Semin Perinatol. 2016;40(5):281–286.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Birth after previous Caesarean birth. Green-Top Guideline No. 45. London: RCOG; October 2015.Google Scholar
Swift, BE, Shah, PS, Farine, D. Sonographic lower uterine segment thickness after prior cesarean section to predict uterine rupture: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2019;98(7):830–841.Google Scholar
Tanos, V, Toney, ZA. Uterine scar rupture – prediction, prevention, diagnosis, and management. Best Pract Res Clin Obstet Gynaecol. 2019; 59:115–131.Google Scholar
Tsakiridis, I, Mamopoulos, A, Athanasiadis, A, et al. Vaginal birth after previous Cesarean birth: a comparison of 3 national guidelines. Obstet Gynecol Surv. 2018;73(9):537–543.Google Scholar

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