Vaginal delivery after cesarean section: is the risk acceptable?
R Waldman, E Mielcarski - Journal of Midwifery & Women's Health, 2001 - Elsevier
… Recent studies and commentary have questioned the safety of vaginal births after
cesarean sections (VBACs). The history of VBACs is reviewed and a framework to continue
the safe practice of trials of labor in women with a prior uterine scar is presented. During the
early 1970s, the dictum of “once a cesarean, always a cesarean” was one that was followed
ad absurdum. Women who presented to the labor and delivery suite fully dilated were
rushed into the operative theater for a stat cesarean section in order to avoid the “dangers” …
cesarean sections (VBACs). The history of VBACs is reviewed and a framework to continue
the safe practice of trials of labor in women with a prior uterine scar is presented. During the
early 1970s, the dictum of “once a cesarean, always a cesarean” was one that was followed
ad absurdum. Women who presented to the labor and delivery suite fully dilated were
rushed into the operative theater for a stat cesarean section in order to avoid the “dangers” …
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