Journal
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY
Volume 15, Issue 6, Pages 479-482Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00001703-200312000-00004
Keywords
vaginal birth; cesarean delivery; risks; prediction
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Funding
- NICHD NIH HHS [K24 HD01289] Funding Source: Medline
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [K24HD001289] Funding Source: NIH RePORTER
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Purpose of review To review the current literature on vaginal birth after cesarean delivery efficacy and safety. Recent findings There are two major themes in current vaginal birth after cesarean delivery research. The first is continued work on the short-term safety, including maternal events such as uterine rupture and perinatal death. The second theme focuses on identifying predictors for success and failure. Summary Current information suggests that the rate of major maternal and neonatal complications with vaginal birth after cesarean delivery is low, and this option should be offered to women with a single prior low transverse cesarean. Future research should focus on an evaluation of both short-term and long-term consequences of vaginal birth after cesarean delivery compared with elective repeat cesarean section.
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