Vaginal Birth After Previous Cesarean Delivery

  • Kate C. Arnold
  • Caroline J. Flint


Trial of labor after cesarean section (TOLAC) has fluctuated in acceptance among the medical community. Approximately two thirds of women with a previous cesarean section are candidates for a TOLAC and its use may decrease the cesarean rate in the United States. Overall success rates are estimated to be between 60 and 80 percent with an approximate 1% risk for uterine rupture in women with one previous low transverse cesarean section [1].


TOLAC Uterine rupture VBAC 


  1. 1.
    Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics: normal and problem pregnancies. Chapter 20. 6th ed. Philadelphia, PA: Elsevier; 2012.Google Scholar
  2. 2.
    American College of Obstetricians and Gynecologists. Practice bulletin no. 115: vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010;116:450–63.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Kate C. Arnold
    • 1
  • Caroline J. Flint
    • 1
  1. 1.Department of OB/GYNUniversity of Oklahoma HSCOklahoma CityUSA

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