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Diane Publishing Books
Vaginal Birth After Cesarean (VBAC): Summary
Barry Leonard (ed)
Useful for comparing the harms and benefits of delivery options for women with prior cesarean delivery (CD). Helps consumers, providers, payers, and policymakers in decision-making about repeat cesarean or trial of labor (TOL). In 2000, 23% of all births in the U.S. occurred by CD. The VBAC rate (the proportion of women with a prior CD who delivered vaginally), increased from 1989 to 1996. As allowing TOL became more common, practice variation became a larger concern, e.g., expanding criteria for eligibility and medical induction, and for augmentation of labor. Highly publicized articles suggested that maternal and fetal risks were perceived to be increasing. Subsequently, the VBAC rate decreased 27% from 1996 to 2000. Tables.
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