Vaginal birth after caesarean (VBAC) is not uncommon today. The medical practice until the late 1970s was "once a caesarean, always a caesarean" but a consumer-driven movement supporting VBAC changed the medical practice. Rates of VBAC in the 80s and early 90s soared, but more recently the rates of VBAC have dramatically dropped due to medico-legal restrictions.
In the past, caesarean sections used a vertical incision which cut the uterine muscle fibers. Modern caesareans typically involve a horizontal incision along the muscle fibers. The uterus then better maintains its integrity and can tolerate the strong contractions of future childbirth. Cosmetically the scar for modern caesareans is below the "bikini line."
Obstetricians and other caregivers differ on the relative merits of vaginal and caesarean birth following a caesarean birth. Some still recommend a caesarean routinely, others do not; still others respect the wishes of the expectant mother.
More on [ Vaginal birth after caesarean ]

AAFP - Vaginal Birth After Cesarean Section - Studies by the American Academy of Family Physician about VBAC.
Meta Description: [ Clinical recommendation on trial of labor after cesarean from the American Academy of Family Physicians. ]
Can You Really VBAC It? - Discusses risks and preparation.
Meta Description: [ Can You Really VBAC it? ]
JS Online: Study: Labor Risky After Caesarean - Article discussing a new study concerning mothers who have had a Caesarean section increasing their chances of rupturing their uterus if they attempt vaginal delivery during their next pregnancy, especially where labor is induced.
Meta Description: [ Journal Sentinel Online is a multimedia news and information service of the Milwaukee Journal Sentinel and Journal Communications Inc., covering news, sports, business, entertainment and community stories in Milwaukee and Wisconsin. ]
Misoprostol - Addresses a possible increase of risk for uterine rupture in women with a prior caesarean section.
Meta Description: [ Misoprostol (Cytotec) increases the risk of uterine rupture in women with a prior caesarean section ]
Risk of Uterine Rupture During Labor - News release from the University of Washington Health Sciences.
Meta Description: [ News release from the University of Washington Health Sciences ]
Safety of Vaginal Delivery After Cesarean Section - Article focuses on a recent study addressing the likelihood of uterine rupture.
Meta Description: [ A recent study focused on the likelihood of uterine rupture and found that rates of this complication varied from 1.6/1000 to 24.5/1000 births. Those at the highest risk were women for whom labor was induced with prostaglandins.
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Uterine Rupture - A personal story of an attempted vaginal birth after cesarean that resulted in Uterine Rupture.
Meta Description: [ VBAC and Uterine Rupture ]
Vaginal Birth after Cesarean - Information on the current status and thoughts about VBAC.
Vaginal Birth After Cesarean - Cesarean causes, guidelines, and delivery options when a cesarean birth has already taken place prior.
Meta Description: [ Internet Resources Vaginal Birth After Cesarean from Childbirth.org ]
Vaginal Birth After Cesarean - A Good Idea? - Why a vaginal birth may or may not be the right choice.
Meta Description: [ Why a vaginal birth may or may not be the right choice for you. ]
Vaginal Births After C-section Risk Uterine Damage - Article discusses the possible dangers when labor is induced.
Meta Description: [ Vaginal births after C-section risk uterine damage By Rita Rubin, USA TODAY Women attempting to give birth vaginally after having had a cesarean section are more likely to have their uterus rupture if labor is induced, says a study out Thursday. In... ]
VBAC - PregnancyWeekly - The online resource for issues concerning pregnant women, parenting, family, moms, and baby.
Meta Description: [ Learn about the deciding factors of a vaginal birth after cesarean and how to ensure you and your baby's safety. ]
VBAC and Uterine Rupture Studies - Summaries of some studies which looked at the signs of uterine rupture.
Meta Description: [ What is the risk of uterine rupture in a vaginal birth after caesarean? What are the warning signs? What happens if a uterine rupture occurs? ]
VBAC Consent Form - Los Olivos Women's Medical Group format of consent documents regarding this procedure. Document spells out the risks and cites statistics for complications.
Meta Description: [ VAGINAL BIRTH AFTER CESAREAN SECTION PATIENT CONSENT FORM - The Los Olivos Women's Medical Group
is the ideal practice for OB/GYN medical care in the South Bay Area ]
VBAC Scoring - Scoring system to help you figure out if your VBAC plans will be successful.
Meta Description: [ Will a scoring system help you figure out if your VBAC plans will be successful. ]
VBAC.com - Information about research studies, successful VBAC support programs, VBAC educational resources and support groups.
Meta Description: [ For women who had a cesarean birth, maternity caregivers, childbirth educators, doulas - a woman-centered, evidence-based resource for safe VBAC and lowering the odds of cesarean delivery. Medical information, psychological issues, educational material. ]
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Victorious Birth After Cesarean - Cesarean and Traumatic Birth Support- addressing the emotions that often follow surgical birth.
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