PT  - JOURNAL ARTICLE
AU  - Guerdan, Bruce R.
AU  - McKenna, James P.
AU  - Wright, John C. Y.
TI  - Vaginal Birth After Cesarean Section In A Community Hospital: A Family Practice Residency Experience
AID  - 10.3122/jabfm.2.3.169
DP  - 1989 Jul 01
TA  - The Journal of the American Board of Family
                Practice
PG  - 169--171
VI  - 2
IP  - 3
4099  - http://www.jabfm.org/content/2/3/169.short
4100  - http://www.jabfm.org/content/2/3/169.full
SO  - J Am Board Fam Med1989 Jul 01; 2
AB  - Several tertiary care, multicenter studies have shown vaginal birth after Cesarean section (VBAC) to be a viable alternative in a select patient population. The premise of our study was that VBAC is a safe option in a community hospital setting. Any patient meeting the criteria of the American College of Obstetricians and Gynecologists (ACOG) was eligible for a trial of labor, and ACOG guidelines regarding mandatory facilities and personnel were followed. One hundred six women with a history of previous Cesarean section were delivered of infants during the study period. Of these, 16 attempted a trial of labor, and 13 (81.3 percent) had vaginal births with minimum morbidity. There were no instances of scar disruption. Thirty-nine percent of the patients who were successful with VBAC had had a previous vaginal birth. By offering VBAC, the participating physicians were able to reduce their repeat Cesarean section rate by 12 percent.