TY - JOUR T1 - Vaginal Birth After Cesarean Section In A Community Hospital: A Family Practice Residency Experience JF - The Journal of the American Board of Family Practice JO - J Am Board Fam Med SP - 169 LP - 171 DO - 10.3122/jabfm.2.3.169 VL - 2 IS - 3 AU - Bruce R. Guerdan AU - James P. McKenna AU - John C. Y. Wright Y1 - 1989/07/01 UR - http://www.jabfm.org/content/2/3/169.abstract N2 - 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. ER -