Abstract
Introduction: The rates of performing cesarean deliveries have been dramatically increasing over the last years, as high as 35%, encouraging women with previous cesarean section to get pregnant again. Evidence suggests that subsequent pregnancies will not be significantly affected but can carry risks of failure to deliver vaginally and scar rupture.
Aim of the study: In this study we aim to study the statistic of successful VBAC, factors associated with success, as well as the accompanying risks. .
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: vaginal birth after cesarean section, uterine scar rupture, emergency cesarean section, TOLAC, VBAC
Conclusion: When managing pregnant women with a history of a prior cesarean section, trying vaginal delivery can be associated with a relatively law risk of developing fetal and maternal complications. However, this risk increases proportionally as the number of prior cesarean sections increase. The most concerning complication in these cases is the possible development of a uterine rupture, that is associated with poor outcomes on both the mother and the baby.