MANAGEMENT TACTICS FOR VAGINAL BIRTH AFTER CESAREAN (VBAC): A COMPREHENSIVE CLINICAL ANALYSIS
Keywords:
VBAC, TOLAC, Uterine scar, Natural birth, Pregnancy management, Ultrasound, Maternal health.Abstract
The rising global incidence of Cesarean Sections (CS) has led to a significant increase in the population of pregnant women presenting with a uterine scar. Traditionally, "once a cesarean, always a cesarean" was the surgical norm; however, modern obstetrics now advocates for a Trial of Labor After Cesarean (TOLAC) in appropriately screened candidates. This paper examines the management tactics, eligibility criteria, risks of uterine rupture, and the role of ultrasound in assessing scar thickness to ensure maternal and neonatal safety.
References
ACOG Practice Bulletin No. 205: Vaginal Birth After Previous Cesarean Delivery. (2019). Obstetrics & Gynecology.
Landon, M. B., et al. (2004). Maternal and Perinatal Outcomes in Trial of Labor after Prior Cesarean Delivery. New England Journal of Medicine.
Guise, J. M., et al. (2010). Vaginal birth after cesarean: New insights. AHRQ Publication.
Vayssière, C., et al. (2013). Vaginal birth after cesarean: guidelines for clinical practice. European Journal of Obstetrics & Gynecology and Reproductive Biology.
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