Article: Trial of labor and the risk of uterine rupture

Recent evidence indicates that the United States cesarean section rate may be increasing once again. The rate peaked at approximately 23% in the late 1980s. During the early 1990s the rate stabilized or decreased. This was partially due to an increase in the number of women opting for a trial of labor. These were women with a prior cesarean delivery who were attempting a vaginal delivery in a subsequent pregnancy. These trials of labor were largely successful and there were fewer routine repeat cesarean deliveries. Vaginal birth after cesarean (VBAC) became a more accepted mode of delivery. Increased acceptance of VBAC is an important factor in reducing the number of unnecessary cesarean ...

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