Vaginal Birth After Cesarean Delivery

Publication Date: February 1, 2019
Last Updated: March 14, 2022

Recommendations and Conclusions

The following recommendations and conclusions are based on good and consistent scientific evidence.

  • Most women with one previous cesarean delivery with a low-transverse incision are candidates for and should be counseled about and offered trial of labor after cesarean delivery (TOLAC).
  • Misoprostol should not be used for cervical ripening or labor induction in patients at term who have had a cesarean delivery or major uterine surgery.
  • Epidural analgesia for labor may be used as part of TOLAC.



Vaginal Birth After Cesarean Delivery

Authoring Organization