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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.

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Overview

Title

Vaginal Birth After Cesarean Delivery

Authoring Organization