is vaginal birth after cesarean delivery a viable option?
Macones GA; Cahill A; Pare E; Stamilio DM; Ratcliffe S; Stevens E; Sammel M; Peipert J Departments of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA 19104, USA. firstname.lastname@example.org OBJECTIVE: This study was undertaken to compare clinical outcomes in women with 1 versus 2 prior cesarean deliveries who attempt vaginal birth after cesarean delivery (VBAC) and also to compare clinical outcomes of women with 2 prior cesarean deliveries who attempt VBAC or opt for a repeat cesarean delivery. STUDY DESIGN: We performed a secondary analysis of a retrospective cohort study, in which the medical records of more than 25,000 women with a prior cesarean delivery from 16 community and tertiary care hospitals were reviewed by trained nurse abstractors. Information on demographics, obstetric history, medical and social history, and the outcomes of the index pregnancy was obtained. Comparisons of obstetric outcomes were made between women with 1 versus 2 prior cesarea