TY  - JOUR
T1  - EXpert panel calls for greater access to trial of labor after cesarean delivery
AU  - Kuehn BM
Y1  - 2010/05/05
N1  - 10.1001/jama.2010.494
JO  - JAMA
SP  - 1683
EP  - 1685
VL  - 303
IS  - 17
N2  - 
The rate of vaginal birth after cesarean delivery (VBAC)—the result of a successful trial of labor—has declined precipitously since peaking in the mid-1990s, from nearly 30 VBACs per 100 live births to women with a previous cesarean delivery in 1996 to fewer than 10 per 100 live births by 2007, according to data from the National Center for Health Statistics. The panel analyzed a host of medical and nonmedical factors that may have contributed to the decline in VBAC and concluded that a trial of labor is a reasonable option for many women who have had previous cesarean delivery via a low transverse uterine incision and who do not have complicating risk factors. Yet the policies of many hospitals and clinicians effectively prevent many women from pursing this option. 

SN  - 0098-7484
M3  - doi: 10.1001/jama.2010.494
UR  - http://dx.doi.org/10.1001/jama.2010.494
ER  -