SHOULD ALL WOMEN WITH PRIOR CESAREAN UNDERGO A VAGINAL BIRTH ATTEMPT ?

The saying „once a cesarean, always a cesarean‟ which dominated obstetric practice began changing gradually in obstetric care which made a trial of labor possible after a previous cesarean delivery safer for both the woman and the fetus. a trial of labor after previous cesarean delivery has been accepted as a way to lower the overall cesarean delivery rate. vaginal birth after a prior cesarean delivery came into practice in the early 1980s. success of vaginal birth after cesarean section can be affected by maternal age, maternal body mass index, postmaturity, history of two prior cesareans, macrosomia, labor induction and grandmultiparity. we discussed in this paper success of vaginal birth after cesarean section, risk factors for uterine rupture, maternal and neonatal outcomes in women who undertake vaginal birth after cesarean section and selecting favorable pregnants for normal vaginal delivery.