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Contempo Updates
May 22/29, 2002

Vaginal Birth After Cesarean DeliveryCurrent Status

Author Affiliations

Author Affiliation: Department of Women's Health Care, Riverside County Regional Medical Center, Moreno Valley, Calif.


Contempo Updates Section Editor: Janet M. Torpy, MD, Fishbein Fellow.

JAMA. 2002;287(20):2627-2630. doi:10.1001/jama.287.20.2627

The dictum "Once a cesarean, always a cesarean" ruled for most of the 20th century.1 Nevertheless, in the 1970s a small group of women who had prior cesarean deliveries were eager to experience vaginal birth and risked a trial of labor (a purposeful attempt to permit active labor development with progression to vaginal delivery).2 Success in such cases led the National Institutes of Health in 1981 to promote trial of labor for patients who had previous cesarean deliveries.2

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