“Once a cesarean birth always a cesarean birth”. This viewpoint
however is not based on any evidence
based practice .and given the right support, Women should be informed that when
she give birth by cesarean the success
rate of planned VBAC is 72–75% (RCOG, 2015).
A trial of vaginal birth after
previous cesarean birth has been accepted as a way to reduce the rate of cesarean birth, and also to allow
women to choose the mode of birth. Many studies have supported the
effectiveness and safety of vaginal birth after cesarean birth (VBAC).
Although the effectiveness and safety of vaginal birth after cesarean
birth (VBAC), the subject of VBAC has not received its consideration among
obstetricians. Women who request trials
are generally not allowed or given appropriate counseling and may receive
conflicting advice. Successful VBAC also reduce the overall rate of cesarean
sections and associated complications of cesarean section (Tahseen, & Griffiths, 2010).
WHO recommend that the rate of
cesarean section should not exceed 10%
to 15% in any country (WHO,2013) .In Jordan the rate of cesarean birth had
exceeded the WHO recommended rate. One of the way to decrease caesarean birth
;Implementation of a vaginal birth after previous caesarean birth (VBAC)
.Therefore we are needed to facilitate
best practice in ante-natal counselling and to
promote education to women about decision-making an informed decisions
can help increase the uptake of a trial of labor after a cesarean and restore
risks of rupture uterus vary by incision types. Low transverse incisions have a
better prognosis, rates of 0.2 to 1.5 %.
Classical and T-shaped incisions carry a
higher risk of up to 9%. Low vertical incisions not involving the fundus
have a risk of rupture between 1 and 7%. Other factors that increase the risk
of uterine rupture include two or more privous cesarean birth and induction or
augmentation labor )ACOG,2010) .
This paper will present the evidence currently available from both
qualitative and quantitative studies in order to compare findings.