“Once a cesarean birth  always a cesarean birth”.

This viewpointhowever is not based on  any evidencebased practice .and given the right support, Women should be informed that whenshe  give birth by cesarean the successrate 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 allowwomen to choose the mode of birth. Many studies have supported theeffectiveness and safety of vaginal birth after cesarean birth (VBAC).     Although the effectiveness and safety of vaginal birth after cesareanbirth (VBAC), the subject of VBAC has not received its consideration amongobstetricians. Women who request  trialsare generally not allowed or given appropriate counseling and may receiveconflicting advice. Successful VBAC also reduce the overall rate of cesareansections and associated complications of cesarean section (Tahseen,  & Griffiths, 2010).     WHO recommend  that the rate ofcesarean section  should not exceed 10%to 15% in any country (WHO,2013) .

In Jordan the rate of cesarean birth hadexceeded 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 facilitatebest practice in ante-natal counselling and to promote education to women about decision-making an informed decisionscan help increase the uptake of a trial of labor after a cesarean and restorewomen independence.      Therisks of rupture uterus vary by incision types. Low transverse incisions have abetter 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 fundushave a risk of rupture between 1 and 7%. Other factors that increase the riskof uterine rupture include two or more privous cesarean birth and induction oraugmentation labor )ACOG,2010) .     This paper will present the evidence currently available from bothqualitative and quantitative studies in order to compare findings. 


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