The American College of Obstetricians and Gynecologists (ACOG) recently released an updated Practice Bulletin on vaginal birth after cesarean section (VBAC). It continues to recommend that a trial of labor after a c-section (TOLAC) be offered only at facilities that have immediately available resources for emergency cesarean deliveries. ACOG based the following recommendations on good and consistent scientific evidence:
Other recommendations and a review of maternal risk factors are elaborated on in the Practice Bulletin. ACOG’s Committee on Practice Bulletins-Obstetrics, in collaboration with William Grobman, MD, published the new recommendations in the November issue of Obstetrics & Gynecology.