VBAC Declines but Outcomes Do Not Improve

May 30, 2006

FRESNO, Calif. - Neonatal and maternal mortality rates did not improve despite an increase in repeat cesarean deliveries, apparently engendered by revised ACOG guidelines, researchers here reported.

FRESNO, Calif., May 30 ? Neonatal and maternal mortality rates did not improve despite an increase in repeat cesarean deliveries, apparently engendered by revised guidelines from the American College of Obstetricians and Gynecologists, researchers here reported.

In 1999, responding to safety and medicolegal considerations, the ACOG adopted more restrictive guidelines for vaginal birth after cesarean delivery (VBAC). As a result, attempted VBAC rates declined from 24% to 13.5% in 2002 (P