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  1. This guideline provides evidence-based information to inform the care of women undergoing either planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS).

  2. Implementation of a vaginal birth after previous caesarean delivery (VBAC) versus elective repeat caesarean section (ERCS) checklist or clinical care pathway is recommended to facilitate best practice in antenatal counselling, shared decision making and documentation.

  3. 3 out of 4 women who have had one caesarean section and then have a straightforward pregnancy and go into labour naturally give birth vaginally. 9 out of 10 women will have a successful VBAC if they have ever given birth vaginally. Successful VBAC has the fewest complications.

  4. Planned Vaginal Birth After Caesarean (VBAC) is a safe and appropriate option for the majority of women with one previous transverse lower segment caesarean section, with a singleton term pregnancy and cephalic presentation.

  5. Birth After Previous Caesarean BirthGreen-top Guideline No. 45October 2015Guideline link:https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_45.pdf...

  6. This guideline informs obstetrics and midwives on the management of a woman who has had a previous caesarean section during pregnancy and labour and who is requesting a vaginal birth. Suggested Keywords: VBAC, vaginal birth after caesarean section. Target Audience:

  7. This information will reflect RCOG Guideline CG45 (2015): • To facilitate Shared Decision Making • To identify a plan of care and mode of birth by 30 weeks gestation 2.0 Objective The guideline aims to outline the management of women choosing a VBAC or ERCS. It

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