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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. If you have had a caesarean section, you may be thinking about how to give birth next time. Planning for a vaginal birth after caesarean (VBAC) or choosing an elective repeat caesarean section (ERCS) have different benefits and risks.

  4. 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:

  5. 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

  6. Successful VBAC is more likely among women with previous caesarean for fetal malpresentation (84%) compared with women with previous caesarean for either labour dystocia (64%) or fetal distress (73%) indications.

  7. This guideline aims to advise staff in providing care and evidence-based information to inform the antepartum and intrapartum care pathways for women who have had a previous caesarean section. It also provides guidance and information pertaining to VBAC counselling within the Birth VBAC clinic.

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