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Assessing the Safety and Efficacy of Vaginal Birth After Cesarean (VBAC) in Low-Risk Pregnancies

Saira Ghafoor*

The term "trial of labour after caesarean delivery" (TOLAC) describes a woman's deliberate attempt to give birth vaginally after a previous caesarean section, regardless of the result. With the help of this procedure, ladies who prefer vaginal birth following caesarean delivery can potentially achieve their aim (VBAC). In addition to satisfying a patient's preference for vaginal delivery, VBAC is linked to lower rates of maternal morbidity, a lower risk of difficulties in subsequent pregnancies, and a lower overall caesarean delivery rate in the community on an individual level. Although TOLAC is suitable for many women, a number of factors raise the possibility of a failed labour trial. which, when contrasted with a successful trial of labour (i.e., VBAC) and an intentional repeat caesarean birth, is linked to greater maternal and perinatal morbidity. So, while deciding who is an acceptable candidate for TOLAC, it's crucial to consider both the individual risks as well as the chance of VBAC. As a result, this document's goals are to discuss the advantages and disadvantages of TOLAC in various clinical contexts and to offer helpful advice for patients who plan to try giving birth vaginally after a previous caesarean delivery.