March 3, 2026Open Access

Vaginal birth after cesarean: maternal and fetal outcomes in a multicenter study

Key Points

VBAC success rates in this cohort matched international benchmarks, showing effectiveness in selected cases.
Emergency cesarean after failed tolerated labor is the highest-risk outcome, necessitating careful monitoring.
Observational analysis across multiple centers highlights the significance of timely surgical readiness during labor.
Expanding safe programs for tolerated labor after cesarean may decrease unnecessary repeat cesareans.

Abstract

VBAC success rates in this cohort aligned with contemporary international benchmarks and demonstrated favorable maternal outcomes in appropriately selected patients. Emergency cesarean following failed TOLAC represented the highest-risk pathway, emphasizing the need for meticulous intrapartum monitoring and timely surgical readiness. Expanding safe TOLAC programs may reduce unnecessary repeat cesarean deliveries in high-fertility settings.

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Authors

Mehmet Nuri Duran

Serem Kel Ilgin

State Hospital

Süreyya Saridas Demir

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation

Journals

The Journal of Maternal-Fetal & Neonatal Medicine

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Institutions

Çanakkale Onsekiz Mart Üniversitesi

State Hospital

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation

Vaginal birth after cesarean: maternal and fetal outcomes in a multicenter study

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Abstract

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