Estimating the prevalence of vaginal birth after cesarean section and repeat cesarean section: An analysis of nationally representative household surveys in 59 low- and middle-income countries.

Farhad Khan; Sara Riese; Renae Stafford; Vandana Tripathi

doi:10.1002/ijgo.70904

February 23, 2026

Estimating the prevalence of vaginal birth after cesarean section and repeat cesarean section: An analysis of nationally representative household surveys in 59 low- and middle-income countries.

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Key Points

The aim is to estimate the prevalence of vaginal birth after cesarean (VBAC) and repeat cesarean sections in various countries.
Analyzed nationally representative household surveys from 59 low- and middle-income countries.
Examined population rates of cesarean sections (CS).
Evaluated the relationship between CS rates and VBAC prevalence.
VBAC prevalence is higher in countries with lower population CS rates.
Unplanned and unsafe VBACs are more common in settings with low oversight on births.
Repeat cesareans are more typical in areas with high population CS rates.

Implication

Analysis estimates VBAC and repeat cesarean prevalence in low- and middle-income countries, suggesting changes are needed in birth planning.

Abstract

VBAC prevalence is greatest in countries with the lowest population CS rates, indicating that unplanned, unmonitored, and unsafe VBACs are occurring, necessitating shifts in birth planning and preparedness strategy. Repeat cesareans predominate where population CS rates are already high.

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Cite This Study

Khan et al. (2026) studied this question.

synapsesocial.com/papers/699e921bf5123be5ed050146 https://doi.org/10.1002/ijgo.70904

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Estimating the prevalence of vaginal birth after cesarean section and repeat cesarean section: An analysis of nationally representative household surveys in 59 low- and middle-income countries.

Key Points

Implication

Abstract

Discussion

Cite This Study

Estimating the prevalence of vaginal birth after cesarean section and repeat cesarean section: An analysis of nationally representative household surveys in 59 low- and middle-income countries.

Key Points

Implication

Abstract

Discussion

Cite This Study

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