Clinical bulletin provides evidence-based guidelines for vaginal birth after cesarean, supporting informed choices for individuals.
Individuals with a prior cesarean birth may have limited choices or receive conflicting information related to either labor after cesarean (LAC) or elective repeat cesarean birth (ERCB), both of which are associated with potential benefits and risks to the birthing person and newborn. The purpose of this clinical bulletin by the American College of Nurse-Midwives (ACNM) is to offer evidence-based guidelines for midwives and other health care providers to use when caring for individuals considering LAC. This includes risk assessment, education that supports informed choices, shared decision-making, and clinical care. Considerations related to the site of birth are also provided.
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Miller et al. (2026) studied this question.
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