Abstract

Vaginal birth after one caesarean section (VBAC) should be encouraged to decrease the rising trend of overall caesarean section rates. VBAC results in overall lesser maternal and neonatal morbidity which overall results in lesser economic burden to the country. In recent years there has been a reported decline in the incidence of VBAC due to dreaded complication of scar dehiscence, uterine rupture and associated professional liability. Presently we document a case of previous one lower segment caesarean section conducted seven years ago followed by four successive uneventful VBAC. Many factors predict the success of VBAC, but past history of VBAC is one of the most powerful predictors as highlighted in the study done by Sinha and the success rate of VBAC varies from institution to institution. The studies pertaining to the maximum number of successive VBAC are sparse in number. Hence, further reporting of such cases should be encouraged so as to impart better family planning services.

Keywords

vaginal birth after caesarean section, trial of labor after caesarean section