Vaginal Delivery After Cesarean Section: Is The Risk Acceptable?


  • Richard Waldman MD, FACOG,

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    • Richard Waldman is an Obstetrician and Gynecologist in private collaborative practice in Syracuse, New York, a Clinical Associate Professor at the Upstate Medical Center, State University of New York, and is in full-scope OB/GYN practice. He currently is the Director of Performance Improvement at St. Josephs Hospital and the President of the Central New York Obstetrical and Gynecological Society. He is very active in the American College of Obstetrics and Gynecology at the state and national levels.

  • Elaine Mielcarski CNM, MS, NP, FACNM

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    • Elaine Mielcarski is a Fellow of the American College of Nurse-Midwives. She is in private practice, with full medical staff privileges at St. Josephs Hospital Health Center in Syracuse, New York. She was the Inaugural Chair of the New York State Board of Midwifery and maintains a membership on the board. She participates in the academic training of Family Practice Residents and has been active in multiple hospital committees.

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Recent studies and commentary have questioned the safety of vaginal births after cesarean sections (VBACs). The history of VBACs is reviewed and a framework to continue the safe practice of trials of labor in women with a prior uterine scar is presented.