Informed Consent for a Vaginal Birth After Previous Cesarean Delivery


  • Aaron B. Caughey MD, MPP, MPH, PhD

    Corresponding authorSearch for more papers by this author
    • Aaron B. Caughey, MD, MPP, MPH, PhD, is an associate professor in residence, maternal-fetal medicine specialist, perinatal epidemiologist, and health economist in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of California–San Francisco, San Francisco, CA. His research interests include risk communication and contextualization of risk related to term pregnancy complications, prenatal diagnosis, and vaginal birth after cesarean.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California-San Francisco, 505 Parnassus Ave., Box 0132, San Francisco, CA 94080. E-mail:


M.L. is a gravida 2, para 1 being seen for an initial prenatal visit. She is requesting midwifery care and wants to have a vaginal birth after cesarean (VBAC). Her previous pregnancy was uncomplicated. She had a cesarean delivery for failure to progress at 8 cm with a fetus in a persistent occiput posterior (OP) position 3 years ago. Her son was born with Apgar scores of 8 and 9. He weighed 7 lb. 9 oz at birth. M.L. did not have any signs of infection during the postpartum period and she went home with her son on postpartum day 4.