Recent trends in vaginal birth after cesarean delivery : United States, 2016–2018
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Recent trends in vaginal birth after cesarean delivery : United States, 2016–2018

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    Data from the National Vital Statistics System • Rates of vaginal birth after previous cesarean delivery (VBAC) increased from 12.4% in 2016 to 12.8% in 2017 and 13.3% in 2018. • From 2016 through 2018, VBAC rates increased for women in their 20s and 30s. • All race and Hispanic-origin groups had higher VBAC rates in 2018 than in 2016 except non-Hispanic Native Hawaiian or Other Pacific Islander women. • In 2018 compared with 2016, VBAC rates increased in 17 states and declined in 1 state. • VBAC rates increased 5%–13% among births delivered at 38, 39, 40, and 41 or more weeks of gestation. For the first time since 2004 (1), national data on vaginal birth after cesarean delivery (VBAC) became available in 2016 after all reporting areas implemented the 2003 revision of the U.S. Standard Certificate of Live Birth. Women who deliver vaginally after a previous cesarean are less likely to experience birth-related morbidity such as blood transfusion, ruptured uterus, unplanned hysterectomy, and admission to the Intensive Care Unit than women who have repeat cesareans (2). This report describes recent trends in the VBAC rates by maternal age, race and Hispanic origin, mother’s state of residence, and gestational age of the newborn from 2016 to 2018. Suggested citation: Osterman MJK. Recent trends in vaginal birth after cesarean delivery: United States, 2016–2018. NCHS Data Brief, no 359. Hyattsville, MD: National Center for Health Statistics. 2020. CS314885 db359-h.pdf
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