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

Osterman, Michelle, J. K.

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

i

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

English

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Details:

Personal Author:

Osterman, Michelle, J. K.
Corporate Authors:

National Center for Health Statistics (U.S.). Division of Health and Nutrition Examination Surveys.
Description:

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
Subjects:

[+]

Cesarean Section Obstetric Labor Complications Pregnancy Vaginal Birth After Cesarean
Series:

NCHS data brief ; no. 339 ; DHHS publication ; no. 2020–1209

NCHS data brief ; no. 339 ; DHHS publication ; no. 2020–1209 Less -
Document Type:

Journal Issue
Name as Subject:

National Vital Statistics System (U.S.) ; National Vital Statistics System (U.S.)

National Vital Statistics System (U.S.) ; National Vital Statistics System (U.S.) Less -
Genre:

Statistics
Place as Subject:

United States
Pages in Document:

7 numbered pages
Issue:

359
Collection(s):

Stephen B. Thacker CDC Library
Main Document Checksum:

[+]

urn:sha256:d8ca4082cfefa72ed8768b0ec4e8bb589f7218fdc92cb8aa84b454a2edf3c22b
Download URL:

https://stacks.cdc.gov/view/cdc/85565/cdc_85565_DS1.pdf
File Type:

[PDF-479.49 KB]