Cesarean Delivery in Multiparous Women with Previous Vaginal Deliveries

Predictors of Successful Vaginal Birth

Previous vaginal delivery is one of the strongest predictors of successful vaginal birth in subsequent pregnancies, according to the American Academy of Family Physicians 1
Multiparous women with previous vaginal deliveries have significantly higher rates of successful vaginal birth compared to nulliparous women, as reported by the American Academy of Family Physicians 1
Having had a previous vaginal birth is linked with higher rates of successful vaginal delivery in subsequent pregnancies, as noted by the American Academy of Family Physicians 1

Physicians should be aware that cesarean delivery in this population is uncommon and should maintain a high threshold for intervention, as recommended by the American Academy of Family Physicians 1
When counseling multiparous women with previous vaginal deliveries about their delivery options, they should be informed of their high likelihood of successful vaginal birth, according to the American Academy of Family Physicians 1

Abnormal placentation in those with any previous uterine surgery should be monitored, as highlighted by The Lancet Global Health 2