152 New insights on vaginal birth after caesarean: Can it be predicted? Evaluate the efficiency of current practice in a UK NHS trust

Abstract

Introduction: Since 1985, the international healthcare community has considered the ideal rate for caesarean sections (CS) to be between 10% and 15%. Since then, CS have become increasingly common in both developed and developing countries. Within the United Kingdom (UK) rates of CS have seen a steady rise, paralleling that of worldwide trends. In addition to soaring economical costs, increasing numbers of CS are associated with rising rates of adverse perinatal outcome. A potential strategy to reduce rising CS rates is to optimize the rate of trial of labour (TOLAC) after CS within units by using an efficient VBAC model.