Background: Since the vaginal birth is the best recommended rout of delivery with a lower mortality and morbidity for mothers and babies compared with repeat CS, a successful vaginal delivery after one or more cesarean sections has been reported, but the risks and benefits of trial of vaginal labor should be determined previously. Case presentation: In this study we report a case of 30-year-old woman with 4 previous cesarean sections who was admitted with preterm labor, the fetal head was crowning so it was safer to proceed with vaginal delivery. Although the baby was preterm there was no maternal and neonatal morbidity and mortality and the uterine scar was intact. Conclusions: VBAC may be suggested as an option to lower CS and its complications especially in low resources countries, after doing risk-benefit assessment first.