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Implications for practice and research
Since current guidelines advise against planned home vaginal birth after caesarean (VBAC), a careful process of shared decision-making acknowledges women's autonomy while informing them of the benefits and risks based on the existing evidence.
Further research is needed to determine how context and model of care influence VBAC success in home and hospital settings.
Although current guidelines suggest that women with a previous caesarean plan a VBAC in an obstetric unit (OU), a small proportion of women plan a VBAC at home with a midwife. Few studies to date have reported outcomes for women …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.