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Cohort study
Vaginal birth after caesarean at home in England: an opportunity for shared decision-making
  1. Kim J Cox
  1. University of New Mexico, Albuquerque, New Mexico, USA
  1. Correspondence to : Dr Kim J Cox, College of Nursing, 1 University of New Mexico, MSC09 5350, Albuquerque, NM 87131, USA; kjcox{at}

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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 …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.