Succesive Vaginal Birth after Caesarean Section: An Increasing Possibility

Vaginal birth after previous caesarean section (VBAC) should be encouraged to decrease the rising trend of cesarean section rate. The success rate of vaginal birth after caesarean section varies from institution to institution and is general around 60 to 70%. In recent years there has been a reported decline in the rate of VBAC all over the world. Offering VBAC becomes a challenging decision for the obstetrician due to dreaded complication of scar dehiscence, scar rupture and associated medicolegal litigations. Hence, the necessity to determine factors for the prediction of success of trial of labor after caesarean section (TOLAC). Many studies have suggested the importance of past history of successful VBAC as one of the most powerful factors predicting the success of TOLAC but the data as to the maximum no of successive VBAC reported are sparse. With the reporting of this case we will highlight the maximum no of successive VBAC reported in the literature and the controversy surrounding these successive VBAC so as to promote this mode of delivery and to offer better family planning practices.