TY - CHAP M1 - Book, Section TI - Vaginal Birth after Cesarean Section A1 - Lee, Janice A1 - Bellil, Lisa A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. PY - 2016 T2 - Anesthesiology Core Review: Part Two Advanced Exam AB - The overall cesarean delivery rate between 1970 and 2013 has notably increased from approximately 5% to greater than 32%, becoming the most frequently performed major surgery in the United States. Repeat cesarean sections have contributed significantly to this dramatic increase over the past several decades. When the concept of “once a cesarean, always a cesarean” was questioned, more patients elected to undergo trial of labor after cesarean (TOLAC) in the mid-1980s to mid-1990s. By 1996, the cesarean delivery rate dropped to about 20%, but as the number of patients undergoing TOLAC increased, so did the complication rates. In the following years, the trend has shifted back toward repeat cesarean sections. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1135743360 ER -