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Obstetrics Anaesthesia

Tutorial 450

Anaesthetic Considerations for Vaginal Birth After Caesarean Delivery

Lee Jervis1†, Matt Rucklidge2

1Anaesthetic Registrar, King Edward Memorial Hospital, Perth, Australia
2Consultant Anaesthetist, King Edward Memorial Hospital, Perth, Australia

Edited by: Dr. Gillian Abir, Stanford University School of Medicine, Stanford, CA, USA; Dr. James Brown, BC Women’s Hospital, Vancouver, BC, Canada

Corresponding author e-mail: Lee.Jervis@health.wa.gov.au

Published June 22, 2021

Abstract

This tutorial covers the pertinent anaesthetic considerations for patients undergoing a trial of labor after caesarean (TOLAC) with the aim of vaginal birth after caesarean (VBAC). The tutorial includes a discussion on the benefits of epidural analgesia and the diagnosis and management of uterine rupture in the laboring VBAC patient.