- KADEM Kadın Araştırmaları Dergisi
- Cilt: 11 Sayı: 2
- Health Policies for Vaginal Birth After Cesarean (VBAC): Current Status and Future Perspectives
Health Policies for Vaginal Birth After Cesarean (VBAC): Current Status and Future Perspectives
Authors : Bilgen Şimşek, Dilek Kolca, Mustafa Mete
Pages : 595-616
Doi:10.21798//kadem.2025.194
View : 85 | Download : 422
Publication Date : 2025-12-29
Article Type : Review Paper
Abstract :Vaginal Birth After Cesarean (VBAC) is a delivery method that enables women with a history of cesarean section to opt for vaginal delivery in subsequent pregnancies. The World Health Organization (WHO) and various health authorities support VBAC as a strategic approach to reduce unnecessary cesarean rates. Recognized as a safe delivery option for women with prior cesarean births, VBAC is promoted in many countries due to its positive impact on maternal health. However, the feasibility and widespread adoption of VBAC depend on various factors, including health policies, clinical protocols, healthcare professionals’ attitudes, and public awareness.This study is a narrative review that examines current policies and perspectives related to Vaginal Birth After Cesarean (VBAC). The aim of the study is to investigate existing health policies that promote VBAC, evaluate international practices, and propose applicable strategies for the Turkish healthcare system. Furthermore, the study analyzes the effects of VBAC on maternal and neonatal health, highlighting the importance of evidence-based policies. In conclusion, for VBAC to become a safe and widely accepted birth option, comprehensive reforms are needed, including the development of clinical protocols, training programs for healthcare professionals, patient education initiatives, financial incentives, and the establishment of VBAC-supportive hospitals. The effective implementation, societal adoption, and continuous evaluation of these reforms are essential for the long-term promotion of VBAC, improvement of maternal and neonatal health outcomes, and the sustainability of healthcare systems.Keywords : Sezaryen sonrası vajinal doğum (SSVD), Sağlık politikaları, Doğum yönetimi, Anne sağlığı.
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