The studies used for this analysis usually reported the results from women with one prior cesarean section combined with the results of women with more than one previous cesarean section. Because the results of these two groups were not reported separately, their outcomes are assumed to be similar. The vast majority of cesarean sections performed today are of the low transverse type. As an example, freestanding birthing centers accredited by the Commission for the Accreditation of Freestanding Birth Centers are required to have such a capability. The capability to provide a timely cesarean section must be stressed.
Uterine rupture is a rare, but potentially lethal, event.
The maternity care attendant does not necessarily have to be the one to perform the cesarean delivery. Similarly, the facility should have the capability to provide for the resuscitation and stabilization of the newborn. The capacity to provide electronic fetal heart rate and uterine pressure monitoring does not mean that every, or even most, VBAC candidates should receive such monitoring. The important determinant is whether the maternity caregiver has sufficient information about fetal wellbeing to make good labor management decisions. For many women in labor, this will be accomplished with fetal heart tone auscultation at periodic intervals.