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The FIGO good practice recommendations provide evidence\u2010based recommendations to guide VBAC care. Success rates for VBAC range from 60% to 80%, with the highest likelihood in women with prior vaginal birth, non\u2010recurrent CS indications, interbirth intervals \u226518\u2009months, BMI &lt;30\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , and spontaneous labor onset. While uterine rupture is the primary concern, its risk remains low at approximately 0.3%\u20130.7% for women with one prior low transverse CS. Comparisons show that VBAC generally results in similar or better maternal and neonatal outcomes than planned repeat CS, including lower maternal mortality, fewer infections, and shorter hospital stays. This article emphasizes appropriate patient counseling, facility readiness for emergency CS, and continuous fetal monitoring during labor. With proper implementation, VBAC offers a valuable strategy to reduce unnecessary repeat surgeries, improve outcomes, and support informed maternal choice.\n                  <\/jats:p>","DOI":"10.1002\/ijgo.70406","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T12:24:14Z","timestamp":1753791854000},"page":"17-31","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["<scp>FIGO<\/scp>\n                    good practice recommendations for vaginal birth after cesarean section"],"prefix":"10.1002","volume":"171","author":[{"given":"Eytan R.","family":"Barnea","sequence":"first","affiliation":[{"name":"Society for the Investigation of Early Pregnancy  New York New York USA"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of Miami Miller School of Medicine  Miami Florida 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