12/08/2025
The often-cited uterine rupture rate after two cesareans of 0.9% – 1.8% is based on a 49% – 65% induction and augmentation rate.
This is an important factor to consider anytime we discuss VBA2C (vaginal birth after two cesareans.)
As a result, it’s possible that the rate of uterine rupture during a spontaneous labor after two cesareans is lower than 0.9% – 1.8%.
In fact, Macones revealed that of the 379 people who labored spontaneously, 3 had a uterine rupture for a rate of 0.8%.
Continue learning:
- on the blog at https://vbacfacts.com/vba2c
- on the podcast episode that builds upon that blog article at https://podcasts.apple.com/us/podcast/the-vbac-facts-podcast-with-jen-kamel/id1779599613?i=1000689922954
- in our VBA2C training approved for contact hours: https://vbacfacts.com/membership