02/12/2026
In general, at 41 weeks with an unfavorable cervix, I would recommend a repeat Cesarean section. In cases of VBAC, the risks of a failed induction at 41 weeks with an unfavorable cervix is greater than 50%.
If a patient desires to wait for natural labor, I would recommend NST/BPP every 3 days until 42 weeks.
If the patient reaches 42 weeks, I would encourage her to consider her options for a Repeat Cesarean section vs Induction of Labor.
With the assistance of a VBAC advocate the assistance of a VBAC is 85% or higher even with a Previous Cesarean section x1 or x2 with an unfavorable cervix.
As always consider the recommendations of your physician rather than general information.