Vaginal to control the increase rate ofVaginal to control the increase rate of

     Vaginal Birth After Cesarean (VBAC)
defined:” a women who gives birth vaginally after having at least one
previous cesarean birth”(Ricci,S.S,2017). One of the strategies developed to control
the increase rate of cesarean birth. Cesarean sections as a rescue operation
for the mother and the fetus can be associated with many complications and
costs.  planned  cesarean and repeat planned cesarean birth rates
are still increasing worldwide. Increased caesarean sections in most countries
including Jordan.


     One in three babies in the USA are born by
Cesarean sections (WHO,2013). South American rates of cesarean sections  exceed 50% in many areas, with over 70% of
births in private healthcare settings being by cesarean sections .The concern
in order to reduce overall rates of Caesarean sections is compounded with
efforts to encourage the selection of patients, because women themselves often
ask for this mode of birth. The largest contribution to the current high rates
of cesarean section come from a repeat Cesarean operations. Vaginal birth rates
worldwide after cesarean birth (VBAC) have dropped dramatically in recent
years. The United Kingdom has seen the actual VBAC rates fall from 45.9% in
1988 to 36% between 2004 and 2011.(Black et al. , 2016).

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     Cesarean sections  rate 
in Jordan is high (29.1%),More than a quarter of all births. The most
common cause of Cesarean sections scar uterus (59.4%), reflecting mostly previous
Cesarean sections. Mother desire was one of the main reasons for planned
cesarean (Batieha et al. ,2017) .So, women are the primary decision makers
about of birth method but need knowledge .


I am interested in this topic because many women who have had a cesarean
birth   with their first pregnancy are
interested in a vaginal birth for their later births. but I saw during clinical
days , women who’d had a Cesarean birth were encouraged to skip vaginal
deliveries altogether and schedule Cesarean sections for all future births by
her doctor . the most doctor and health care provider have this dictum “once a
caesarean birth, always a caesarean birth”. One of the mother told
me” Please help me , my last birth was 
caesarean birth. I would like a normal birth this time but the hospital
and obstetrician all say that a repeat caesarean is my only option”. Then
I started think and research about it . 
Is a vaginal birth after cesarean birth (VBAC)  safe option for many women and their babies? and what is
the nursing  role in promoting
vaginal  birth after cesarean birth
(VBAC)and reducing elective repeat caesarean birth ?.