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A planned labor and vaginal birth after cesarean is an appropriate option for most women with a history of prior cesarean birth

AAFP Advocates for Planned Vaginal Birth After Cesarean

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Clinicians should counsel, encourage, and facilitate planned vaginal birth after cesarean
The incidence of episiotomy has been declining since the 1990s because of concerns regarding related risks and benefits

Fewer Episiotomies, but Nonmedical Factors May Persist

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Almost 12 percent of deliveries still involve the surgical procedure