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A Systematic Review Of The Factors Influencing Successful Vaginal Birth After Cesarean

Jurnal Kesehatan Masyarakat · Vol. 21 No. 3 (2026) · hlm. 509–518

DOI
10.15294/kemas.v21i3.22873
ISSN
2355-3596, 1858-1196
Terbit
2026-01-30
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Background: This systematic review explores factors influencing the success of Vaginal Birth After Cesarean (VBAC) in response to increasing global cesarean rates. VBAC reduces the need for repeat cesareans and associated risks. Purpose: To identify key medical, psychological, and institutional factors affecting VBAC outcomes. Methods: A total of 21 studies were reviewed from PubMed, ScienceDirect, and Google Scholar using PRISMA-ScR criteria. The analysis focused on maternal age, previous vaginal birth, cervical dilatation, healthcare access, and psychosocial support. Results: Successful VBAC was linked to younger maternal age, prior vaginal birth experience, spontaneous labor onset, and adequate cervical dilatation at admission. Psychosocial support, including family encouragement and professional guidance, significantly influenced VBAC decisions. Hospital policies promoting VBAC and ensuring access to emergency services further enhanced success rates. Conclusion: Medical, social, and institutional factors significantly affect VBAC success. Establishing standardized guidelines and providing improved counseling are essential to support women’s choices during childbirth. Future research should focus on large, diverse populations to confirm predictors and assess long-term outcomes compared to repeat cesareans.

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Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">A Systematic Review Of The Factors Influencing Successful Vaginal Birth After Cesarean</dc:title>
	<dc:creator xml:lang="en">Azzahra, Fatimah</dc:creator>
	<dc:creator xml:lang="en">Rahayuningsih, Sri Endah </dc:creator>
	<dc:creator xml:lang="en">Rachmawati, Anita </dc:creator>
	<dc:creator xml:lang="en">ESTININGTYAS SAKILAH ADNANI, QORINAH</dc:creator>
	<dc:creator xml:lang="en">ABIOLA ADEPOJU, VICTOR </dc:creator>
	<dc:subject xml:lang="en">VBAC; TOLAC; predictors; maternal outcomes; health systems</dc:subject>
	<dc:description xml:lang="en">Background: This systematic review explores factors influencing the success of Vaginal Birth After Cesarean (VBAC) in response to increasing global cesarean rates. VBAC reduces the need for repeat cesareans and associated risks. Purpose: To identify key medical, psychological, and institutional factors affecting VBAC outcomes. Methods: A total of 21 studies were reviewed from PubMed, ScienceDirect, and Google Scholar using PRISMA-ScR criteria. The analysis focused on maternal age, previous vaginal birth, cervical dilatation, healthcare access, and psychosocial support. Results: Successful VBAC was linked to younger maternal age, prior vaginal birth experience, spontaneous labor onset, and adequate cervical dilatation at admission. Psychosocial support, including family encouragement and professional guidance, significantly influenced VBAC decisions. Hospital policies promoting VBAC and ensuring access to emergency services further enhanced success rates. Conclusion: Medical, social, and institutional factors significantly affect VBAC success. Establishing standardized guidelines and providing improved counseling are essential to support women’s choices during childbirth. Future research should focus on large, diverse populations to confirm predictors and assess long-term outcomes compared to repeat cesareans.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2026-01-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/22873</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i3.22873</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 3 (2026); 509-518</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i3</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/22873/9057</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>