“Once a cesarean always a cesarean” is a very old saying by most of the prominent obstetricians throughout the twentieth century. The studies in the last two decades of twentieth century suggested that this practice may not always be necessary. Options for a patient with previous cesarean are Elective repeat cesarean Delivery (ERCD) also called ERCS (Elective Repeat Cesarean Section) and Trial of labor after cesarean (TOLAC). This can have 2 outcomes wise successful TOLAC – Vaginal Birth after Cesarean Delivery (60 to 80%) or failed TOLAC­ Emergency cesarean Delivery. The benefits of a trial of labor after cesarean (TOLAC) resulting in a vaginal birth after cesarean (VBAC) may include lower rates of maternal morbidity due to Postpartum fever, Wound infection, Blood transfusion, Hysterectomy, Maternal discomfort, Length of stay etc. and Fewer cases of neonatal respiratory distress. The National Institute of health is planning to organize a “consensus development conference” in 2010 to minimize some confusion & to arrive at a decision & to elucidate current knowledge on VBAC even though there complications like uterine rupture.

Keywords: Vaginal Birth after Cesarean (VBAC); Trial of Labor after Cesarean (TOLAC); Elective Repeat Cesarean Delivery (ERCD); Repeat Cesarean Delivery (RCD).