Most common cause of cesarean in U.S.A and Fatemieh hospital in
   Hamadan is repeat cesarean section. The most effective way to reduce
   cesarean rate is vaginal delivery after previous cesarean section. The aim of
   this survey was to confirm the safety and less cost and morbidity in vaginal
   delivery after previous cesarean section.

          Full term pregnant women with history of once previous section with a
   singleton , cephalic , less than 3.5 kg fetus who selected vaginal delivery,
   were studied.

          From the 201 selected cases , 109 patients had vaginal delivery and 81
   patients of the delivered successfully (74.3%). No maternal morbidity
   happened. Morbidity reduced to 3.7% in comparison to 7% in cesarean
   after cesarean. Vaginal delivery after cesarean reduced cost to half. 81
   vaginal delivery after previous c/s saved 20 million rials. Mean hospital stay
   in vaginal delivery group was 1.1 day and in cesarean group was 2.8 day.
   Cause of cesarean – selection in 36.9% of patients was pain and fear of
   pain. This survey reduced c/s rate from 25.1% to 21.2% and changed the
   most common cause of cesarean from repeat to meconium.

          Vaginal delivery after cesarean was safe and reduced the cost and
   morbidity. Main cause of cesarean selection was pain and fear.