Induction of labor in women with a prior cesarean delivery

Given the historically high rates of cesarean delivery in the United States, obstetrical providers must often consider an induction of labor for women with a history of prior cesarean delivery versus repeat cesarean delivery. Clinical evaluation of this scenario involves weighing the benefits of a successful trial of labor after cesarean delivery against the risks associated with symptomatic uterine rupture. This article will review the uncommon but clinically important circumstance of labor induction following a cesarean delivery, including method of induction as well as induction in the setting of second trimester still birth and fetal anomalies.