Conclusion
In summary, we found high rates of TOLAC but relatively low to moderate
rates of VBAC across SSA with high variability of these rates across the
sub-region and with a perinatal but no maternal benefit to ERCS compared
to TOLAC. Maternal and Perinatal mortality and morbidity rates were
higher when compared to mortality and morbidity rates for women with a
prior cesarean in other regions. Improved study methodology and
consistent reporting are needed in future studies to enhance our
understanding of delivery outcomes in this population of women.