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.