**3. Summary and conclusions**

The eight main themes that concluded in this review were: Women's attitudes and views of VBAC; VBAC education and decision-making programs; previous VBAC; maternal morbidity and mortality in cesarean versus planned VBAC; short interpregnancy interval; induction of labor; neonatal morbidity and mortality; and birth trauma.

This review has explored the current issues surrounding VBAC, from the risks of uterine rupture and maternal and neonatal morbidity and mortality to the women's attitudes, views, and experiences. The safety of VBAC has also been explored. Evidence showed that midwife has a positive influence on VBAC rates without an increase in maternal or neonatal morbidity.

Through this literature research, it has been demonstrated that there is a dearth of understanding and knowledge on the factors that might influence a woman's decision to have a VBAC and the views of the midwives who support this choice, so more research is needed to cover this topic deeply. The recommendation drawn from this review is toward increasing the number of VBAC by emphasizing on the midwifery role, continuity of care, personalized care, education program, and conducting more research.

*Hysterectomy Matters*
