Studies addressing TOLAC in women with more than one prior cesarean
find rupture rates ranging from o. 9 % to 3.7 % — again, without specifying the type of prior incision or level of rupture.
NICE (2015) discusses a study by Landon et al (2006) that showed no significant difference in the
rates of uterine
rupture in VBAC with two or more previous cesarean births compared with a single previous cesarean birth, and states that these
findings are consistent with «other observational studies,» (p 7).