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In 2016, PCMCH and Health Quality Ontario (HQO) partnered together to develop a Vaginal Birth After Caesarean (VBAC) Quality Standard. This quality standard is based on the best available evidence and was developed in consultation with health care professionals, people who have had a Caesarean birth, and their caregivers.

Quality standards aim to provide concise sets of evidence-based recommendations (quality statements) that address areas where there is identified variation and opportunity for improvement in the quality of care across the province in a given topic area. Each quality standard is accompanied by a plain language summary for patients and caregivers, and quality statements are accompanied by quality indicator(s).


The primary goals and objectives of the VBAC Quality Standard are to:

  1. Improve access to safe VBAC
  2. Promote informed shared decision-making between patients and their health care providers

Achieving these objectives is also expected to increase Ontario’s rate of planned VBACs over time, and reduce the rate of elective repeat Caesarean sections.


To support the implementation of the VBAC Quality Standard, the Recommendations for Adoption document was also developed, summarizing the system-wide and regional requirements that can help health care providers and organizations meet the standards. PCMCH will continue to work with HQO, patients and families, health care providers, the regional maternal-child networks, and other partners to support the uptake and implementation of the quality standard.

Join the PCMCH Maternal and Newborn Community of Practice hosted by HQO’s Quorum to collaborate with and learn from your colleagues across the province.

Please see the ‘Resources’ below to view and download the quality standard and its supporting documents.

Contact Us

If you have any questions regarding the VBAC Quality Standard and/or the accompanying resources, please contact or

For more information about Health Quality Ontario’s quality standards program in general, click here.


VBAC Webinar

Download Slides: VBAC Webinar March 2020

VBAC Webinar Recording