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More women are having children at later ages, and the overall rate of cesarean deliveries has increased. These investigators conducted a retrospective study to assess the potential risk for a vaginal delivery after a prior cesarean delivery in different age groups. Of all patients admitted to a Boston hospital from July 1984 to June 1996 for a trial of labor after prior cesarean delivery, 3015 women had a singleton pregnancy, had only 1 prior cesarean delivery, and had no prior vaginal deliveries. The authors defined uterine rupture as complete disruption of the uterine scar with at least 1 of the following symptoms: hemorrhage, hysterectomy, bladder damage, a fetal or placental part extruding from the uterus, or indication for cesarean del…