A member asked:

What are the risks associated with a repeat c-section after laboring in attemp of vbac?

6 doctors weighed in across 3 answers

VBAC: The american college of obstetricians and gynecologists (acog) states that women with a history of one previous low transverse cesarean delivery, a clinically adequate pelvis, and no prior classical uterine scar or rupture are good candidates for a vbac trial provided that they are at an institution with adequate resources including physicians and anesthesiologists. Talk to your ob.

Answered 12/3/2012

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VBAC: The biggest risk to consider in the case of a repeat c-section after a failed vbac is the risk of emergency surgery as opposed to a scheduled, controlled surgical delivery. Unplanned c-sections have higher risk for maternal infection & excessive bleeding. In the rare event of uterine rupture (1-5%) there is risk of neurologic damage to baby. Consider the likelihood of successful vbac with your md.

Answered 3/27/2014

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Dr. Nikolaos Zacharias answered

Specializes in Maternal-Fetal Medicine

Infection, bleeding.: An urgent or emergent repeat cesarean section after failed trial of labor in women with a prior cesarean section can be a very morbid procedure with high risk for infection, fever, bleeding, transfusion, injury to the bladder, ureters, bowel, possible hysterectomy and infertility. A prelabor repeat c-section is infinitely safer and more controlled - and is a much preferable choice.

Answered 12/9/2013

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