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A 38-year-old member asked:

if 1st delivery is thru csection then is 2nd delivery will also happen by way c-section?

8 doctor answers25 doctors weighed in
Dr. Stephen Scarantino
Obstetrics and Gynecology 26 years experience
Not necessarily: Having had a prior Cesarean section does not necessitate or obligate someone to have another Cesarean. In consultation with your obstetrician, you need to discuss the reason(s) for your first Cesarean and he/she will review your current pregnancy and together you can discuss the risks and benefits of a trial of labor after Cesarean (TOLAC)--an attempt to deliver vaginally.
Dr. David Keller
Internal Medicine 29 years experience
I agree. The American College of Gynecologists has stated that VBAC - vaginal birth after [low-transverse] C-section - is safer, in general, than a repeat cesarean, and VBAC with more than one previous cesarean does not pose any increased risk. However, there may be an increased risk of uterine rupture during VBAC in women undergoing labor induction or augmentation.
Jun 27, 2015
Dr. George Kingsley III
Obstetrics and Gynecology 31 years experience
It Depends: VBAC (Vaginal Birth after a Cesarean) is an option at some larger hospitals. There is an increased risk of uterine rupture - the scar tissue from the previous c-section tearing open. This is a true OB emergency and a dedicated OR team must be avail the whole time you're in labor. You OB also must be immediately avail. The advisability of a trial of labor must be discussed with your OB.
Dr. Kimberly Kuncl
Obstetrics and Gynecology 26 years experience
Maybe yes, maybe no: If the incision on the uterus is vertical, then you need another C/S. If it is low transverse, then you can consider a VBAC which is a vaginal delivery after a CS. You need to ask if this is an option at the beginning of the pregnancy. Many OB's don't offer VBACs. The concern is uterine rupture which can have devastating effects on the mother and the baby. The rate is low but unpredictable.
Dr. Steven Weissberg
Obstetrics and Gynecology 55 years experience
Most likely: VBAC's have fallen in popularity for many reasons, including risks to mother and fetus, requirements imposed on doctors and delivery team, and time involved. It is easier and safer to schedule a repeat c/section.
Dr. Troy Sibson
Obstetrics and Gynecology 24 years experience
Not necessarily: Once you have had a cesarean, you always have the option of having a repeat cesarean the next time. After one, depending on how it was performed, you may have the option of a trial of labor. This is trying to have a vaginal delivery. There is about a 1% chance of the old scar opening up during labor, so it isn't without risk. Also, some hospitals or doctors may allow that option.
Dr. Maxwell Dartey
Specializes in Obstetrics and Gynecology
C. section delivery.: Not necessarily. The decision on how to deliver the 2nd pregnancy depends on the problems which led to the first c. section. These problems usually involve the Passenger(Fetus), the Passage (mother's pelvis), and the Powers (quality of contractions and maternal complications). If these problems do not exist in the 2nd pregnancy, successful vaginal delivery is possible in the appropriate hospital.
Dr. Cynthia McNally
Obstetrics and Gynecology 9 years experience
VBAC is option: Vaginal Birth After Cesarean (VBAC) is an option for many women. A lot of it depends on the circumstances of the first cesarean. Nowadays, most OBs offer VBAC to at least some of their patients.
Dr. Heather Bartos
Obstetrics and Gynecology 18 years experience
Absolutely NOT!: Vaginal Birth After Cesarean (VBAC) is a common practice across the United States. Some women choose to have their next baby by cesarean section (or c-section) if their last delivery was traumatic. But many women look for a doctor and a hospital that practices VBACs. It can require some changes in how you give birth sometimes, so finding the right doctor is important, as always.

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A member asked:

Will I have a hard time breastfeeding after a c-section?

2 doctor answers2 doctors weighed in
Dr. Roy Benaroch
Pediatrics 27 years experience
No: You may have some more pain (though moms after vaginal birth will be uncomfortable too!) there may be more limited mobility too, at least at first. But overall, nursing after c-section shouldn't be more difficult if you have a little extra help for a few days.
A 32-year-old member asked:

Will a c-section be more complicated if I am overweight?

2 doctor answers3 doctors weighed in
Dr. Megan Bird
Obstetrics and Gynecology 19 years experience
Yes: There are a few increased risks if you are overweight including a higher risk of infection and slower healing of the cesarean wound. To help yourself, you can work on eating a balanced diet and exercising before your c-section.
A 31-year-old member asked:

If I go into labor pre-term, which specialists will come to the delivery?

2 doctor answers2 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Yes: Neonatalogists or pediatricians who specialize in the care of premature infants will examine the baby and determine whether or not the baby needs to go to the neonatal intensive care unit.
A 33-year-old member asked:

Is delivery at 33 weeks considered preterm?

2 doctor answers3 doctors weighed in
Dr. David Fein
Specializes in Preventive Medicine
Yes: The definition of "term" gestation is 38-42 weeks, so prior to 38 weeks is considered pre-term, or premature labor.
A 30-year-old member asked:

What decisions will my doctors have the power to make in labor and delivery?

2 doctor answers2 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Two way street: You have complete control over medical decisions that concern you. Since you have a baby inside you, your doctor in responsible for both patients. Certain medical conditions place the mom's needs at odds with the baby's. All medical decisions should be discussed with you and you have the right to participate in your care.

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Last updated Mar 6, 2019

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