Doctor insights on:
Born By Cesarean Section
What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?
About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read moreSee 1 more doctor answer
Too soon : It's too soon to determine the need for a c section at 33 weeks. Your baby could still change its position over the next 5-6 weeks. If your baby remains transverse or becomes breech late in pregnancy, you will need a c section. However, it is simply too early to tell right now. Discuss this with your obgyn. Good luck! ...Read more
26 y/o 2 natural vaginal births, >2hrs of labor, 3rd was csection due to baby being 4wks past due. Transverse incision. Should i think about a vbac?
28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.
Depends on situation: If your initial cs was due to big baby/small pelvis & you face the same with the next delivery a vbac may be unwise.If the initial cs was for breach or monitor irregularities & your pelvis is considered adequate by the ob, a vbac may be a reasonable choice. Discuss this with the OB & see what what your options are. ...Read more
Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more
Delivery by cesarean section is one of the predisposing factors of neonatal respiratory distress syndrome, why? And how?
??RDS??: I would agree more cs babies have respiratory pbs than regular delivery but the issue is ttn ( transient tachypnea of the newborn) not rds.A trip down the birth canal helps squeeze some of the lung fluid out before birth, which does not happen for cs. About 10% of cs will have to work hard to clear that fluid & may require o2 & special care in the process.It usually clears in < 48hr. ...Read more
Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more
No: In fact, a c section may increase the risk of such an event. ...Read more
Increased C/S risk.: As our society is moving to later reproduction and more assisted conceptions for subfertility in the midst of an obesity epidemic (with concurrent diabetes mellitus and hypertension morbidities), i expect the overall c-section to keep rising for the foreseeable future. If you were born via c-section you were probably too big for your mother's pelvis and that's likely to recur when you deliver. ...Read more
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