Doctor insights on:
Caesarean Delivery Vs Natural Delivery
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
C section: Medical rumors have it that the c section will preserve the pelvic perineum. Keep the vagina tighter and prevent uterine prolapse in the future medical rumors also say that vagina birth is better for the baby, because of a little squeeze it needs on his lungs, and a lot less drugs in his system. Nature, i think, has already decided the best way to continue. ...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
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
Define Birth Center: I deliver at a birth center which has private rooms, newborn rooming, birth plan receptive... But still offer 24/7 epidural service, full or availability in-house for emergencies, full time peds/neonatologist if needed, and full lab & blood bank services. Most hospital l&d units are emulating birth centers & maintain all support services in case of emergencies. Tour & deliver where you feel safe. ...Read more
What are the pros and cons of hospital delivery w/epidural vs. Natural birth at a birthing center?
? birthing center ?: Safety is the prime concern I have for deliveries. I have had relatives born in caves & understand it can be okay.I have also run to "normal" deliveries to salvage a baby that came out wrong. Our local facilities have midwives delivering next door to docs, where a case can be quickly moved to an OR for C section if needed. No off site birthing center can eliminate the hour + lost in a transit. ...Read moreSee 1 more doctor answer
It is not!: A small excess risk of maternal mortality is associated with modern c-sections (range 1:10, 000 to 1:100, 000), while the fetal life is more at risk with vaginal delivery (1:1, 000-1/10, 000). When all post-cesarean women have prophylaxis for clots and have no more than two cesarean sections, one can confidently state that c-sections are safer for modern maternal-fetal pairs than vaginal deliveries. ...Read more
After 2 births(vag), I had 2 retained placentas, 2 postpartum hemmorhage 2nd labor precipitous (2hr) Is induction or csection safer to manage nextime
May be: Since the likelihood of such complications increase with subsequent pregnancies, your OB might suggest you to deliver at a predictable time. ...Read more
Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.
Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more
Too little info: I presume you mean induced delivery. There are various reasons why a C-section or an induced delivery may be undertaken. Difficult to comment without knowing the full circumstances ...Read more
After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...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
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