Doctor insights on:
Normal Delivery Vs Cesarean Section
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
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
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?
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
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
Time: time is the difference between normal painless delivery and cesarean section. A c/section is done most of the time under spinal analgesia (shot in the back) that causes numbing, sometimes under general anesthesia, and takes between half an hour and an hour and a half. The normal labor process takes about 10 hours, during which epidural analgesia alleviates the pain the laboring woman experiences. ...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
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
Success rate of a version procedure on transverse baby? Two prior vaginal deliveries, really don't want a c-section.
Yes: Babies can be delivered vaginally even over 10 lbs. Some larger babies may cause difficulty with delivery however. Do not rely on the estimated size to determine if the baby can be delivered vaginally as size estimates in the 3rd trimester can be inaccurate. Rely on your obstetrician's experience! ...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
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
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