Doctor insights on:
Pregnancy Planning Vbac
Approx 1% chance,low: In terms of absolute risk for the woman undergoing TOLAC, 1 in 100 trials of labor will result in uterine rupture, and 1 in 10 uterine ruptures will result in neonatal death or neurological injury, thus 1 in 1000 TOLACs will result in neonatal death or significant neurological injury ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
VBAC: The risk of uterine rupture with one prior low-transverse uterine scar is low, 0.5% to 0.9%. About 60 to 80 percent of women who labor after a prior cesarean have a vbac. Most women with one prior cesarean with a low-transverse uterine scar should be counseled about vbac and offered a trial of labor obesity decreases the chances of succesful vbac. ...Read more
Is the scar thickness after ceserean section hat decides that in second time pregnancy we may go for vbac or not?
Sometimes.: A scar thickness <4.7 mm should prompt your doctor to recommend a repeat c-section. Frequently, though, that is not the main consideration; other factors determine your likelihood to achieve vaginal delivery after a single prior c-section, such as your weight for height, prior vaginal deliveries, number of fetuses, fibroids, gestational age, labor onset, polyhydramnios, version, presentation etc. ...Read more
I had a C-section because my labor failed to progress. Would like a vbac with my current pregnancy. Would vbac be an option?
Long discussion: This requires a long discussion between you and your doctor. Vbacs are options for people who meet certain criteria and who are willing to accept the risks. Your doctor will need to review your previous surgery and review the reasons for your first c section. He or she will evaluate your current pregnancy, your pelvis and estimated fetal weight and then counsel your regarding the risks. ...Read more
With my first pregnancy i had a placental ubruption at 6 months. Will this happen again ? Will i need to be on injections, or bed rest ? Vbac ?
Previous placental: abruptio will definitely increase your risk of that happening again. Talk to your OB GYN about what the risks are and what you can do to help maintain a healthy pregnancy. You can certainly have another baby, just have to know the risks before hand. Thanks for trusting in HealthTap. ...Read more
What is the percentage of having a successful VBAC after 1 c-sec no complications with 1st pregnancy. C-sec due to non reassuring fetal heart rate?
Almost: the same as before. Since the first cs was for heart tones and not failure to progress, you should have a 80 +\- percent chance of having a successful vaginal delivery. Find an OB who has a low CS rate. Not total CS but For a woman's first CS. My primary rate is 14 percent. That means for a woman with no prior CS, she has an 86 percent chance of a vag delivery. Good luck. ...Read more
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.
VBAC vs RCS: A VBAC is a possible way to avoid another c/section. It isn't always successful and carries a small risk of catastrophic uterine rupture. VBACs are less successful in women who haven't had a prior vaginal birth, especially if the c/section was done for "failure to progress," or "arrest of dilation". A repeat c/section is a way to avoid the risks uterine rupture and unsuccessful labor. ...Read more
Vbac stands for vaginal birth after cesarean. Because the uterine muscle has a scar from the prior surgery, and scar tissue isn't as strong as unscarred tissue, there are some additional risks to attempting a vaginal delivery after a cesarean. <1% of patients attempting vbac will have a complication ...Read more
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