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Doctor insights on: Vbac Vs C Section

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

Dr. Roger Sherman
90 doctors shared insights

Vbac (Definition)

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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Which is safer, vbac or repeat cesarean (2nd cesarean) ?

Which is safer, vbac or repeat cesarean (2nd cesarean) ?

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

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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?

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?

Yes but low risk: Acretta can develop even in women who have never had a c/section. Fortunately this is rare. The risk is much higher if the placenta is covering the prior c/section scar. With the placenta 4cm from the scar, your risk is very low (but not zero). Best wishes! ...Read more

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Previous post partum haemorrage and c section, is vaginal birth an option instead?

Previous post partum haemorrage and c section, is vaginal birth an option instead?

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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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Planned c-section vs. vbac, which to do?

Planned c-section vs. vbac, which to do?

Depends: It depends on a number of factors which mode of delivery to choose after a previous c/section. First and foremost, the reason for the first c/section needs to be taken into account. Next, is the hospital equipped to allow for a safe VBAC. This is a question that needs to be discussed with your obstetrician. If you have your prenatal care in a "staff clinic", ask to talk to the attending physician. ...Read more

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Which is better c - section or infused delivery?

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

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Which one is better vaginal birth or a c section?

Which one is better vaginal birth or a c section?

Depends: Most people hope to have a normal vaginal birth. This is generally best for the mother and for the baby. However, there are sometimes complications and/or circumstances that require a c-section. When this happens, the medical professionals will explain the risks and benefits and you all will decide together. Sometimes there is an emergency that requires immediate action. I hope the best for you. ...Read more

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Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

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

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What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-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 more

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During c section, which one is preferred-ga or spinal injection?

During c section, which one is preferred-ga or spinal injection?

Good question: If your condition allows for you to be awake, and the obstetrician does not need too put you to sleep for other surgical reasons, the spinal gives you the advantage of appreciating to process of birth. On the other hand, your well being and that of your baby are top priority so discuss this with your doctor. When i delivered babies i used to joke with the parents that the birth was the easy part. ...Read more

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Type of c- section for vasa previa?

Type of c- section for vasa previa?

Usually low transver: It should be ok to perform a low -transverse cesarean section with a vasa previa. Regards Dr M ...Read more

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Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

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

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Enlarged skull delivered by c section?

Enlarged skull delivered by c section?

Possibly: In cases where there is the suspicion of a large baby or a baby with a significantly enlarged head a c section would allow for less risk and possibly less harm to the baby since c sections permit a larger opening than the limited space of the birth canal. ...Read more

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Having a 6th c section at age 38?

Having a 6th c section at age 38?

Congratulations!: Congratulations on at least your sixth child. Your OB surgeon will have his/her work "cut out" for them due to possible adhesions at the time of the Cesarean. I hope you have completed your family with this pregnancy. ...Read more

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Should doc be aware of placental location before emerg c section?

Should doc be aware of placental location before emerg c section?

Yes and No: If truly an emergency, the placental location does not matter. Ideally, placental location is known ahead of time. Once a cesarean is in progress, placental location becomes very evident if it is low and attached to the front of the uterine wall. ...Read more

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Why is a csection riskier than a natural delivery?

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

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C sectioning: epidural or endotracheal intubation?

C sectioning: epidural or endotracheal intubation?

Depends on situation: In an emergency situation where the baby may be in distress, general anesthesia with intubation is often the fastest and most reliable choice. For an elective or less urgent csection, epidural or spinal anesthesia is preferred. Less medication reaches the baby, and the mother can be awake to see her baby right away. Talk to your anesthesiologist about anesthesia options for labor and delivery. ...Read more

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Is there any correlation between being a cesarean section baby and future delivery?

Is there any correlation between being a cesarean section baby and future delivery?

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