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Vbac Vs C Section
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
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
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?
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
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
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
Success rate of a version procedure on transverse baby? Two prior vaginal deliveries, really don't want 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
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
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
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 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
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
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
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 moreSee 2 more doctor answers
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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