Doctor insights on:
Why Is A Vbac So Controversial
Uterine Rupture: Vaginal delivery after c section is controversial because of a complication that occurs in approximately 1/200 cases where the scar from the previous surgery opens up. This is called a uterine rupture. Strict guidelines in hospitals as well as the medical legal climate have made it difficult for some doctors to offer this service. ...Read moreSee 1 more doctor answer
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
Yes: Vbac is safe in appropriately selected patients. Serious complications occur in less than 1% of patients. It is important to consider the uterine incision used for any prior c/s and the reason for any prior c/s. Important to have immediate access to operating room if needed. ...Read moreSee 1 more doctor answer
Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed. ...Read moreSee 2 more doctor answers
Uterine Rupture: The most worrisome risk of a VBAC is rupture of the uterine scar. If you have a low-transverse uterine scar, the risk of this is low, around 1% (1 in 100). However if it happens to you, it can be very dangerous for your baby. Another risk is problems in labor that lead to a c/section anyway. This happens to 20%-40% of VBACs. Infections are higher in women who had a c/section after labor. ...Read more
Lot of variables : To have a higher likelihood of a vbac, you should have a cervix that's dilated, better if you are already in labor. If you had a previous csection for failure to progress in labor, you are less likely to deliver vaginally then someone who had a cs for breech presentation. ...Read moreSee 1 more doctor answer
<8%.: <8% of all women with one prior cesarean section have a successful vbac in the us nowadays. 92% choose to or need to have another c-section. The right candidate for triqal of labor after cesarean (tolac) should have at least 65-70% chance of successful vbac. ...Read moreSee 1 more doctor answer
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
Risky proposition.: Vbac (vaginal birth after cesarean section) sounds like a worthwhile goal, but given the risks associated with it (uterine rupture, maternal-fetal hemorrhage/death) only consider it with one prior kerr c-section, normal weight for height, prompt access to a large maternity hospital, and desire for at least 1 more pregnancy after this current one. Fetal death/injury is ~10 times increased in tolac. ...Read more
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