6 doctors weighed in:

What are the risks associated with a repeat c-section after laboring in attemp of vbac?

6 doctors weighed in
Dr. Nikolaos Zacharias
Obstetrics & Gynecology - Maternal Fetal Medicine
2 doctors agree

In brief: Infection, bleeding.

An urgent or emergent repeat cesarean section after failed trial of labor in women with a prior cesarean section can be a very morbid procedure with high risk for infection, fever, bleeding, transfusion, injury to the bladder, ureters, bowel, possible hysterectomy and infertility.
A prelabor repeat c-section is infinitely safer and more controlled - and is a much preferable choice.

In brief: Infection, bleeding.

An urgent or emergent repeat cesarean section after failed trial of labor in women with a prior cesarean section can be a very morbid procedure with high risk for infection, fever, bleeding, transfusion, injury to the bladder, ureters, bowel, possible hysterectomy and infertility.
A prelabor repeat c-section is infinitely safer and more controlled - and is a much preferable choice.
Thank
2 comments
Dr. Annette Fineberg
The risk of having a uterine rupture and needing an emergency cesarean after a previous cs is less than 1%, though. Tthe odds of having a successful VBAC averages 70% and that is safer than a prelabor cesarean.
Dr. Nikolaos Zacharias
Safer for whom? Prevents 1/10,000 maternal deaths but causes 1/1,000 fetal or neonatal deaths or permanent brain injury..
Dr. Yashica Robinson White
Obstetrics & Gynecology
2 doctors agree

In brief: VBAC

The biggest risk to consider in the case of a repeat c-section after a failed vbac is the risk of emergency surgery as opposed to a scheduled, controlled surgical delivery.
Unplanned c-sections have higher risk for maternal infection & excessive bleeding. In the rare event of uterine rupture (1-5%) there is risk of neurologic damage to baby. Consider the likelihood of successful vbac with your md.

In brief: VBAC

The biggest risk to consider in the case of a repeat c-section after a failed vbac is the risk of emergency surgery as opposed to a scheduled, controlled surgical delivery.
Unplanned c-sections have higher risk for maternal infection & excessive bleeding. In the rare event of uterine rupture (1-5%) there is risk of neurologic damage to baby. Consider the likelihood of successful vbac with your md.
Thank
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