4 doctors weighed in:

Why is a vbac so controversial?

4 doctors weighed in
Dr. Jeff Livingston
Obstetrics & Gynecology
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Jeff Livingston
Dr. Jeff Livingston
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Dr. Nikolaos Zacharias
Obstetrics & Gynecology - Maternal Fetal Medicine

In brief: Too risky!

It avoids another c/s in 65% cases, but at the expense of 0.
5-3% risk of uterine rupture which could result in maternal and/or fetal death or injury (including permanent brain injury). The fetus is 13-times more likely to die after a trial of labor with one prior kerr c-section compared to a prelabor repeat c-section.

In brief: Too risky!

It avoids another c/s in 65% cases, but at the expense of 0.
5-3% risk of uterine rupture which could result in maternal and/or fetal death or injury (including permanent brain injury). The fetus is 13-times more likely to die after a trial of labor with one prior kerr c-section compared to a prelabor repeat c-section.
Dr. Nikolaos Zacharias
Dr. Nikolaos Zacharias
Thank
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