7 doctors weighed in:
Complications led to a previous c-section, is it dangerous to attempt a vaginal delivery for my new pregnancy?
7 doctors weighed in

Dr. Brian Enggano
Obstetrics & Gynecology
3 doctors agree
In brief: Maybe...depends...
You are at higher risk when you have an old incision on the uterus whether it be from prior removal of a fibroid or a c-section.
The fear is that it may open up causing uterine rupture. With that said, the risk of uterine rupture depends on the location and number of the previous old incision(s). At the same time, there are risks to repeat c-sections as well. Discuss all options with your md.

In brief: Maybe...depends...
You are at higher risk when you have an old incision on the uterus whether it be from prior removal of a fibroid or a c-section.
The fear is that it may open up causing uterine rupture. With that said, the risk of uterine rupture depends on the location and number of the previous old incision(s). At the same time, there are risks to repeat c-sections as well. Discuss all options with your md.
Dr. Brian Enggano
Dr. Brian Enggano
Thank
Dr. Robert Benner
Obstetrics & Gynecology
2 doctors agree
In brief: VBAC is usually safe
Vbac, or vaginal birth after c-section is usually a reasonable alternative to repeat c-section.
There is approximately a 1% chance of a serious complication, and about a 75% likelihood of successful vaginal delivery. C-sections are quite safe, but the risk increases with each one. There are some patients who should not attempt a vbac, and your provider can help to weigh the risks and benefits.

In brief: VBAC is usually safe
Vbac, or vaginal birth after c-section is usually a reasonable alternative to repeat c-section.
There is approximately a 1% chance of a serious complication, and about a 75% likelihood of successful vaginal delivery. C-sections are quite safe, but the risk increases with each one. There are some patients who should not attempt a vbac, and your provider can help to weigh the risks and benefits.
Dr. Robert Benner
Dr. Robert Benner
Thank
1 comment
Dr. Danielle Salhany
The current literature support a trial of labor after cesarean for most women. Success varies from 60-75% depending on the reason for your first cesarean. The risk of uterine rupture (old scar opening) is <1%, but could have devestating consequences. You would need to be followed by an OB/GYN (not FP or midwife) who would be able to perform an emergency C/S if needed. Ask your Dr about it.
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