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To provide standards for the selection and management of women attempting a trial of labor following a previous cesarean birth. Definitions: Labor: Regular uterine contractions that cause progressive cervical change. Provider capable of performing a cesarean birth: An obstetrician, surgeon, or family practitioner who is credentialed to perform a cesarean birth. Admission: Occurs when labor has been diagnosed, or when decision is made to deliver the patient. Observation to determine if the patien.
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6th FAQ
ing to the American Congress of Obstetricians and Gynecologists (ACOG), a vaginal birth after cesarean, also known as VBAC, can be a safe and appropriate option. VBAC can work for many women who've had one, or even two, previous cesarean deliveries.
Women who have had a low transverse or low vertical incision are usually VBAC candidates. If you've had a prior high vertical (classical) incision, VBAC isn't recommended because of the risk of uterine rupture.
If you've had at least one prior C-section, you may want to know if you can have a successful future birth by vaginal delivery. The answer is yes, you likely can. Studies have shown that vaginal birth after cesarean delivery has a success rate of 60% to 80%.
You will need to wait at least 6 months but your doctor or midwife may advise you to wait for 12–18 months. The longer you leave your scar to heal, the stronger it will be. It's particularly important to make sure your scar has completely healed if you want to try for a vaginal birth next time.
Your risk of risk of uterine rupture is higher but it's still rare . There is a slightly increased risk of hysterectomy and blood transfusion in women having a VBAC after two previous caesarean births, compared with one previous caesarean birth .
After you have two C-section scars, each added scar in the uterus raises the risk of placenta problems in a later pregnancy. These problems include placenta previa and placenta accreta, which raise the risk of problems for the baby and your risk of needing a hysterectomy to stop bleeding.
A vaginal birth after C-section (VBAC) is possible for many women, but there are factors to help you and your doctor decide if it's right for you. Safety for you and your baby is the main thing to consider. VBAC isn't always safe for every woman.
You're more likely to need a planned caesarean section in future pregnancies if you have had one already . Yet it is still possible to have a vaginal birth after several caesareans.
Cna Related content
Vaginal Birth After Cesarean Delivery - StatPearls
by PJ Habak · 2022 · Cited by 31 — Vaginal birth after cesarean section (VBAC) is the...
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