A friend gave me a book when I was pregnant with her 3rd. The second child was born by Caesarean section, while the first child was born normally. When pregnant, I'm sure if I was having a vaginal birth after cesarean section. Well, this book also adds to my confidence for that.
Previously, if a woman had a cesarean delivery, she had given birth to all infants by cesarean then anyway. According to the book Normal Delivery After Cesarean, written Elizabeth Kaufmann, publisher BIP, that rule does not apply anymore. With a vaginal birth after a cesarean or vaginal birth after cesarean (VBAC), many women can give birth normally and safely after they underwent cesarean.
The reason a mother should be giving birth by Caesarean section because of them in a state of breech babies, older maternal age (between 30 - 40's years), induction failure, placenta previa (the placenta grows in the lining of the uterus), solutio placenta (the release of some or all of part of the placenta from the uterine wall), cord prolapse (umbilical cord sticking out through the birth canal first), active genital herpes, as well as multiple births (twins or more babies).
The only reason most commonly to perform a cesarean anyway because the mother had undergone a previous cesarean. Although the reason that you live your previous cesarean is probably a good enough reason to undergo surgery next section, on its own grounds is no longer considered a good medical reason.
If you receive a lower transverse uterine incision at caesarean section before, this is not a medical reason to undergo a caesarean section on the next delivery. Some doctors even went far enough to say that there is no reason why you should be allowed to undergo a caesarean section when you have to try to live a normal labor and delivery fails.
If the slices are previously owned transversal slices down, picks from the 1995 ACOG Practice Patterns doctor recommends that you shall in "counseled and encouraged to undergo trial normal birth" in your current pregnancy, unless there are contraindications.
Then when it had undergone caesarean more than once with the transverse slices, most studies indicate that the risk for you and your baby no bigger than women who previously underwent cesarean once. The paper proposes a normal delivery trial for "ladies choice" in this group. So, the first in-depth talk with your doctor.
The most serious medical risks for the mother and baby VBAC is uterine laceration scar perfect location. If this happens, the baby should be born by Cesarean section immediately because the blood flow to the baby will be disrupted. Unfortunately, if the tear is discovered too late, the baby or the mother could die. The steps to be taken to improve the mother's uterus and prevent excessive blood loss. In most cases, a hysterectomy (removal of uterus) is done because the uterus can not be saved. However, the risk of tearing the uterus in women who are trying to slice down VBAC less than 1%.
Risk is not too serious VBAC is splitting or tearing of scar tissue in the uterus, which occurs in 2% of women with sliced transveral below. Rips can be asymptomatic, without pain or bleeding, and is usually known as the examination after VBAC. Although it can heal itself, even if there are limited data regarding the risk of tearing the next pregnancy.
If you or your doctor suspect the baby more than 4,000 grams, this factor should not hinder the desire to VBAC. However, the bigger the baby, the less likely the success of VBAC.
Who should not try a VBAC? A mother who had a cesarean with previous classical uterine incision is a contraindication for normal delivery experiments. Type of incision is related to the level of cervical laceration to 12%.
VBAC security level also can not be determined in women with breech (buttocks or feet when it is in a position to come out ahead. According to the National Center for Health Statistics in 1993, 85.2% of infants with breech dillahirkan cesareans and breech position were found in 14 , 7 & c-section delivery.
Other contraindications to vaginal delivery trial after Caesarean surgery with no permit vaginal delivery at primary cesarean. Includes previously identified fetal distress, hypertension, diabetes or gestational diabetes, genital herpes, eclampsia, hydramnios or oligohydramnios (amniotic fluid is too much or too little). Most of the primary c-section surgery performed after labor begins, complications arise, and the baby would not come out.
Researchers in New York, led by Mortimer G. Rosen, MD, doing something called a meta-analysis of 29 studies infividual VBAC success indicators. Of all the studies that were analyzed together, they reached the following conclusions.
1, women who underwent cesarean delivery for breech having a VBAC success rate two times higher than when cesareans performed for other reasons. (This implies that less frequent complications of breech recur than other complications).
2. Women who had had vaginal deliveries had a VBAC success rate two times higher than those who have never been through it.
3. Women who undergo caesarean section for head-pelvic disproportion only have half the chance of success when previous cesareans performed for other reasons. (In other words, head-pelvic disproportion is more likely to recur than other complications).
4. Women who get Pitocin to strengthen contractions during labor experiment has only one-third chance of success if they do not get Pitocin VBAC.
5. Women with a history of cesarean section more than once just to have two-thirds of women with a history of success probability cesarean only one time.
Although the time to argue with the doctor who examined me, because he insisted I had to give birth by Caesarean section as to give a deadline, I was finally able to give birth normally with sweepstakes intestines around his neck. Subsequent births can be done normally, although I only assisted by a midwife.
In the end, the choice given to expectant mothers who prepared childbirth. To be able to give birth safely, always consult with your physician. Perform regular checks on pregnancy and your health, so you can choose the best way for the birth of the baby.
Previously, if a woman had a cesarean delivery, she had given birth to all infants by cesarean then anyway. According to the book Normal Delivery After Cesarean, written Elizabeth Kaufmann, publisher BIP, that rule does not apply anymore. With a vaginal birth after a cesarean or vaginal birth after cesarean (VBAC), many women can give birth normally and safely after they underwent cesarean.
The reason a mother should be giving birth by Caesarean section because of them in a state of breech babies, older maternal age (between 30 - 40's years), induction failure, placenta previa (the placenta grows in the lining of the uterus), solutio placenta (the release of some or all of part of the placenta from the uterine wall), cord prolapse (umbilical cord sticking out through the birth canal first), active genital herpes, as well as multiple births (twins or more babies).
The only reason most commonly to perform a cesarean anyway because the mother had undergone a previous cesarean. Although the reason that you live your previous cesarean is probably a good enough reason to undergo surgery next section, on its own grounds is no longer considered a good medical reason.
If you receive a lower transverse uterine incision at caesarean section before, this is not a medical reason to undergo a caesarean section on the next delivery. Some doctors even went far enough to say that there is no reason why you should be allowed to undergo a caesarean section when you have to try to live a normal labor and delivery fails.
If the slices are previously owned transversal slices down, picks from the 1995 ACOG Practice Patterns doctor recommends that you shall in "counseled and encouraged to undergo trial normal birth" in your current pregnancy, unless there are contraindications.
Then when it had undergone caesarean more than once with the transverse slices, most studies indicate that the risk for you and your baby no bigger than women who previously underwent cesarean once. The paper proposes a normal delivery trial for "ladies choice" in this group. So, the first in-depth talk with your doctor.
The most serious medical risks for the mother and baby VBAC is uterine laceration scar perfect location. If this happens, the baby should be born by Cesarean section immediately because the blood flow to the baby will be disrupted. Unfortunately, if the tear is discovered too late, the baby or the mother could die. The steps to be taken to improve the mother's uterus and prevent excessive blood loss. In most cases, a hysterectomy (removal of uterus) is done because the uterus can not be saved. However, the risk of tearing the uterus in women who are trying to slice down VBAC less than 1%.
Risk is not too serious VBAC is splitting or tearing of scar tissue in the uterus, which occurs in 2% of women with sliced transveral below. Rips can be asymptomatic, without pain or bleeding, and is usually known as the examination after VBAC. Although it can heal itself, even if there are limited data regarding the risk of tearing the next pregnancy.
If you or your doctor suspect the baby more than 4,000 grams, this factor should not hinder the desire to VBAC. However, the bigger the baby, the less likely the success of VBAC.
Who should not try a VBAC? A mother who had a cesarean with previous classical uterine incision is a contraindication for normal delivery experiments. Type of incision is related to the level of cervical laceration to 12%.
VBAC security level also can not be determined in women with breech (buttocks or feet when it is in a position to come out ahead. According to the National Center for Health Statistics in 1993, 85.2% of infants with breech dillahirkan cesareans and breech position were found in 14 , 7 & c-section delivery.
Other contraindications to vaginal delivery trial after Caesarean surgery with no permit vaginal delivery at primary cesarean. Includes previously identified fetal distress, hypertension, diabetes or gestational diabetes, genital herpes, eclampsia, hydramnios or oligohydramnios (amniotic fluid is too much or too little). Most of the primary c-section surgery performed after labor begins, complications arise, and the baby would not come out.
Researchers in New York, led by Mortimer G. Rosen, MD, doing something called a meta-analysis of 29 studies infividual VBAC success indicators. Of all the studies that were analyzed together, they reached the following conclusions.
1, women who underwent cesarean delivery for breech having a VBAC success rate two times higher than when cesareans performed for other reasons. (This implies that less frequent complications of breech recur than other complications).
2. Women who had had vaginal deliveries had a VBAC success rate two times higher than those who have never been through it.
3. Women who undergo caesarean section for head-pelvic disproportion only have half the chance of success when previous cesareans performed for other reasons. (In other words, head-pelvic disproportion is more likely to recur than other complications).
4. Women who get Pitocin to strengthen contractions during labor experiment has only one-third chance of success if they do not get Pitocin VBAC.
5. Women with a history of cesarean section more than once just to have two-thirds of women with a history of success probability cesarean only one time.
Although the time to argue with the doctor who examined me, because he insisted I had to give birth by Caesarean section as to give a deadline, I was finally able to give birth normally with sweepstakes intestines around his neck. Subsequent births can be done normally, although I only assisted by a midwife.
In the end, the choice given to expectant mothers who prepared childbirth. To be able to give birth safely, always consult with your physician. Perform regular checks on pregnancy and your health, so you can choose the best way for the birth of the baby.
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