This will be used if it becomes necessary to give you fluid or drugs in an emergency situation. If labour does not start by 41 weeks, different options will be discussed with you by an obstetrician. These are:. Most women with two previous caesarean births will have their next baby by caesarean. These are when you: have never had a vaginal birth did not make progress in labour and needed a caesarean birth usually owing to the position of your baby are overweight — a body mass index BMI over 30 at booking.
These are when: you have had more than two previous caesarean births the uterus has ruptured during a previous labour you have a high uterine incision classical caesarean you have other pregnancy complications that require a caesarean birth such as a breech presentation Going into labour when a VBAC was planned You will be advised to labour in hospital so that an emergency caesarean birth can be carried out if it becomes necessary.
Not going into labour when a VBAC is planned If labour does not start by 41 weeks, different options will be discussed with you by an obstetrician. Doctors say vaginal birth after C-section can be a safe and appropriate option for many women - p. UC Davis Health. Upcoming Events Contact Us Giving. Primary and Specialty Care. Featured Clinical Programs. Other Clinical Resources. Centers and Programs. Other Research Resources. School of Medicine. Betty Irene Moore School of Nursing.
Other Programs and Training. Advisers and Friends. Fetus : The stage of prenatal development that starts 8 weeks after fertilization and lasts until the end of pregnancy. Obstetrician—Gynecologist Ob-Gyn : A physician who specializes in caring for women during pregnancy, labor, and the postpartum period. Placenta : Tissue that provides nourishment to and takes waste away from the fetus.
Uterus : A muscular organ located in the female pelvis that contains and nourishes the developing fetus during pregnancy. Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information. This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care.
It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. If you have had a previous cesarean delivery, you have two choices about how to give birth again: You can have a scheduled cesarean delivery. You can give birth vaginally. Your labor starts on its own and your cervix dilates well. You are younger than Your chances of a successful VBAC are lower when: footnote 2 Your previous cesarean was because of difficult labor, which is called dystocia.
This is especially true if you were fully dilated when you had a cesarean section for dystocia. You are obese. You are older than Your fetus is estimated to be very large [bigger than g 9 lb ]. You are beyond 40 weeks of pregnancy. Your last pregnancy was less than 19 months ago. You have preeclampsia. VBAC can be considered for pregnancies with twins. Risks of VBAC and Cesarean Deliveries Whether you deliver vaginally or by cesarean section, you are unlikely to have serious complications.
This occurs with about 25 out of women who try VBAC. But it doesn't happen with 75 out of women who try VBAC. About 5 out of women have a uterine rupture during a trial of labor. The chance of infection. Women who have a trial of labor and end up having a C-section have a higher risk of infection. This means that the risk of infection is lower after vaginal births and after planned cesareans.
Blood loss that requires a blood transfusion. Genital or urinary problems. Blood clots. Risks from anesthesia. A longer recovery time. Injury to the baby during the delivery. The injury usually isn't serious. Breathing problems respiratory distress syndrome for the baby after birth if the due date has been miscalculated and a cesarean is done before the baby's lungs are fully developed.
Exams and Tests Besides the usual prenatal tests, your doctor will take measures to assess whether vaginal delivery is likely to be a safe birthing option for you. Assessments done sometime during the pregnancy to help find out whether a trial of labor is a safe option may include: A review of surgery records to verify the type of incision used for a previous cesarean.
A fetal ultrasound. Fetal heart monitoring , which is also used during labor and delivery to watch for fetal distress. Fetal heart monitoring can also help detect a sudden uterine rupture. A rupture is typically followed by a sudden and then ongoing drop in fetal heart rate. The mother might notice bleeding and pain. Childbirth and VBAC education To prepare for labor, consider taking a childbirth education class at your local hospital or clinic.
You and your birthing partner can learn: What to expect during labor and delivery. How to manage the birth using controlled breathing and emotional and physical support. What medical pain-control options may be available for a vaginal delivery.
Labor Other than requiring closer monitoring, trial of labor after cesarean, or TOLAC labor, is the same as normal labor. For more information, see: Labor and Delivery. Cesarean Section. What to Think About Any woman in labor—not just one attempting a vaginal birth after cesarean VBAC —might have complications during childbirth that require a cesarean section delivery.
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