1. One study reports that the VBAC risk of uterine rupture is 4% if labor is permitted to begin naturally after after one prior low transverse (bikini cut) cesarean.(Landon, 2004)
According to the American College of Obstetricians and Gynecologists (ACOG), the risk of uterine rupture in a vaginal delivery is 0.5 - 0.9%.
Studies show that the risk increases if induction is used to augment labor.
2. There is a higher risk of uterine infection for mothers who have a trial of labor and then undergo a cesarean.
3. There is a small risk of an emergency cesarean rather than a planned repeat cesarean, which is likely to have been less traumatic.
4. There is a small chance that the VBAC will not succeed and a woman may repeat a prior negative experience if a cesarean becomes necessary.
ICAN concludes that when all short- and long-term consequences are considered, vaginal birth after cesarean has been shown to be less risky for both mother and baby than elective repeat cesarean section.
Vaginal Birth Video Clips - in a hospital setting
Birth Video Slideshows - Twins and Multiples
Child Birth Videos of VBACs (Vaginal Birth After Cesarean)
VBACs after CPD (Cephalo-pelvic Disproportion)
American College of Obstetricians and Gynecologists. (2010, July 21). Ob-Gyns Issue Less Restrictive VBAC Guidelines. Retrieved 29 August 2010, from ACOG: http://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm
American College of Obstetricians and Gynecologists. (2010). ACOG Practice Bulletin No. 115: Vaginal Birth After Previous Cesarean Delivery. Washington DC. http://blog.ican-online.org/2010/07/21/ican-responds-to-new-acog-guidelines-on-vbac/
Landon, M. B., Hauth, J. C., & Leveno, K. J. (2004). Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery. The New England Journal of Medicine, 351, 2581-2589.
ICAN - http://www.ican-online.org
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