Im a 27 yr old exspecting mom. This is my third child my first two were 21/2 yrs apart my first was c section and second was natural. when i found out i was pregnant with my 3rd i learned a new word vbac.I'm 13 wks from delievery and very concerned on what to do all the info i find talks about vbac for second child or vbac after 2 c section but im a vbac after having a natural after a c section if i can get any help it would help alot.
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edsitewa
Administrator posted 13 January 2001 10:11 AM
Hi.
"Jo" has replied to your post in the VBAC Discussion forum.
She suggests looking at the following study:
The study's name is "Successful first vaginal birth after cesarean section: a predictor of reduced risk for uterine rupture in subsequent deliveries."
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Dr David
Moderator posted 25 January 2001 09:14 AM
There is good information on two of the commonest obstetric questions regarding your situation - a woman with previous Caesar and previous natural birth.
What is the chance of natural birth this time?
Caughey's group report 800 women with a history of 1 previous Caesar and 1 previous vaginal birth. 500 had one Caesar followed by one vaginal birth and 92.8% birthed naturally next time. 85.3% of those women with vaginal then Caesar birthed naturally next time. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9790374&dopt=Abstract
What is the risk of uterus rupture? &endash; which is the extra medical risk that a women with previous Caesar faces when trying for natural birth.
The same group (different principle author) report 3783 women with one previous Caesar. During VBAC attempt next time, the rupture rate was 1.1% (30 in 2762) for those without prior vaginal birth, but only 0.2% (2 in 1021) for those with prior vaginal birth. There were no mother or baby deaths associated with the ruptures. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11084564&dopt=Abstract
Dr.David
DISCLAIMER:
This advice is of a general nature to help in decision-making. It
does not constitute recommended treatment for an individual. You must
consult your health care provider for individual
advice.