Should i have vbac or c section

Extra monitoring checks everything is progressing well and detects any early signs of problems with your previous caesarean scar RCOG, If you choose to plan a vaginal birth after previously giving birth by caesarean, your preferences and priorities should be taken into account NICE, A woman in the UK who is deemed to have capacity to consent has the right to refuse a caesarean, and this should be respected NICE, Where it is difficult to agree a mutually acceptable solution between you and your healthcare professionals, you might choose to request a second opinion NHS Choices, b.

Depending on your local area, you might be able to request a discussion with a specialist midwife to discuss your birth plan NICE, 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 RCOG, b. You can ask to discuss whether a home birth might be suitable for your particular situation with your midwife and obstetrician North Lincolnshire NHS Trust, Some women find it hard to decide what to plan for or find it very emotional, after having a caesarean birth, especially if it was an emergency caesarean.

There is plenty of perinatal support available if you need it. You can also discuss any medical concerns with your midwife, health visitor or GP. Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: We also offer antenatal courses which are a great way to find out more about birth, labour and life with a new baby.

Make friends with other parents-to-be and new parents in your local area for support and friendship by seeing what NCT activities are happening nearby. You can look at the statistics for your local hospital on caesarean section rates and VBAC rates on the Which? 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. In the Community. Jobs at UC Davis Health. Working at UC Davis Health. Other UC Jobs. According to ACOG, a VBAC should be attempted only in a medical facility with staff available to step in if needed should uterine rupture or other unpredictable complications occur.

Trends over time After , however, the VBAC rate fell dramatically, and by just over 13 percent of women achieved a VBAC while the cesarean rate remained about 32 percent--nearly one in three U. Benefits and risks VBAC may offer several health advantages over another C-section: lower risk of hemorrhage and infection, likelihood of a shorter hospital stay and a faster recovery, and reduction in risk of negative outcomes related to multiple cesareans.

A shared decision Decisions regarding VBAC should be made on an individual basis, with physicians and pregnant women working together to weigh the risks of VBAC against those of a repeat cesarean.

Suggested Reads. Show references Metz TD. Choosing the route of delivery after cesarean birth. Accessed Feb. American College of Obstetricians and Gynecologists. Practice Bulletin No. Vaginal birth after cesarean VBAC. Mayo Clinic; Frequently asked questions. Labor, delivery and postpartum care FAQ Vaginal birth after cesarean delivery. Gabbe SG, et al. In: Obstetrics: Normal and Problem Pregnancies. Elsevier; Uterine rupture. Merck Manual Professional Version.

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