If your obstetrician delivered her last baby by caesarean , you may wonder if trying to have a birth vaginal is a good idea when it comes to your next baby.
Many women do, but there are risks.
The biggest concern is that the scar on the uterus could come open during childbirth. It is a serious complication that requires emergency surgery. And it is dangerous to both you and your baby.
“After a C-section, there is a probability of less than 1 percent for uterine rupture, but that level of risk is acceptable,” says Jeff Chapa, MD , Head of the Maternal fetal Medicine section at the Department of Obstetrics and Gynecology hospital Cleveland Clinic Children.
“After two Caesareans, your risk increases to 1 to 2 percent, and at that time, most doctors recommend repeat cesarean” he says.
You and your doctor should discuss three key questions before deciding whether to attempt a vaginal birth with your next baby.
If you had a successful vaginal birth before or if there was a recurring reason for cesarean section, then chances are that you can try a vaginal birth next time.
“nonrecurring indications, such as breech presentation [when the baby is bottom first instead of headfirst] or fetal distress, given the favorable opportunity for a vaginal delivery in a subsequent pregnancy , “says Dr. Chapa.
However, if the problem is likely to happen again – as the detention of work, where it came to labor, but the baby would not -. Could mean the shape of your pelvis can not accommodate a vaginal delivery
“If your work does not progress and had to have a caesarean section is more likely to have the same happens in a future pregnancy,” says Dr. . Chapa.
Doctors usually use two basic types of incision – transverse (horizontally across your uterus) or classical (vertical). The type of incision figures in deciding whether it is safe for you to try labor for your next installment.
“If I had a low transverse cesarean section, which means that the incision in the uterus was in the lower segment – which is how most cesareans are today – then it is sure to have a labor” says Dr. Chapa.
However, there is a much higher that the uterus will break if the surgeon uses a classical incision (up and down) in the uterus risk. Despite a generally transverse incision is preferred, sometimes doctors are still using classical incisions, especially in emergencies or when the baby is very premature.
If you are not sure of the type I had, you can be found by asking for a delivery report.
Although there is no perfect prediction model, there are several other risk factors that make a successful vaginal birth after cesarean is less likely. You are in great risk of ending up with a failed test work if:
is a good idea to talk to your doctor about delivery options to top her pregnancy.
You want to discuss:
the conversation should continue throughout pregnancy. If circumstances change, you may need to adjust your plan.
is important to think carefully about what you feel is right for you. “This is an individual decision and one you should make based on their own history and preferences, concerns and beliefs,” says Dr. Chapa.
“It’s a decision you should make with your doctor, if a family member or friend had a vaginal birth after cesarean, that does not mean it’s necessarily the way to go for you” duck.
He says it’s okay to attempt a vaginal birth after cesarean. However, you should know that the risk of surgical complications is somewhat greater with a cesarean section performed after a failed test labor if a cesarean section is chosen.
Can you have a vaginal birth after a cesarean? , article source: https://health.clevelandclinic.org/2016/05/can-vaginal-birth-c-section/