Are Repeat C-Sections Safer Than Natural Birth?

Planned repeat cesarean section is associated to healthier outcomes along in addition to mothers and babies compared to vaginal birth after cesarean, or VBAC, in a subsidiary testing from Australia.

Death and invincible health issues similar back either delivery method were scarce.

But women in the psychoanalysis who had planned surgical deliveries experienced fewer gigantic bleeding issues compared to women who planned to have VBAC deliveries, and their babies were roughly half as likely to die or strive earsplitting health problems as regards the time of birth.

One in three babies born in the United States is delivered by cesarean section, and the rate of vaginal deliveries in women who have had C-sections continues to decrease.


Many ob-gyns no longer find the child support for VBAC deliveries to their patients, and many insurers no longer meet the expense of them.

While the Australian testing suggests that planned repeat cesarean sections may be safer than labor in women who have had previous C-sections, it isnt that easy, says Catherine Y. Spong, MD, of the National Institute of Child Health and Human Development.

Repeat C-sections carry their own risks, and those risks rise considering each pregnancy.

The earsplitting endure-home for me is that we compulsion to prevent the first cesarean delivery whenever attainable, she tells WebMD. Clearly the safest delivery method for both mother and baby is an uncomplicated vaginal delivery. The tortured is, we dont know which patients will have uncomplicated deliveries.

2 Stillbirths in Planned VBAC Group

The Australian psychotherapy included 2,345 pregnant women who had one previous delivery by C-section and were considered candidates for VBAC.

Planned C-section deliveries were scheduled for 1,108 women and VBAC deliveries were planned for the remaining 1,237 women.

But less than half (43%) of the women who chose to labor finished occurring having vaginal deliveries. The ablaze had elective C-sections or had emergency surgical deliveries due to complications.

There were two unexplained stillbirths in the planned vaginal delivery work. There were no infant deaths along surrounded by babies born to women who had scheduled cesarean section.

The rate of fetal or infant death or colossal health issues prior to hospital freeing was 2.4% in the planned VBAC organization, compared to 0.9% in the planned C-section organization.

The researchers concluded that though the actual risk for both forms of delivery was quite small, elective repeat C-sections were amalgamated when significantly demean risk for both mother and baby.

In a connected testing, researchers in the U.K. found that repeat C-sections raised the risk for uterine postponement, a rare but certainly earsplitting pregnancy complication.

Risk was highest together surrounded by women who had two or more prior C-sections and those who had repeat C-sections less than 12 months after the last C-section.

Of the 159 uterine ruptures identified in the breakdown, 139 occurred together along along moreover women who had previously had a C-section.

Both studies feint the March matter of the journal PLoS Medicine.

Ob-gyn professor F. Gary Cunningham, MD, says even if the risks are little, no method of childbirth is risk-pardon. Cunningham is a distinguished chair in obstetrics and gynecology at the University of Texas Southwestern Medical Center in Dallas.


In 2010, he chaired a panel of experts convened by the National Institutes of Health to study the reasons for the deposit less in VBAC deliveries in the U.S.

In the mid-1990s, very roughly 1 in 4 deliveries in the midst of a C-section were vaginal, compared to behind than reference to 1 in 10 today, Cunningham tells WebMD.

The panel concluded that VBAC was a safe every option to repeat C-section for women who had had a single C-section delivery.

No matter what delivery method is used, there are going to be some rare bad outcomes, Cunningham says. But if a girl knows the risks and is a candidate for a measures of labor, she should be supple to have one.

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