Whats riskier repeat C-section or VBAC?

What are the risks of VBAC? While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture.
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Is second C-section better than VBAC?

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.
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Should I go for VBAC or C-section?

The American Congress of Obstetricians and Gynecologists has recommended VBAC as a safe and appropriate choice for most women who have had a prior C-section. However, not all doctors or hospitals are equipped to handle a VBAC, and some simply choose not to do them.
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Are repeat C-sections easier?

A repeat caesarean section usually takes longer and is more difficult than a first operation because of scar tissue. It carries a possibility of wound infection and blood transfusion.
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Is a VBAC considered high risk?

What are the risks of a VBAC? Some risks of a VBAC are infection, blood loss, and other complications. One rare but serious risk with VBAC is that the cesarean scar on the uterus may rupture (break open). Although a rupture of the uterus is rare, it is very serious and may harm both you and your fetus.
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Where do they cut for 2nd C-section?

During a C-section, your doctor makes two incisions. The first is through the skin of your lower abdomen, about an inch or two above your pubic hair line. The second is into the uterus, which is where the doctor will reach in to deliver your baby.
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How can I increase my chances of a VBAC?

Increasing Your Chances for a Successful VBAC
  1. Had at least one vaginal birth before your C-section.
  2. Over 18 months has passed since your last C-section.
  3. No obstetric problems such as placenta previa or fibroids.
  4. Younger than 34 years old.
  5. Healthy and not overweight.
  6. No high blood pressure.
  7. Deliver at 40 weeks or earlier.
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Is second C-section worse than first?

For women who delivered their first baby by cesarean section, delivering a second baby also by C-section may be somewhat safer for both mother and baby than a vaginal birth, a new study reveals.
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Is second VBAC safer?

Recently, ACOG stated that VBAC is safer than a repeat cesarean, and VBAC with more than one previous cesarean does not pose an increased risk.
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What are the risks of repeat C-sections?

The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa).
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Is a repeat C-section safer?

The researchers concluded that while the actual risk for both forms of delivery was quite small, elective repeat C-sections were associated with significantly lower risk for both mother and baby.
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What's safer C-section or natural?

Vaginal birth is much safer than a C-section for most women and babies. Sometimes a C-section is the only safe option, like when the baby is positioned side-to-side in the belly (transverse lie) or the placenta is covering the cervix (placenta previa).
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How can I strengthen my uterus for VBAC?

Take vitamins and herbs that are shown to strengthen your uterus, such as evening primrose oil and red raspberry leaf. Drink plenty of water and exercise regularly to gain mental and physical stamina. Get outdoors often.
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How many C-sections can a woman have?

“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
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How do you prevent uterine rupture during VBAC?

How Can Uterine Rupture Be Prevented?
  1. plan to become pregnant before the age of 30.
  2. not opt to have a C-section unless it's absolutely necessary.
  3. avoid having an additional pregnancy within 2 years of a C-section.
  4. keep all doctor's appointments, especially in the last trimester of pregnancy.
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Is it safe to have a VBAC after 2 C-sections?

But now, guidelines have changed. According to the American Congress of Obstetricians and Gynecologists (ACOG), a vaginal birth after cesarean, also known as VBAC, can be a safe and appropriate option. VBAC can work for many women who've had one, or even two, previous cesarean deliveries.
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Why I chose a repeat C-section?

It gives you a tiny bit of motivation that you can make it a few more days and then your baby will be in your arms. Also, you will never have to be pregnant longer than 39 weeks since most doctors will schedule a repeat planned c-section during this time.
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Do second babies come earlier after C-section?

One rule of thumb, DeAngelis said, is if a woman who previously had a cesarean should spontaneously go into labor with her second baby, chances of having a vaginal delivery increase.
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Is second CS painful?

A C-Section Is Not as Traumatic the Second Time Around

You're tired, you're scared, and you're in pain. You feel completely out of control. A planned C-section is a different cup of tea altogether.
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What's the most C-sections a woman has had?

Kristina House (USA) has given birth to 11 children (six girls and five boys) all by Caesarean section between 15 May 1979 and 20 November 1998.
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Can I have a 3rd C-section?

VBAC can be a safe option if you've had one or even multiple previous cesarean deliveries. Potential benefits include shorter recovery time and lower risk of surgical complications. However, it's not for everyone. For example, the more C-sections you have, the more likely you are to have a uterine rupture.
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Why do Vbacs fail?

The results also revealed that the most important causes of VBAC failure were prolonged labor [odds ratio (OR) = 4.70)], full arrest (OR = 2.70), and decline fetal heart (OR = 5.31).
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Can you get an epidural during a VBAC?

Anesthetic Management of VBAC

Fig. 2. Issues related to attempted vaginal birth after cesarean delivery (VBAC). The preponderance of evidence suggests that labor epidural analgesia may be used safely during a trial of labor and does not affect the likelihood of successful VBAC.
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How long does a 2nd C-section take?

Caesarean section surgery usually takes 30-60 minutes, although the entire process takes a few hours. There'll be many people in the operating theatre with you. You can usually have a support person. You can usually see and hold your baby straight after a caesarean.
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How many times can a woman give birth through CS?

There's usually no limit to the number of caesarean sections that you can have. But the more caesareans you have, the longer each operation will take, and the higher your risk of complications becomes. If you've had a caesarean in the past, it's still possible to give birth to your baby vaginally.
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