Vaginal Birth After C-Section Poses Risks

Women who attempt to deliver their babies vaginally after a Caesarean section face some health threats to themselves and their babies, although those risks are small. A new study has confirmed that the rate of a uterine rupture, one of the most serious consequences of a C-section, is between 0.5 and 1 percent.

Women undertaking trial of labor need to consider several factors, including the risk of a serious event for her or her newborn. Although most uterine ruptures can be repaired, some require a hysterectomy. More importantly, however, uterine rupture can cause death or brain damage in the fetus.

"For women undergoing trial of labor, the overall risk of one of these serious adverse outcomes at term is one in 2,000 trials of labor," Landon said. "For many women, that level of risk is clearly acceptable, with the benefit being a potential vaginal birth with shorter recovery, less hospitalization, and the satisfaction that goes with vaginal delivery itself. For other women, any level of potentially preventable fetal risk is unacceptable."





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