A Woman 's Next Birth After Caesarean

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For a woman’s next birth after caesarean, she is faced with the choice between having a repeat elective caesarean section or a vaginal birth after caesarean (VBAC). If a woman fits the criteria for a VBAC, she should always be offered a VBAC before being booked for a repeat elective caesarean section. This is supported by discussing the benefits and risks of having a VBAC, the risks of a caesarean section, views of healthcare professionals, the impact on subsequent births and women’s beliefs on both VBAC and repeat elective caesarean section. A vaginal birth after caesarean should always be offered to a woman who fits the criteria for one. VBAC’s have been found to be more successful if the woman has had a previous safe vaginal birth and/or VBAC previously, has a low risk pregnancy, if it has been 18 months or more between deliveries (Ranzcog.edu.au, 2015), for women younger in age, for women whose previous caesarean section was elective (Stone, Halliday, Lumley & Brennecke, 2000) and who have a body mass index less than 30 (Shorten & Shorten, 2012). Dodd and Crowther (2003) found that for women with a parity of one, VBAC should be presented as an option for their next birth. They also suggest that a VBAC should be performed “in either a level two or three hospital, with the availability of an anaesthetist, neonatologist and operating theatre within 30 minutes” (Dodd & Crowther, 2003) and recommend “the use of continuous electronic fetal heart rate monitoring, intravenous
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