The Birth Of Pregnancy After C Sections

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

The intent of this paper is to examine effective solutions for reducing cesarean deliveries. Cesarean deliveries involve more risk to both the mother and baby than vaginal births do. Cesarean deliveries have a higher potential of complications than vaginal births. Cesarean deliveries cost more, require longer hospital stays, and require more resources—both human and systemic—than vaginal births.

Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally

Due to cesarean section, it is proven that c-section birth causes infants to be at greater risk of developing a host of illnesses such as, asthma, type 1 diabetes, as they progress and grow older; As Australia has one of the highest c-section rates in the world with now at 32% of the population having a cesarean birth (s. McCulloch, 2018). Indigenous mothers are more likely to experience more long-term issues and even perinatal death compared to the 0.7% of non-aboriginal and non-Torres Strait islander mothers (The Department of Health, 2011).

Presently the Cesarean rate in United States is about 1 in 3. There are many medical reasons for which women should have a C-section, recognized by keeping both mother and babies safe and healthy. In particular, there are certain health conditions like heart disease, HIV or some sexually transmitted diseases as herpes which will not allow for a safe delivery for baby through the vaginal canal, or cause distress to either mother or baby. Also, position of the baby or the cord can be an issue, which can be life threatening for the baby.

Cesarean birth can be lifesaving for the fetus, the mother, or both in certain cases. However, the rapid increase in cesarean birth rates from 1996 through 2011 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused (Caughey,

The purpose of this handbook is to advise expectant mothers to avoid getting a C- section when it is time for them to give birth. In addition, the report discusses what a C-section is and the risk factors associated with it. This report points out that many doctors and hospitals tend to preform unnecessary C-sections in order to gain more money.

Ever wonder what form of delivery is safer? Well first off what are the forms of delivery? There are two forms of delivery. There is either a vaginal delivery or a cesarean delivery. A vaginal delivery is where the baby passes through the birth canal by normal means. A cesarean section is where the baby is pulled out through an incision made in the mothers stomach and uterus.

CTVNews released an article on September 7, 2016 regarding the findings in a study published in Jama Pediatrics. The study was conducted in the United States linking babies born by caesarean section (C-section) to an increased likelihood of becoming obese.1 C-section is a procedure used during high-risk pregnancies. This method of delivery is an option; however, it may be associated with negative health outcomes. The news story sheds light on the findings and illustrates a 15% increased likelihood of a child becoming obese when born by C-section instead of vaginal delivery.1 The heightened risk was primarily significant amongst siblings. The findings depict a 64% increased likelihood of becoming obese when born by C-section as opposed to siblings who are delivered vaginally.1 In addition, the news story details that vaginal births after previous C-section deliveries has a 31% less likelihood of the child becoming.1

Today, more people are having babies and more people are more commonly have to undergo C-Sections. It is becoming more common to have a C-Section than a vaginal birth because of the complications that doctors are discovering. Having to undergo this procedure is not necessarily a bad thing. This procedure helps the mother have the baby in a more calm environment and the mother is not in agonizing pain for hours upon hours. C-Sections can be a life saving procedure that help couples become

As stated by Penny Simkin, April Bolding, Ann Keppler, Janelle Durham, and Janet Whalley, the authors of the number one best-selling book, Pregnancy, Childbirth, and the Newborn: The Complete Guide, “While maternity care practices are continually changing the way women are helped to give birth, childbirth itself hasn’t changed. How a women’s body functions during pregnancy, labor, birth, and the postpartum period—and what she needs during these things—hasn’t changed since the beginning of humankind.” The process of birth is one of God’s greatest miracles. Although all babies go through the same stages of conception and development while in utero, that “average gestation period is 280 days, but it can be shorter or longer by as many as 14 days. At the end of the gestation period, the fetus has reached full term and is positioned for the birth process. The process, generally referred to as labor, includes three stages” (Wittmer, Petersen, Puckett, 2013, pg. 103). However, not all babies are born through vaginal births and as technology has increased many doctors are beginning to see a trend of patients asking for elective C-sections for non-medical reasons for convenience and avoiding the pain of labor, as well as concerns about vaginal tearing, incontinence, or other complications.

This finding is important because a cesarean section involves a major surgical procedure which can result in complications for the mother and child. Furthermore, a cesarean section is associated with a greater occurrence of other issues, such as depression, trauma, and death of the mother (Ashford, & LeCroy, 2013).

Many births are difficult for women and by not being able to deliver naturally due to medical implications or simply by conscious choice, they are compelled to decide on a cesarean section. Cesarean section is a medical procedure where a doctor makes an incision in the abdomen, adjusting organs, and making incision’s near the bladder and bowels” (Hatfield pg 2 par 4). Cesarean sections take four to six weeks for the mother to fully recover, and on top of that she has to meet the demands of a newborn. Having to care for a baby instead of staying rested for the recovery time takes a toll on a woman’s

Perhaps one of the most important and difficult decisions an obstetrics care provider attending births in a hospital setting can make is when to admit women to labor and delivery units. A literature review evaluating the PICO question: “In nulliparous women with singleton, vertex pregnancies, does admission to labor and delivery units in active labor, defined as cervical dilation of 4 cm or more and regular uterine contractions compared to admission in early labor, defined as cervical dilation less then 4 cm and irregular uterine contractions, reduce the incidence of primary cesarean section,” supplied sufficient evidence to support admission to labor and delivery units in active labor. Neal, et al., and Bailit, et al., used similar methods to evaluate the outcomes of low-risk women admitted in early labor versus active labor. They both reported that low-risk women admitted to labor and delivery units in early labor were more than twice as likely to have a cesarean section. They also reported that this group was more likely to have increased interventions. In a third, older study, McNiven et al., (1998), conducted one of the only randomized controlled trials to evaluate admission to labor and delivery units in

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.