Vaginal Birth After Cesare The National Guideline Clearinghouse

Delivering vaginally in any if these cases would be very difficult and dangerous not just for the mother, but also for the baby. However, cesarean delivery is not always chosen in advance, it is also used in emergency situations and during difficult deliveries where it may be the safest option about 10 to 15% of women develop problems that lead to cesarean birth (Lenox Hill Hospital, 1)

She is without complaints. She has not noted any increase in preterm labor. No signs/symptoms or change in pelvic pressure. She is compliant with bedrest and has help taking care of her son. She is otherwise aware that she should discontinue Motrin next week and is aware of the signs/symptoms that we are monitoring. The placental cord insertion does appear marginal as noted on prior ultrasound and we are following monthly growth. She is aware that after surveillance of cervical length which will the last one we would anticipate would be next week at 32 weeks and after that we would still recommend monthly evaluation of fetal growth. Preterm labor precautions were reviewed. She is scheduled to return in one

In depth discussion of planned and emergency C/S deliveries were also discussed. Planned C/S births were defined as “breech presentation, multiple pregnancy, preterm birth, small for gestational age, placenta praevia, morbidly adherent placenta, cephalopelvic disproportion in labor, mother-to-child transmission of maternal infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was outlined” (National Guideline Clearinghouse, 2011). An in-depth outline of anesthesia and surgical techniques followed. It seems that this source addressed nearly every type of C/S birth technique, including “method of placental removal, exteriorization of the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic administration and thromboprophylaxis for C/S births. Care of the woman after C/S surgery, routine monitoring, pain management, eating and drinking after surgery, and removing the urinary catheter after C/S surgeries was also discussed(National Guideline Clearinghouse, 2011)”. There is even a benefits/harms section that looks at potential risks and successes of C/S deliveries. The National Guidelines Clearinghouse

Many woman give up in labor and beg the doctor to perform a cesarean section or many times the doctor does not want to wait for the laboring patient to progress on their terms and will call for a cesarean section. A cesarean section is a major abdominal surgery. Many woman are not educated in the short and long term effects of having one to be able to stay as far away from them. Maternal complications can be both physical and emotional due to the fact that the woman will not be able to care for her infant exclusively on her own during the recovery period. The first and most common complication with a cesarean section is surgical site infections. This could be caused by many things. It could be a cause of not cleaning the skin properly, a break in sterile technique, or personal hygiene of the wound during the recovery period. It can also be caused by the way the incision is closed. “ The use of staples for skin closure was associated with a marginally statistically significant increase in surgical site infections” (Corcoran 2013, pg. 1262). Infections can also be seen as urinary tract infections, endometritis, and pneumonia. Another complication that can occur from a cesarean section is a thrombus which can lead to pulmonary embolism. When a person has a cesarean section, they are bed bond more than a vaginal delivery. This causes the blood to not circulate in their legs

A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes

Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that are not supported by the evidence and can increase a woman’s risk of having a cesarean section. These intrusions into labor and birth often lead to what has been called the “cascade of interventions” (DeClercq, Sakala, Corry,

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.

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.

"Women who undergo vaginal births avoid major surgery and its associated risks, such as severe bleeding, scarring, infections, reactions to anesthesia and more longer pain." (Nierenberg) For the mother, "the experience of actively delivering a baby is exciting and empowering. (Why Choose Vaginal Birth). "Vaginal birth is the essence of femininity to most women. It biologically and physically links all women. It is also an expression of a woman's sexuality." (Why Choose Vaginal Birth) Another reason that women would rather have a vaginal birth is because, "from a psychological standpoint, women who go through with a vaginsl delivery are said to have a more positive birthing experience." (Vaginal Delivery vs C-Section) There are several positives for the baby in a vaginal delivery. One positive is, "during a vaginal delivery, muscles involved in the process are more likely to squeeze out fluid found in a newborns lungs." (Nierenberg) "Babies born via vaginal delivery tend to

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.

Not too long ago, the term Cesarean Section would strike fear into the heart's of expecting mothers because of the number of risks involved with the surgery and not to mention the ghastly scar it leaves behind. Today, however, physicians give their patients the option to go through with natural delivery or chose a natural delivery. This may be due to the increase in celebrity trends or because women are having babies later in life and advanced maternal age comes into play when making the decision. Regardless of the increase of this type of delivery, one thing remains true, it is surgery and the

Yanari is a 39yo, G6 P5005, who was seen for an ultrasound evaluation and consultation for AMA. The patient is currently 39 and will be 40 at the time of her EDD. This will be discussed further below. She does have a history of gastroesophageal reflux disease as well as a gastric ulcer but is asymptomatic in that regard at the present time. She has had 5 previous term deliveries, the first 3 being in Mexico and the last 2 in North Carolina; all by cesarean delivery. She desires a tubal ligation. On today’s assessment, she has no complaints and has positive fetal movement.

The patient had a spontaneous vaginal delivery, and did not require use of forceps or vacuum extraction. During delivery, the patient did not experience an episiotomy, perineum lacerations, or C-section incisions so she did not require any sutures.

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.