Vaginal Birth After Cesarean Delivery

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

The conclusion was ultimately reached that medical or elective induction of term women was associated with an increased risk of cesarean delivery and that estimate was determined heavily based on the Bishop Scores attained The study closes by advising that induction of labor, whether it is medical or electively induced, should be avoided because a low Bishop score means that the cervix is unripe and even with cervical ripening agents, the study showed that the risk of cesarean delivery for nulliparous women remained unchanged. Their advice is to allow the mothers to spontaneously go into labor if they have an unfavorable Bishop score because it will lower cesarean delivery rates (Vrouenraets et al. 2005). This rationale directly correlates

In many cases, a patient increases their odds of a cesarean section if they chose to be induced without causation. A study was conducted between the years of 1999 to 2000 with 3215 nulliparous women. The findings of this study showed that nulliparous women are at a significantly higher risk of needing a cesarean section if they were electively induced (Luthy et al., 2004). Multiple studies have looked at nulliparous versus multiparous women and have found that elective inductions do not look to increase the odds of a woman needing a cesarean section in multiparous women. Researchers have begun to look at other possible relationships between patients who undergo an elective induction that results in a caesarean section and they have found

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.

A concern that many women have who have undergone cesarean birth, is whether or not they can have a vaginal birth after. The answer is yes; they can have a vaginal birth, but only if the incision made was a horizontal one. The benefits are the woman ass’d with fewer blood transfusions, fewer post-partum infections and shorter hospital stays (Rose, 1). On the other hand there are many risks: the uterine may rupture, it could result in maternal and

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,

Many people enjoy the idea of planning events before they happen. Whether it’s going on vacation, getting family together for the holidays or planning the arrival of a newborn child;. The natural way for a baby to be born is through the mother’s birth canal and vagina. But, sometimes vaginal birth isn’t possible. More than ever, woman are opting to schedule childbirth electively, even though there can be serious risks and implications involved. Many who choose an elective childbirth, do have a legitimate reason as to why they made that decision. Center for Disease Control and Prevention recently reported that, “cesarean deliveries reached a record high of 32.9 percent” out of all births in the United States (National Center for

To collect information to answer my question, I searched Google Scholar, Google Scholar is a search tool that is made up of articles from scholarly resources. When searching I used the terms, “epidural”, “c-section”, and “labor to find my articles. I made specific that all articles should be published later than 1995, so that I got the most up to date articles and information. This gave me 54 results, in which I sorted through reading the abstract first. Through this process I deemed that 5 articles were likely to answer my question.

Caesarean Delivery upon request it is defined as a primary pre-labor delivery on the request of the mother in the absence of any maternal or fetal indications. Risks that are potential with a maternal requested delivery will explain that hospital stay is longer, increased risk with respiratory issues with mother and infant, and greater complications for the maternal with other pregnancies. Those complications can include rupture of the uterus, implantation problems with next pregnancy and the need for hysterectomy due to complications of prior caesarean. Potential benefits from a planned caesarean can include decrease in complications from birth, decrease in the risk of hemorrhage and transfusions from blood lost. Fewer complications from surgery and the fetal outcome from respiratory complications is decreased. According to The American College of Obstetrics and Gynecologists "The belief that the absence of maternal and fetal indications for caesarean delivery, a planned delivery is safe and appropriate and should be recommended to patients, delivery should not be performed before a gestational age of 39 weeks". (2013). The ability of maternal requested should not be available or recommended unless there is complication or effective pain management. This is also not recommended for maternal that want to have more children. The risks outweighs the benefits of maternal

Cesarean delivery rates in the United States have risen significantly in the past couple of years. According to the Centers for Disease Control and Prevention, by 2013, the percent of all deliveries by Cesarean was at 32.7%. The Centers for Disease Control and Prevention (CDC; 2013). The largest single indication contributing to this trend is the large increase in primary cesarean deliveries, which subsequently results in repeat cesarean delivery. (Elliot et al., 2012). In doing my clinical rotation in Obstetrics and Gynecology this semester, I was able to encounter post partum women who had had a Cesarean Section (C-Section)under my preceptor Dr. Rachna Bhala and most of the C-Sections I observed had subcuticular sutures.

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.

Many consider that delivering a child via vaginal birth is something any woman can do, especially in modern times. We often discount the trauma that mother or child may undergo during this time. We, in the United States, no longer think that giving birth might be a matter of life and death. However, there are countries in which this still holds true.

In the United States, cesarean delivery (CD) of newborns has increased as much as 48% since 1996 (1, 8-9). Many of these deliveries are performed by physicians for medical reasons; however, there are those performed at the request of the mother as well. There are a number of risks involved with a CD versus a vaginal delivery (VD) including neonatal depression due to the spinal anesthesia mothers receive, fetal injury due to forced delivery, and acute respiratory distress syndrome. In addition to those risks, babies born by CD are prone to other post-natal issues as well. Microbiological research has made scientists more aware of the importance the microbiome to human survival and quality of life. In fact, in the last two decades babies born

Burrows LJ, Meyn LA, Weber AM. Maternal morbidity associated with vaginal versus cesarean delivery. Obstet Gynecol (2004); 103:907–912.

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.