Vaginal borth after multiple c sections

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This decision will affect you, your baby and any future pregnancies. Unfortunately, quite a few hospitals and doctors do not support VBAC, even though the best research and professional guidelines support it in most cases. There are a number of reasons, including fear of lawsuits, insurance company restrictions and convenience of scheduled deliveries, among others. Ultimately though, the effect is the same: if you wish to use their services, you must accept surgical delivery. So what can you do? Your best approach is to become informed, clarify your goals well in advance, and then seek care that matches those goals. You will want to learn about both VBAC and repeat C-section, understand the risks and benefits of both and weigh your own values and concerns so that you can reach a decision that is best for you.

At one time, doctors believed that once a woman had a C-section, she would have to have one for all subsequent pregnancies — mainly out of concern that the scar on the uterus could rupture during vaginal childbirth. That thinking has changed, and vaginal delivery is now considered a safe option for many women who have had a past C-section. Because C-sections also carry risks and downsides — such as blood loss or infection from the procedure, and a longer hospital stay and recovery time — many women may prefer a try at labor. Still, the American College of Obstetrics and Gynecology ACOG does not currently recommend vaginal delivery for women who have had three or more C-sections, as their risk of uterine rupture has generally been thought to be higher.

Vaginal birth after one caesarean section CS is considered safe in selected women. However, women with more than one CS in low-income settings are at higher risk of complications with vaginal birth. Thus, abdominal delivery is recommended for women with more than one CS in low-income countries unlike in high-income countries.