Vbag obstetrics
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There is a risk of damage to other organs near the uterus. There is a risk of infection after surgery as well. With a vaginal delivery, blood loss is usually about 300 ml, or just over 1 cup. Blood loss with a cesarean section is typically about 700 ml, or about 3 cups. Any time an incision is made in the skin, bleeding occurs. There are always risks with a surgical procedure. What are the risks of scheduled repeat cesarean section, typically performed at 39 weeks? If rupture occurs, hysterectomy may be needed, and there is a 1 in 12 chance that baby will not survive. While uterine rupture is rare, it can be very serious for both mom and baby. If at the time of cesarean, your uterus was closed with only one layer of suture, this can increase your risk of rupture as well. In addition to induction, obesity, an unfavorable (not dilated) cervix, a large baby (greater than 9 pounds), a short time between your cesarean and your next delivery (less than 18 months), all increase the risk of rupture. If your labor is induced, the risk is estimated at 1.5%, 3 women in 200, and rises to 3% if you are induced past your due date, 6 women in 200.
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If you go into labor spontaneously, the risk is estimated at 0.5%. The risk of uterine rupture is small, however several factors can increase the chance of this complication.
#Vbag obstetrics trial#
A trial of labor after a cesarean section is sometimes abbreviated TOLAC. The most concerning risk associated with a VBAC is uterine rupture, which can happen in labor. Review these and let us know if you have more questions. Here are some frequently asked questions we hear from our patients. If your cesarean was performed at another hospital, it will be important to obtain your medical records to determine what type of uterine incision was made.
#Vbag obstetrics skin#
Your scar, or skin incision, is not always the same as your uterine incision. Typically this is because of a “classical” or up and down incision on your uterus. It is important to note that there are some instances when it is not safe for you to labor after having a cesarean.
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At Oakdale ObGyn, we support your decision to attempt a VBAC. A successful vaginal delivery after cesarean (VBAC) carries the fewest risks to both mother and baby. Like most choices in life, there are risks and benefits to each option. If you have had one or two prior cesarean deliveries, you have options for your delivery with this baby.