Vaginal birth OK after multiple C-sections

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... Women who attempt vaginal childbirth after having several babies by cesarean section may not have a greater risk of complications than women who've had only one prior C-section ...

... 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.

... 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.

In the new study ... researchers found that women with at least three prior C-sections showed no increased risk of uterine rupture during vaginal delivery.

In fact, none of the 89 women who opted to try vaginal childbirth had the complication ...

... the expected rate of uterine rupture among women with one prior C-section would be less than 1 percent ...

... The ... women who chose to ... labor also had no instances of bladder or bowel injury, or lacerations of the uterine artery ... compared with just over 2 percent of the women who had a repeat C-section ...

When it came to successful [VBAC] the chances were similar regardless of the number of prior C-sections.

[Ampngst women who had one prior caesarean, the] success rate [was] about 75 percent. That rate was 80 percent among women with a history of three or more C-sections ...

Research has been around for several years now about the safety of VBAMC. Despite this, women still have a battle on their hands to achieve a VBAMC in the hospital system. While many hospitals support VBAC after one caesarean, successful VBAMC rates are very low. Hopefully this new research will add to the growing body of research that supports VBAMC as a safe option. I believe that VBAMC is a safer option than elective repeat caesarean. While the first caesarean is generally safe, the risks increase after two or more caesareans. The best way to achieve a VBAC or VBAMC in the hospital system is with a private midwife.

Melissa Maimann, Essential Birth Consulting 0400 418 448