Vaginal birth after caesarean section

Women are offered the choice of vaginal birth or elective repeat caesarean section as although the absolute risks of major morbidity or mortality are lower with elective repeat caesarean in the short term, the risks of multiple caesareans such as invasive placental disorders and intra-abdominal adhesion formation, increase with the number of caesareans performed. Guiding patients in the clinic through this decision making process can be challenging but the use of a checklist can be of help. The most pertinent risk of vaginal birth after caesarean section is uterine rupture as it can give little warning to the clinician and can be catastrophic to mother and baby.

Source: Obstetrics, Gynaecology and Reproductive Medicine - June 17, 2021 Category: OBGYN Authors: Alistair Ward, Nicole Roberts Tags: Review Source Type: research