> Caesarean section and VBAC: complications in comparison

The dehiscence is when the tissue around the scar flakes leading to a opening in the uterus, in which event the può do not give clinical signs important, then più difficult to recognize but the outcomes were less severe.

The break e’ più catastrophic as può affect the part of the uterus that contracts and e’ più vascularized.

studies that reported the incidence of rupture of the uterus in VBAC have not been able to distinguish between dehiscence and rupture of the uterus.

In any case, at present, the risk of rupture of the uterus (including dehiscence) for the woman who tries to PdT is of the order of 0.5%. This means that one woman out of 200 will goà probably encounter this complication during the trial of labor.

There it is worth to mention that the dehiscence or rupture of the uterus occurs even among women who repeat caesarean section outside labor, in the order of around 0.2%.

We noticed, as in the comparison between caesarean section and repeated VBAC outcomes is maternal that fetal are much better in the second case. If a labor after cesarean results in a caesarean urgently for suspected rupture of the uterus, increases the possibilityà of complications, both maternal that fetal.

According to a recent british study with regard to the Caesarean section in general : out of ten thousand women who have a caesarean section

    the

  • 900 will have pain in the abdomen, as against 500 in the case of a childbirth via the vagina
  • the

  • 10 will have damage to the bladder, against 0.3 in the case of a childbirth via the vagina
  • the

  • 50 will need an additional intervention against 3 in the case of a childbirth via the vagina
  • the

  • 80 will need a hysterectomy (removal of the uterus) against 1 or 2 in the case of a childbirth via the vagina
  • the

  • 90 will be transferred into intensive care against 10 in the case of a childbirth via the vagina

 in addition, women undergoing caesarean section have an increased risk of:

    the

  • admissions più long
  • the

  • return to the hospital
  • the

  • death
  • the

  • infertilità
  • the

  • placenta previa in pregnancy later
  • the

  • rupture of the uterus during subsequent pregnancies

If you decide to do a trial of labor, there is great possibilityà that you will be able to have a VBAC. The statistics speak of a success variable between 50% and 95% depending on some factors that may influence positively or negatively the ability to do it.

In particular, the following conditions seem to be linked to a better chance; successful:

    the

  • one or moreù parts spontaneous past, especially when after cesarean
  • the

  • a previous TC for arrest of dilation in labor
  • the

  • a previous TC for breech presentation
  • you can add
    the

  • to be assisted by a midwife or by a doctor that they share to the full your choice
  • the

  • to perform the labor in a facility where there is a protocol shared on the VBAC

In any case, even in the absence of the facilitating factors that I have mentioned before it’s still worth it to leave that early labor and then evaluate how to proceed from the moment that any caesarean section is practiced in labor, before a real emergency, leads to real benefits for the child.

Some studies show an increased risk of death for the child in the case of a labour after caesarean section vs caesarean section elective, the risk, however, is comparable to that of a woman who faces her first childbirth.

Ivana Arena

Ivana Arena has just published the book: “After a caesarean section – How to respond to the needs of , mom and baby“. Bonomi – 13,52 euro. You can purchase it online directly from the Publisher.

GRAVIDANZA:

    the

  • health pregnancy
  • the

  • infectious Diseases in pregnancy
  • the

  • Tests in pregnancy
  • the

  • Nutrition in pregnancy
  • the

  • childbirth

caesarean section: if they are too many and Balduzzi sends the Nas, but need?

caesarean section, be the first to know

Not to give birth before 39 weeks, read because it;

chew the gum after a caesarean section?

Page updated on July 9, 2007

Similar post:  4 delicious recipes with carrots