This is commonly referred to as 'vaginal birth after caesarean section' or VBAC. One of the risks associated with VBAC is rupture of the uterine scar. About one in every VBACs attempted results in rupture of the uterine scar. For those women who do have a uterine rupture, there is an increased risk of hysterectomy and stillbirth. If you have had a previous caesarean section, to make an informed decision, it is recommended that you:.
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Healthy pregnancy. Home Healthy pregnancy. Caesarean section. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. Reasons for a planned caesarean section Reasons for an unplanned caesarean section Things to consider before having a caesarean section Anaesthetic for a caesarean section Types of caesarean sections Preparing for a caesarean section During a caesarean section After a caesarean section Special care for your baby after a caesarean section Risks and complications of a caesarean section First six weeks after a caesarean section Long-term health outlook after a caesarean section Vaginal birth after caesarean section Where to get help.
Reasons for a planned caesarean section There are several reasons why you and your obstetrician may decide on a planned elective caesarean birth. These include: You have previously had a caesarean section. Your cervix opening to the womb is blocked by the placenta this is known as placenta previa.
Your baby is lying sideways transverse and is not able to be turned by the doctor. You have a twin pregnancy, with your first baby positioned bottom or feet first. You are having three or more babies. Your labour does not progress — your contractions are not strong enough and your cervix opens too slowly or not at all.
Your baby shows signs of distress or their health is being compromised. The umbilical cord, which provides important nutrients and oxygenated blood to your baby, has fallen down prolapsed through the cervix and into the vagina after your waters have broken. A health problem, such as high blood pressure, is making labour riskier for you and your baby. Anaesthetic for a caesarean section There are three types of anaesthetic you may be given so that you do not feel any pain during your operation: They include: spinal anaesthetic — the most common anaesthetic for a planned caesarean.
A needle will be inserted between the bones in your spine and local anaesthetic will be injected though the needle. This will block the pain from your chest downwards. You will be awake and able to breathe normally. As your baby is being born, you may feel tugging and pulling sensations, but no pain epidural anaesthetic — often used to lessen the pain of labour.
If you have already been given an epidural during labour, and it is working well, the epidural can be topped up for an emergency caesarean. The epidural is a plastic tube that will be inserted into a space around the lining of your spine. Local anaesthetic will be injected through the tube, which will block any pain sensation from your waist down. As your baby is being born, you may feel tugging and pulling sensations, but no pain a general anaesthetic may also be given if your baby needs to be born very quickly.
You will breathe oxygen through a mask and you will be given medicine through a drip, which will make you drowsy and put you to sleep. The more c-sections you have, the greater your risk for pregnancy complications. This is called a VBAC. There are problems with the placenta, such as placenta previa , which can cause dangerous bleeding during vaginal birth. The placenta grows in your uterus and supplies the baby with food and oxygen through the umbilical cord.
You have an infection, like HIV or genital herpes. You can pass these infections to your baby during vaginal birth. So a c-section is safer for your baby. You have a medical condition that may make vaginal birth risky, like diabetes or high blood pressure. Diabetes is when you have too much sugar in your blood. This can damage organs in your body, like blood vessels and nerves.
High blood pressure is when the force of blood against the walls of the blood vessels is too high. It can stress your heart and cause problems during pregnancy. Your baby is very large. If your baby is in a breech position, it means his bottom or feet are facing down. Some babies can be turned in the womb to move into a head-down position.
But a c-section may be safer for your baby. The umbilical cord is pinched or you have umbilical cord prolapse. This is when the umbilical cord slips into the vagina before the baby. Your baby is in distress. Your baby has certain birth defects , like severe hydrocephalus. Birth defects are health conditions that are present at birth. They change the shape or function of one or more parts of the body. Natl Vital Stat Rep. Surveillance of cesarean section deliveries, New Jersey, — Birth Berkeley, Calif.
Article Google Scholar. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. Therapeutic amnioinfusion for intrapartum fetal distress using a pediatric feeding tube.
Int J Gynaecol Obstet. ACOG G. ACOG Practice bulletin no. Short interpregnancy interval: risk of uterine rupture and complications of vaginal birth after cesarean delivery. PubMed Article Google Scholar. Elective repeat cesarean delivery versus trial of labor: a prospective multicenter study. Vaginal birth after cesarean: new insights on maternal and neonatal outcomes.
Birth After Previous Caesarean Birth. The effect of the use of a new type of partogram on the cesarean section rates. J Turk Ger Gynecol Assoc. Mathai M. The partograph for the prevention of obstructed labor. Clin Obstet Gynecol. The preterm prediction study: association of cesarean delivery with increases in maternal weight and body mass index. Patel RR. Prenatal risk factors for caesarean section. Systematic review: elective induction of labor versus expectant management of pregnancy. Ann Intern Med.
Does induction of labour increase the risk of caesarean section? A systematic review and meta-analysis of trials in women with intact membranes.
Use of labour induction and risk of cesarean delivery: a systematic review and meta-analysis. Non-clinical interventions for reducing unnecessary caesarean section. Cochrane Database Syst Rev.
FIGO position paper: how to stop the caesarean section epidemic. Improving VBAC rates: the combined impact of two management strategies. Download references. We wish to thank the Egyptian Ministry of Health for supporting this study. Additionally, the authors are grateful to Dr. The funding bodies provided feedback and technical input on the design of the study but had no role in the analysis and interpretation of the data nor in the write-up of the manuscript.
You can also search for this author in PubMed Google Scholar. SE took a lead role in analyzing the data and drafted the manuscript.
All of the authors helped interpret the findings and revised the manuscript. All authors have read and approved the final manuscript. Correspondence to Shatha Elnakib. Informed consent was obtained from each of the obstetricians interviewed in this study. Those who agreed to take part in the study were asked to sign the informed consent form before the interviews. Participants who agreed to participate but were unable or unwilling to sign were asked to give verbal consent in the presence of a witness.
Both the interviewer and the witness had to provide their signature indicating that the person has agreed to participate. Both IRB committees approved this consent protocol. For medical record data, permission was obtained from the health facility to access patients records. Throughout data abstraction, no personal identifiers were recorded; instead identification code numbers were used. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Reprints and Permissions. Elnakib, S. Medical and non-medical reasons for cesarean section delivery in Egypt: a hospital-based retrospective study. BMC Pregnancy Childbirth 19, Download citation. Received : 12 December Accepted : 14 October Published : 08 November Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative.
Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background Caesarean section CS is an important lifesaving intervention that can reduce maternal and newborn morbidity and mortality. Results A total of deliveries took place in the study hospitals during that period. Conclusion A combination of both medical and non-medical factors drives the increase in CS rates.
Background Caesarean section CS is an important lifesaving operation for both mother and child, and its use has increased dramatically over the last decade [ 1 ]. Methods Study setting A total of 13 public hospitals were selected in four governorates — one in Upper Egypt, one in Lower Egypt, and two Urban Governorates.
Full size image. Or, you may have it done because of problems during labor. Abnormal fetal heart rate. The fetal heart rate during labor is a good sign of how well the fetus is doing. Your provider will monitor the fetal heart rate during labor.
The normal rate varies between to beats per minute. If the fetal heart rate shows there may be a problem, your provider will take immediate action. This may be giving the mother oxygen, increasing fluids, and changing the mother's position. Abnormal position of the fetus during birth. The normal position for the fetus during birth is head-down, facing the mother's back. Sometimes a fetus is not in the right position. This makes delivery more difficult through the birth canal.
Problems with labor. Labor that fails to progress or doesn't progress the way it should. Size of the fetus. The baby is too large for your provider to deliver vaginally. Placenta problems. This includes placenta previa, in which the placenta blocks the cervix. Premature detachment from the fetus is known as abruption. Certain conditions in the mother, such as diabetes, high blood pressure, or HIV infection. After a C-section, a woman may not be able to have a vaginal birth in a future pregnancy.
It will depend on the type of uterine incision used. Vertical scars of the uterus are not strong enough to hold together during labor contractions, so a repeat C-section is necessary. You may have other risks that are unique to you.
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