Join Date: Feb 2005
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|"Vaginal Birth following 2 caesarean sections" V.K.Garg, E.N. Ekuma-Nkama. International journal of Gynaecology and Obstetrics (Jan.2005) 88, 53-54.
"205 women with 2 previous sections, delivered vaginally between 1997 & 2002 . 66 Vaginally (32.2%), 71 had elective C/S (34.6%), 68 had emergency C/S....Induction or augmentation of labour was not offered due to increased incidence of uterine rupture. . The complication rate was higher in the C/S group than in the VBAC2 group(19.5% v 7.4%) mean blood loss was higher in the C/S group than the vaginal group. There was no scar dehiscence or hysterectomy in either group. ......Thus, VBAC2 is reasonable and is sucessful with minimal complications if patient selection and labour management is judicious."
|"The available data show that among [women who have had more than one previous caesarean] the overall vaginal birth rate is little different from that seen in women who have had only one previous cesarean section. Successful trials of labor have been carried out on women who have had three or more previous caesarean sections."
"The rate of uterine dehiscence in women who have had more than one previous cesarean section is slightly higher than the dehiscence rate in women with only one previous cesarean, but dehiscences in the reported series tend to be asymptomatic and without serious sequelae. No data have been reported on other maternal or infant morbidity specifically associated with multiple previous cesarean sections."
"While the number of cases reported is still small, the available evidence does not suggest that a woman who has had more than one previous cesarean section should be treated any differently from the woman who has had only one cesarean section."
Great info! I'm bookmarking this page to show dh whenever we get pregnant with #3. I've had two c/s (my second was supposed to be a homebirth, long story) and while I have no qualms about plannning a homebirth next time, dh is wary. And I can't blame him, dd2's birth was very scary and traumatic for both us- emergency c/s, stroke, seizures, severe brain damage, 2 week NICU stay...he just wants us to be safe. It's hard to get him to read the information though that shows that a homebirth, or even a hospital VBAC is safer for baby and me than a repeat c/s.
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