Some women who have a history of a cesarean section are candidates for a vaginal delivery with a subsequent pregnancy. There are several reasons why you might want to try to VBAC over a repeat cesarean section including:
You may be a candidate for a VBAC if:
The success rate of VBAC is 60 – 80 percent, however you will have a better chance of succeeding if your prior cesarean section was for:
Your success rate may be lower if your prior cesarean section was for:
VBAC has risks and benefits. In the setting of a woman who has a prior low transverse scar on her uterus, there is a 1 percent risk of that scar opening in labor (uterine rupture). Uterine rupture is an emergency for both the mother and infant and requires an emergency cesarean section.
Induction of labor is more difficult in the setting of a prior cesarean section. Certain medications given to help open and soften the cervix to aid in the induction process are contraindicated in women with a prior cesarean section because they increase the risk of uterine rupture.
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