Although TOLAC is appropriate for many women with
a history of a cesarean delivery, several factors increase the likelihood of a failed trial of labor, which compared with VBAC, is associated with increased maternal and perinatal morbidity (3 — 5).
Some women with
a history of a cesarean delivery will require delivery of a subsequent pregnancy during the second trimester.
Similarly, women with
a history of cesarean delivery performed because of dystocia have a lower likelihood of VBAC if the current birth weight is greater than that of the index pregnancy with dystocia (80).
No woman will be forced or coerced into a repeat cesarean just because she has
a history of cesarean birth;
All the models were adjusted for maternal race or ethnic group, parity, insurance status (for cesarean delivery), extent of prenatal care, maternal age and education,
history of cesarean delivery, and a composite of maternal conditions associated with an increased medical risk (chronic hypertension, gestational hypertension, preeclampsia, eclampsia, prepregnancy diabetes, or gestational diabetes).
We used multivariable logistic - regression models to adjust for potential confounders, including maternal race or ethnic group (non-Hispanic white vs. other), parity (nulliparous vs. multiparous), insurance status (public or none vs. other), extent of prenatal care (≥ 5 visits vs. < 5 visits), advanced maternal age (≥ 35 years vs. < 35 years), maternal education (> 12 years vs. ≤ 12 years), history or
no history of cesarean delivery, and a composite marker of conditions that confer increased medical risk.
The association of placenta previa with
history of cesarean delivery and abortion: a metaanalysis.
Not exact matches
She has a
history of complications (emergency
cesarean, although I'm guessing that she felt it was unnecessary) and zero - prenatal care (thus, no clue as to the condition
of her child) and continued through a week -LRB-!)
Studies also show that with a
history of previous
cesarean, seven out
of ten women or more who are allowed to labor without undue restrictions will give birth vaginally, thus ending their exposure to the dangers
of cesarean section.13
Which is why I want to call attention to what is happening in our AP community: As much as we try to be welcoming to every AP parent, there is still judgment passed among us — the woman whose birth ended in a
Cesarean, the mother who can not breastfeed, the father who came to AP later and with a
history of spanking, the lower - income families in which both parents must work, the parents who do not take their baby to bed with them, and so on.
Some other circumstances may include: a complicated pregnancy, risk
of preterm delivery, maternal illness, maternal
history of breast reduction, flat or inverted nipples, multiple births,
cesarean births, or a
history of breastfeeding difficulties.
Majority
of the women in the MANA study were low risk and have had a previous vaginal birth (and no
cesarean history).
There are many medical indications why a repeat c - section may be a safer option than a trial
of labor after
cesarean, such as a prior classical incision, prior uterine rupture or a
history of three or more
cesarean sections.
If a
cesarean birth becomes part
of your medical
history, you may want the option for a VBAC.
After identifying possible barriers to on - time starts, the following process was instituted: planned preoperative visit 1 - 2 days before scheduled
cesarean delivery, mandatory submission
of History & Physical and consent forms by the time
of the preoperative visit, and initial preparation
of the first scheduled patient for cesaren delivery by nighttime nursing before morning change
of shift.
Genital Herpes: For many years, because
of the risk
of passing herpes to the baby during delivery, women with a
history of herpes have almost always delivered by
cesarean.
Majority
of the women in the MANA study were low risk AND have had a previous vaginal birth (and no
cesarean history).
Please be aware that a
history of multiple
cesarean sections increases risk and therefore, additional fees may apply to secure additional staff for birth attendance.
This book offers a very detailed overview
of the
cesarean birth, including
cesareans in
history and mythology, the differences between inlabor, elective and emergency
cesareans, when a c - section is absolutely necessary and ways in which the rate
of cesarean deliveries can be reduced.
The medical
histories and labor characteristics
of women who had a primary
cesarean delivery also differed by parity.
Young age, instrument - assisted or
cesarean delivery, and moderate preterm delivery increased risk in women who had no
history of depression.