Not exact matches
If you've had one c - section with the typical
low - transverse
uterine incision and are considered a good candidate for VBAC, most studies estimate the risk of
rupture during labor to be less than one percent.
Examples I personally can document: a plague of deadly bacteria in the newborn nursery killing 3 previously healthy newborns, exploding the fetal lungs with too forceful dose of oxygen after birth by inexperienced doctor, crushing the skull during forceps extraction, overdose of adrenalin to newborn by a nurse, slow paging or slow response to call to resuscitate newborn, exploding the uterus (
uterine rupture) and / or placental abruption as a result of high IV dose of oxytocin in labor in a
low risk women.
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001184 Basically, risk of
uterine rupture is very
low for vbac1.
As discussed below, the risk of
uterine rupture is higher in women with other types of hysterotomies, with the exception of
low vertical incision (a vertical incision performed in the
lower uterine segment).
In addition, there has not been consistent evidence of an increased risk of
uterine rupture or maternal or perinatal morbidity associated with TOLAC in the presence of a prior
low - vertical scar.
A secondary analysis of 11,778 women from this study with one prior
low - transverse cesarean delivery showed an increase in
uterine rupture only in women undergoing induction who had no prior vaginal delivery (1.5 % versus 0.8 %, P =.02).
Although some have questioned the safety of offering TOLAC under these circumstances, two case series, both from large tertiary care facilities, reported rates of VBAC success and
uterine rupture similar to those of women with a documented prior
low - transverse
uterine incisions (90, 91).
They offer the statistics of
uterine rupture with two previous cesareans as 1.36 %, and ultimately state that provided the woman is fully informed of the increased risk and has undergone an individual risk assessment with her provider, then planned VBAC may be supported in women with two or more previous
lower segment cesarean deliveries (NICE, 2015).
The risk of
uterine rupture appears to be inversely related to the length of time between deliveries (the longer the interval between deliveries, the
lower the risk of
rupture).
According to the American College of Obstetricians and Gynecologists (ACOG), if you had a previous cesarean with a
low transverse incision, the risk of
uterine rupture in a vaginal delivery is.2 to 1.5 %, which is approximately 1 chance in 5001.
The risk of
uterine rupture with a previous
low transverse (sideways) cesarean delivery is less than 1percent.