You also have the option
of an elective repeat cesarean delivery, and your provider will help you make this decision.
Timing
of elective repeat cesarean delivery at term and neonatal outcomes.
Not exact matches
Elective repeat C - sections are slightly riskier than successful VBACs, because moms are at greater risk
of infection, blood loss and organ injury.
If the probability
of successful vaginal birth after cesarean (VBAC) was less than 0.65,
elective repeat cesarean was both less costly and more effective than a trial
of labor.
Repeat and
elective CS have lower rates
of morbidity and mortality than emergent CS.
The potential risks and benefits
of both TOLAC and
elective repeat cesarean delivery should be discussed.
Accordingly, potential risks and benefits
of both TOLAC and
elective repeat cesarean delivery should be discussed, and these discussions should be documented.
Before considering the results
of any analysis, it is important to note that the appropriate clinical and statistical comparison is by intention to deliver (TOLAC versus
elective repeat cesarean delivery).
However, although TOLAC is appropriate for many women, several factors increase the likelihood
of a failed trial
of labor, which in turn is associated with increased maternal and perinatal morbidity when compared with a successful trial
of labor (ie, VBAC) and
elective repeat cesarean delivery (4 — 6).
For example, women who achieve VBAC avoid major abdominal surgery and have lower rates
of hemorrhage, thromboembolism, and infection, and a shorter recovery period than women who have an
elective repeat cesarean delivery (2, 3, 7, 9, 33).
A discussion
of VBAC early in a woman's prenatal care course, if possible, will allow the most time for her to consider options for TOLAC or
elective repeat cesarean delivery.
45 %
of American woman are interested in the option
of a VBAC, yet 92 % choose an
elective repeat cesarean instead.
The book examines: - why the research shows so little benefit for physiologic care and so little harm from medical - model management - what's behind the cesarean epidemic - what the research establishes as optimal care for initiating labor, facilitating labor progress, guarding maternal and fetal safety, birthing the baby, and promoting safety for mother and baby after the birth - the true, quantified risks
of primary cesarean surgery, planned VBAC versus
elective repeat cesarean, instrumental vaginal delivery, and regional analgesia - how the organization
of the maternity care system adversely impacts care outcomes
If a trial
of labor is not successful, you will need to undergo a
repeat cesarean delivery and will have more risk
of complications than with a planned or
elective repeat cesarean delivery.