But having
risks in a vaginal birth does not erase the risks of cesarean birth, which are also higher for breech babies than for vertex babies.
Not exact matches
And then they pay for it,
in a high rate of infection of the incision, extended recovery and pain
in comparison to
vaginal birth,
risks of injury to the baby, greater difficulty initiating breastfeeding, and greater
risks of breathing problems
in the babyâ $» and finally
in a loss of insurance coverage.
Putting many MANY studies together has been done, and going
in for a repeat c - section with my fourth baby knowing that I had a more than 3-fold increased
risk of dying on the table than if I was attempting a
vaginal birth after 3 previous c - sections was hard to deal with.
I really do not care if a woman wants to squat out a baby
in the comfort of her home — I care that she is doing so as an act of informed free will and that she has been apprised of the
risks of doing so (including the
risks of 3 times or more the mortality rate for her baby compared to hospital
birth and the
risks of planned
vaginal delivery
in general).
Women run 5 to 7 times the
risk of death with cesarean section compared with
vaginal birth.14, 29 Complications during and after the surgery include surgical injury to the bladder, uterus and blood vessels (2 per 100), 30 hemorrhage (1 to 6 women per 100 require a blood transfusion), 30 anesthesia accidents, blood clots
in the legs (6 to 20 per 1000), 30 pulmonary embolism (1 to 2 per 1000), 30 paralyzed bowel (10 to 20 per 100 mild cases, 1
in 100 severe), 30 and infection (up to 50 times morecommon).1 One
in ten women report difficulties with normal activities two months after the
birth, 23 and one
in four report pain at the incision site as a major problem.9 One
in fourteen still report incisional pain six months or more after delivery.9 Twice as many women require rehospitalization as women having normal
vaginal birth.18 Especially with unplanned cesarean section, women are more likely to experience negative emotions, including lower self - esteem, a sense of failure, loss of control, and disappointment.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal
vaginal births of 77 %, with 35 % of women having a home
birth.23 A review of care for women at low
risk of complications has shown that continuity of midwifery care is generally associated with lower intervention rates than standard maternity care.24 Variation
in normal
birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
Although unforeseen events and emergencies can occur
in any
birth setting, some of which can be best handled
in a high
risk hospital, a low
risk healthy woman entering the typical U.S. hospital expecting a normal
vaginal birth is subjected to a routine barrage of procedures and interventions that dramatically increase the
risk of complications and problems, with potentially longstanding physical and emotional ramifications for both mother and baby.
Someone, probably, will say seriously, that it's ONLY the homebirth midwives who are respecting a woman's right to a
vaginal breech, twin, or post dates
birth at home, and HER right to the lower rate of intervention at home trumps the mythical rights of the baby, and that since it's the sisters
in chains that are taking back a woman's right to physiologic
birth where SHE wants it that IF there is an increased
risk to the baby it's the mother's right to take that
risk.
Yet time and time again I have read and written about homebirth loss mothers praising deadly midwives, praising the «experience» of a
vaginal birth of a dead child, refusing to cooperate
in disciplining the midwife responsible, advocating for more «freedom» for homebirth midwives, and, most grotesque of all, choosing to
risk their next child's life by having a homebirth.
The
risks to the mother and baby are much higher
in a cesarean
birth than
in a
vaginal birth, Maiman said.
Take home: If you are a 100 % low
risk mom
in the UK who has already had at least 1 prior
vaginal birth that went off without any complications, and you get full - spectrum pre-natal care, and you have 2 midwives attend your
birth, it is a reasonable option to consider and your chance of a c - section is lower.
If a woman is only having 1 - 2 children, scheduled c - section and planned
vaginal birth are approximately equal
in risk for both mother and child.
Majority of the women
in the MANA study were low
risk and have had a previous
vaginal birth (and no cesarean history).
The
risk of perineal damage
in vaginal birth is extremely small if forceps, vacuum extractor, and episiotomy aren't used.
Because elective Caesareans occurred only
in the «intended a hospital
birth» group, their inclusion
in this analysis would have artificially inflated the
risk of PPH for hospital
births, because elective Caesareans tend to be performed
in response to fears about the safety of
vaginal delivery, eg if the foetus is malpresented.
And a premature baby comes with its own set of
risk factors, as does having a Caesarean section, which women with malformations typically opt for
in lieu of a more complicated
vaginal birth.
We used reliable methods to assess the quality of the evidence and looked at seven key outcomes: preterm
birth (
birth before 37 weeks of pregnancy); the
risk of losing the baby
in pregnancy or
in the first month after
birth; spontaneous
vaginal birth (when labour was not induced and
birth not assisted by forceps; caesarean
birth; instrumental
vaginal birth (
births using forceps or ventouse); whether the perineum remained intact, and use of regional analgesia (such as epidural).
Furthermore, the report found that among women who had a
vaginal delivery at second
birth, the rate of a severe tear was 7.2 %
in women with a tear at first
birth, compared to 1.3 %
in women without, a more than five-fold increase
in risk.
One paper
in Britain claims that for a select group of very low
risk women who have had at least one successful
vaginal delivery home
birth is no more dangerous than hospital
birth.
I think the closest I've seen was the Birthplace study done
in the UK, which showed, for ultra low -
risk women
in the UK who had a previous
vaginal birth, homebirth could be almost as safe as hospital (first - time moms had higher incidences of perinatal mortality and neonatal brain injuries).
All my patients were low
risk women planning spontaneous
vaginal births, and the hospital I trained at did not offer epidurals (they brought them
in only at the very end of my training years).
In hospitals where she is «allowed» to have a VBAC, there's about a 90 % chance she'll end up with another cesarean anyway, compounding her
risks and essentially guaranteeing she'll never have a
vaginal birth.
Women
in the planned home -
birth group were significantly less likely than those who planned a midwife - attended hospital
birth to have obstetric interventions (e.g., electronic fetal monitoring, relative
risk [RR] 0.32, 95 % CI 0.29 — 0.36; assisted
vaginal delivery, RR 0.41, 95 % 0.33 — 0.52) or adverse maternal outcomes (e.g., third - or fourth - degree perineal tear, RR 0.41, 95 % CI 0.28 — 0.59; postpartum hemorrhage, RR 0.62, 95 % CI 0.49 — 0.77).
Majority of the women
in the MANA study were low
risk AND have had a previous
vaginal birth (and no cesarean history).
The primary cesarean section rate for women (low and high
risk) giving
birth in a hospital who have had a previous
vaginal birth is 11.5 %.
Although
vaginal birth with a big baby carries
risks, Cesarean surgery also carries potential harms for the mother, infant, and children born
in future pregnancies.
Recent research of home
birth data has shown a higher
risk in home VBAC for mothers who have never had a prior
vaginal birth, yet access to trial of labor
in level 1 and level 2 hospitals is lacking.
In cases of vaginal breech birth, the main risks are damage to the baby during delivery as well as the need of an emergency C - section in labo
In cases of
vaginal breech
birth, the main
risks are damage to the baby during delivery as well as the need of an emergency C - section
in labo
in labor.
Comparison 3 Midwife - led versus other models of care: variation
in risk status (low versus mixed), Outcome 3 Instrumental
vaginal birth (forceps / vacuum).
There's «high» and «moderate» evidence, respectively, that exercise during pregnancy reduces the
risk of excess weight
in babies at
birth, and doesn't boost the
risk of labor complications such as the need for induced labor or episiotomy (a surgical cut of
vaginal tissue to aid delivery).
These chronic low Vitamin D levels during pregnancy can lead to increased
risk of cesarean, preeclampsia, gestational diabetes and
vaginal infection
in the mother, and a higher
risk of autism, mental disorders, infection, low
birth weight, and heart / lung / brain problems among others.
I found that
in many other countries,
vaginal breech
birth still occurs and that when factors like fetal abnormality, uterine abnormality, etc are removed,
vaginal breech
birth carried about the same
risk as breech
birth by cesarean.
da Fonseca EB, Bittar RE, Carvalho MHB et al, «Prophylactic administration of progesterone by
vaginal suppository to reduce the incidence of spontaneous preterm
birth in women at increased
risk: A randomized placebo - controlled double - blind study,» American Journal of Obstetrics & Gynecology.
A history of antibiotics, steroids, pregnancy, recurrent
vaginal yeast infections,
birth control pills, and a diet rich
in simple carbohydrates increases the
risk of Candida overgrowth, which is present
in many people with Hashimoto's.
While many women
in New Orleans are able to successfully deliver subsequent children vaginally after a previous cesarean section delivery, the procedure has
risks, and not all women are good candidates for
Vaginal Birth After C - Section (VBAC).