Studies addressing the risks and benefits of TOLAC in women with more than one cesarean delivery have reported a risk of
uterine rupture between 0.9 % and 3.7 %, but have not reached consistent conclusions regarding how this risk compares with women with only one prior uterine incision (6, 70 — 73).
Not exact matches
I considered VBAC but the OB explained that
between increased risk of shoulder dystocia and
uterine rupture, a vaginal birth would carry a higher risk of brain damage to the baby.
Between 2001 - 2005, he estimates 39 additional postpartum hemorrhages (> 3 L) and 39 additional
uterine ruptures occurred.
Another secondary analysis examining the association
between the maximum oxytocin dose and the risk of
uterine rupture (103) noted a dose — response effect
between increasing risk of
uterine rupture and higher maximum doses of oxytocin.
Few studies regarding twins have been completed, but in two small studies with only 45 women, the rates of successful VBAC and
uterine rupture did not differ significantly
between study subjects and women with singleton gestations also attempting VBAC (ACOG, 2004).
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).
Some of the signs of
uterine rupture include heavy bleeding, acute pain in -
between labor contractions, the baby receding back into the uterus during birth, as well as shock and loss of consciousness on the mother's part.