A VBAC is a safe option, and having a VBAC at home is even better because you won't have to worry about
uterine rupture from induction drugs.
Mother had an area of
uterine rupture from the scar from the midline to the right side going down toward the cervix and uterine vessels on the right side.
Not exact matches
In other more severe cases, doctors may check to see if there is any
rupturing or separation of the placenta
from the
uterine lining.
One of most problematic causes of a failed VBAC is
uterine rupture, which is when the scar on your uterus
from your previous C - section re-opens during labor, putting you and your baby at serious risk.
A large population - based study
from Canada found that the risk of severe maternal morbidities ---- defined as hemorrhage that requires hysterectomy or transfusion,
uterine rupture, anesthetic complications, shock, cardiac arrest, acute renal failure, assisted ventilation, venous thromboembolism, major infection, or in - hospital wound disruption or hematoma ---- was increased threefold for cesarean delivery as compared with vaginal delivery (2.7 % versus 0.9 %, respectively)(7).
The guidelines used to manage the complications
from first time moms and repeat cesarean moms are also used to address
uterine rupture in VBAC moms.
It should be noted that the terms «
uterine rupture» and «
uterine dehiscence» are not consistently distinguished
from each other in the literature and often are used interchangeably.
One study found no increased risk of
uterine rupture (0.9 % versus 0.7 %) in women with one versus multiple prior cesarean deliveries (72), whereas the other noted a risk of
uterine rupture that increased
from 0.9 % to 1.8 % in women with one versus two prior cesarean deliveries (74).
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).
The incidence of
uterine rupture in physiologic birth ranges
from 0.1 - 1.2 %.
And if we opt for the VBAC, my experience will vary greatly
from the natural childbirth I experienced with my daughter, and I will need to learn how to mitigate the danger of
uterine rupture.
Apart
from surgery, an alternative treatment (which only works with open pyometra, with closed pyometra
uterine rupture is likely) is to treat with prostaglandins (as well as antibiotics) which may cause an improvement within 48 hours; treatment with prostaglandins can cause symptoms to worsen after administration but will generally cause improvement afterwards.
VBAC complications
from uterine rupture can cause an array of problems affecting your baby, including fetal distress, cerebral palsy, hypoxia and brain injury, paralysis, seizure disorders, developmental delays, and in the worst cases, stillbirth.
The most serious complication
from VBAC,
uterine rupture, occurs when scar tissue
from the previous C - section tears open, and the results can be catastrophic for both baby and mother.