The largest birth center study shows that eighty - four percent of mothers who intended to give birth at the birth center at the start of labor did so, with an overall
vaginal birth rate of ninety - three percent.
The low emergency caesarean section rate and assisted
vaginal birth rate in our study were consistent with the low rate of caesarean section (2.8 %) recorded in the Birthplace in England Study for women who planned a homebirth, 43 and in a South Australian study (9.2 % for planned homebirths v 27.1 % for hospital births).13 A low rate of caesarean section is also consistent with studies of homebirth in the US.36
Our study found a normal
vaginal birth rate of 90 %.
It also examines cesarean section rates and spontaneous
vaginal birth rates.
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.
At the
rate C - sections are ordered, I feel lucky to have gotten a
vaginal birth like you did with Ava.
I think if mainstream advice were to prevent injury to women from
vaginal birth and to prevent brain injury and other
birth injuries to newborns, then yes, a higher c - section
rate might be part of that.
planning
birth in an obstetric unit is associated with a higher
rate of interventions, such as instrumental
vaginal birth, caesarean section and episiotomy, compared with planning
birth in other settings
They should not have a VBAC
rate lower than 70 - 80 %, if you want to maximize your chances of
vaginal birth.
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).
Every year since 1983 no fewer than one in five American women has given
birth via major abdominal surgery.22, 34 Today one in four or 25 % of women have a cesarean for the
birth of their baby.22 The
rate for first - time mothers may approach one in three.9 Studies show that the cesarean
rate could safely be halved.11 The World Health Organization recommends no more than a 15 % cesarean
rate.34 With a million women having cesarean sections every year, this means that 400,000 to 500,000 of them were unnecessary.No evidence supports the idea that cesareans are as safe as
vaginal birth for mother or baby.
They may develop postpartum depression or post-traumatic stress syndrome.9, 20,25,31 Some mothers express dominant feelings of fear and anxiety about their cesarean as long as five years later.16 Women having cesarean sections are less likely to decide to become pregnant again.16 As is true of all abdominal surgery, internal scar tissue can cause pelvic pain, pain during sexual intercourse, and bowel problems.Reproductive consequences compared with
vaginal birth include increased infertility, 16 miscarriage, 15 placenta previa (placenta overlays the cervix), 19 placental abruption (the placenta detaches partially or completely before the
birth), 19 and premature
birth.8 Even in women planning repeat cesarean, uterine rupture occurs at a
rate of 1 in 500 versus 1 in 10,000 in women with no uterine scar.27
The figures are broken down into first time mothers and mothers who have already given
birth and provide important information on the
rates of C - sections, instrumental deliveries, episiotomies and
vaginal births after Caesareans in Ireland.
C - section
rates for first time mothers varied from 22.95 % in Sligo General up to 40.15 % in St Luke's Hospital Kilkenny with both units also reporting extremely low
vaginal birth of Caesarean
rates at 0.93 % and 3.51 % respectively.
Be sure to ask specifically about
vaginal birth after cesarean (VBAC)
rates if you have had a previous c - section.
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.
Given the extent of epidural
rates these days, I wonder which would be higher, the number of women who would chose a
vaginal birth over c - section, or the number of women who chose an epidural?
We have an unfortunate record for ICU admissions this year, but the woo in our community is excited because our c - section
rate is down 3 % (nothing intentional to lower that, just part of patient variation and an inclusion of home
births as
vaginal births in our community so the c - section
rate now is a community stat instead of a hospital stat.
This concurs with the Birthplace in England study, 43 which showed a higher
rate of normal
vaginal birth when women gave
birth outside of a hospital environment.
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.
Now, check this out, they had a VBAC (
vaginal birth after cesarean) SUCCESS
RATE in 2011of... 91 %!!!!!
According to the U.S. Centers for Disease Control,
vaginal births after Cesarean (VBAC)
rates have fallen by 67 % since 1996 and U.S. hospitals are increasingly denying women the right to have VBACs, effectively forcing them into unnecessary Cesarean surgery.
The Szabos» story has a happy ending, but it shows that with the rising C - section
rate — now one in three babies is born via Caesarean — women who want
vaginal births sometimes have to fight to get them.
Water
births show a higher
rate of
births «without injuries», first and second - degree perineal lacerations,
vaginal and labial tears.
The
rates of assisted
vaginal births and cesarean sections in this study are comparable to the national data of nulliparous women from 2012 (16.4 % assisted
vaginal birth and 17.7 % caesarean section)[19].
Out - of - hospital
births were also associated with a higher
rate of unassisted
vaginal delivery and lower
rates of obstetrical interventions and NICU admission than in - hospital
births, findings that corroborate the results of earlier studies.3 - 5 These associations follow logically from the more conservative approach to intervention that characterizes the midwifery model of care8, 19 and from the fact that obstetrical interventions are either rare (e.g., induction of labor) 20 or unavailable (e.g., cesarean delivery, whether at home or at a
birth center) outside the hospital setting.
The
rate of normal
vaginal birth was 90 %.
It has led to a dramatic decrease in
rates of
vaginal breech
birth and a reduction in the obstetrical skill set needed to attend them.
The EU project, OptiBirth, which is being coordinated by Professor Cecily Begley, Trinity College Dublin, aims to increase the
rate of
vaginal births in Ireland, Germany and Italy through woman - centred care.
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.
The 2 groups of women appeared to have similar baseline characteristics: «Dyads in the intervention and control group did not differ with regard to maternal age, education, type of medical coverage, week at which prenatal care was initiated, infant gestational age at
birth, race, or
rate of
vaginal delivery».
At the hospital where I had my son, I think the
rate of c - section following attempted
vaginal birth for first - time mothers was 10 %.
But if you break down the CS
rate for a laboring patient attempting a
vaginal birth, it is generally between 18 - 23 %.
«In this sample, the
rate of postpartum hemorrhage (defined as over 500cc in a
vaginal birth and 1000 cc in a cesarean) was 15.4 %, higher than previous research has reported.
I would never purport to say that c - sections are unnecessary; but is it true that the
rate of c - sections to
vaginal births has / continues to increase?
when many hospitals have a 40 % c - section
rate... is it fair to compare only the
vaginal births?
Statistically, the highest
rate of VBAC involves women who have experienced both
vaginal and cesarean
births and given the choice, have decided to deliver vaginally.
They didn't know what was causing the drop in heart
rate, but my midwife knew from my previous
birth records that I could push a baby out fast, so she wasn't as worried as she might have been if I were a first - time mom or having my first
vaginal birth.
The biggest problem being cesarean surgery and operative
vaginal births increase when the electronic fetal monitor is used, but the babies don't do any better than babies who had their heart
rate measured every 15 minutes with a stethoscope.
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 %.
Lynch concluded «It would be helpful for this system to include more variables surrounding
birth outcomes, for example VBAC (
vaginal birth after caesarean section), maternal morbidity, setting, lead carer, use of syntocinin for augmentation of established labour and breastfeeding
rates.
Evidence has demonstrated however, that this recommendation has only led to a decline in women who plan
vaginal births after cesareans, but no improvement in neonatal or maternal mortality
rates (Zweifler and colleagues, 2006).
Having had one or more previous
vaginal births, particularly previous VBACs, is the single best predictor or successful VBAC and is associated with a planned VBAC success
rate of 85 - 90 %.
Research tells us that mothers that have doula care have lower risk of cesarean, lower
rates of pain medicine and epidurals, higher breastfeeding
rates, higher satisfaction of
birth experiences, higher
rates of
vaginal birth after cesarean.
The primary CS
rate for women who are in labor trying for a
vaginal birth is more like 12 - 19 %.
Planned out - of - hospital
birth also had a statistically significant association with higher
rates for 5 - minute Apgar scores of less than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted
vaginal delivery but with lower
rates of both admission to neonatal intensive care units and obstetrical interventions, including induction and augmentation of labor, operative
vaginal delivery, cesarean delivery, and severe perineal lacerations.
The
rate of vacuum - or forceps - assisted
vaginal birth was 1.2 % and less than 5 % of mothers required oxytocin augmentation or epidural analgesia
Any woman undergoing a VBAC (
vaginal birth after c - section) needs to understand the
rate of uterine rupture and its profound consequences on mom and baby.
But a study in two African countries found a slower
rate of dilation for many women who went on to have healthy,
vaginal births, researchers report online January 16 in PLOS Medicine.
The analysis calculated
rates of
vaginal birth of a healthy singleton at term in natural and assisted reproduction conception comparing women in the intervention (lifestyle modification) group and those in the control (prompt treatment) group according to six different subgroups: these subgroups were defined by age (over or under 36 years), cycle regularity (ovulatory or anovulatory) and body weight (above or below a BMI of 35 kg / m2).