Vaginal birth after cesarean section

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Vaginal birth after cesarean section
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Shahrazad Kamil Habeeb and Raya Issa Rezqallah


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Vaginal birth after cesarean section

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20195-14658


Download the PDF file of the original publication


Summary of article contents:

1) Introduction

The rise in cesarean section (CS) rates globally has sparked concern among healthcare professionals and the public alike. As CS has evolved into a safer procedure, the consideration for vaginal birth after cesarean section (VBAC) has gained prominence as an alternative to repeat CS. Successful VBAC rates range between 70% to 75%, offering a favorable option for women who have undergone a previous cesarean delivery. Nevertheless, this mode of delivery carries inherent risks, including uterine rupture and potential adverse outcomes for both mother and infant.

2) Risks and Benefits of VBAC

VBAC presents a unique set of risks compared to repeat CS, leading to ongoing debates within obstetrics. While the likelihood of uterine rupture during VBAC ranges from 3 to 7 per 1000 pregnancies, the risk of perinatal death or major morbidity following a rupture is significantly higher than with a planned repeat cesarean. Successful VBAC yields lower risks for certain maternal complications compared to multiple cesareans, highlighting its attractiveness under specific conditions. However, healthcare providers must weigh these risks against the benefits for each individual patient, considering factors such as prior delivery methods and maternal health.

3) Factors Influencing VBAC Success

The success of VBAC attempts is influenced by various maternal and pregnancy-related factors. Predictors of successful VBAC include prior vaginal delivery, non-recurring indications for previous cesarean, and the timing of labor. Women with a history of cesarean for non-recurrent issues like malpresentation are more likely to achieve successful vaginal delivery. Conversely, factors such as advanced maternal age, obesity, and prolonged intervals between pregnancies can diminish the chances of VBAC success. The identification of these factors through thorough clinical evaluation enhances the likelihood of successful outcomes during VBAC trials.

4) Trends in VBAC and CS Rates

In recent decades, both VBAC and CS rates have undergone notable shifts, with a decline in VBAC attempts occurring alongside rising CS rates in many regions. Although guidelines and evidence suggest that VBAC remains a reasonable option, inconsistent clinical practices and patient preferences contribute to fluctuating VBAC rates. Reports indicate varying VBAC success across countries, influenced by healthcare policies, cultural attitudes, and clinical practices. These trends underscore the need for improved protocols and rigorous data collection to guide clinical decision-making around VBAC.

5) Conclusion

In conclusion, while VBAC presents a viable option for women with a history of cesarean delivery, it is critical that healthcare providers offer personalized counseling that assesses the individual risks and benefits. The decision-making process should prioritize thorough evaluations of maternal health, delivery history, and preferences, ensuring women understand the implications of their choices. Continued monitoring of VBAC outcomes and enhanced guidelines can help improve maternal and fetal safety, ultimately leading to informed and empowering decisions for expectant mothers.

FAQ section (important questions/answers):

What is the success rate of vaginal birth after cesarean (VBAC)?

Approximately 70 to 75% of women who attempt VBAC will have a successful vaginal delivery, making it a safe and appropriate choice for most women with a prior cesarean delivery.

What are the main risks associated with VBAC?

VBAC carries risks such as uterine rupture, hemorrhage, and increased emergency cesarean deliveries. For infants, there is a risk of asphyxia or perinatal death.

How do VBAC rates vary globally?

VBAC rates vary significantly; in developed countries, they range from 9.6% to 52.2%. The rates are influenced by numerous factors including clinician practices and patient preferences.

What factors influence the success of VBAC?

Successful VBAC depends on factors such as prior vaginal birth, cervical dilation, maternal age, and the reason for the previous cesarean delivery.

What are the risks of elective repeat cesarean section (ERCS)?

Risks of ERCS include surgical complications, placenta previa, and increased risk of hysterectomy. These can lead to additional maternal morbidity in future pregnancies.

Should labor be induced in women attempting VBAC?

Induction of labor should be avoided due to increased risks of uterine rupture. If necessary, careful monitoring and a favorable cervix are important for safety.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Vaginal birth after cesarean section”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Labour (Labor):
Labor refers to the process of childbirth, encompassing the physiological experience of uterine contractions that facilitate the delivery of a baby. Understanding labor is crucial when considering modes of delivery after a cesarean section (CS) as it significantly influences the outcomes and choices surrounding vaginal birth after cesarean (VBAC).

2) Birth:
Birth signifies the act of delivering a child from the mother’s womb. It is a significant event in maternal and neonatal health, with factors such as mode of delivery (VBAC or CS) impacting both maternal and infant well-being. An informed choice regarding birth methods can lead to safer outcomes for both parties.

3) Death:
Death in the context of obstetrics, particularly related to VBAC and CS, refers to neonatal morbidity and mortality associated with different delivery methods. Maternal and perinatal death risks are considered when discussing planned VBAC outcomes versus elective repeat cesarean sections, influencing clinical decisions in obstetric care.

4) Study (Studying):
The term study relates to the systematic investigation of VBAC and CS outcomes, which provides evidence for practitioners to guide shared decision-making. Studies offer insights into risk factors, success rates, and complications associated with cesarean deliveries, ultimately shaping the clinical practice guidelines in obstetric care.

5) Blood:
Blood is significant in maternity care, particularly concerning complications such as hemorrhage or the need for transfusion during or after childbirth. Understanding the risks associated with VBAC and CS regarding blood loss is vital for ensuring maternal safety and effective management of potential obstetric emergencies.

6) Measurement:
Measurement pertains to the assessment of various factors related to VBAC and CS, such as uterine scar thickness, fetal weight, and cervical status. Accurate measurements can help predict outcomes and risks associated with labor trials after cesarean delivery, aiding clinicians in making informed decisions for patient care.

7) Activity:
Activity is relevant to the dynamics of labor, including uterine contractions and the overall physiological processes during childbirth. Monitoring activity during labor is essential for evaluating the progression of labor, especially for women attempting a VBAC, as it influences decisions regarding intervention or surgical delivery.

8) Incision:
Incision refers to the surgical cut made during cesarean delivery, critically influencing the risk of complications in subsequent deliveries. The type (e.g., classical or low transverse) determines the likelihood of uterine rupture during a trial of labor and is a key factor in assessing eligibility for VBAC.

9) Fever:
Fever in the obstetric context may indicate infection or complications that could affect the decision for mode of delivery post-cesarean. Maternal fever during previous cesarean sections may be linked to an increased risk of uterine rupture in subsequent pregnancies, impacting VBAC safety assessments.

10) Discussion:
Discussion refers to the clinical conversations surrounding the risks and benefits of VBAC versus CS. Effective discussion between healthcare providers and patients is essential for informed decision-making, ensuring that women understand the potential outcomes and risks relevant to their circumstances and preferences.

11) Developing:
Developing indicates the evolving nature of cesarean and VBAC rates in healthcare contexts, highlighting the importance of ongoing research and adaptation of clinical guidelines. Monitoring these rates helps address challenges in maternal care and informs public health strategies to optimize outcomes for mothers and infants.

12) Antibiotic (Antibacterial):
Antibiotics are vital in managing infections following cesarean sections, with implications for maternal recovery and overall health. The availability and use of antibiotics significantly reduce morbidity associated with surgical deliveries, making them an important consideration in counseling women on delivery methods and associated risks.

13) Knowledge:
Knowledge encompasses understanding the risks, benefits, and realities surrounding cesarean and VBAC delivery methods. Patients equipped with thorough knowledge can make informed choices, which is crucial in the shared decision-making process about their upcoming deliveries, enhancing both safety and satisfaction with the birth experience.

14) Relative:
Relative pertains to the comparative assessment of risks associated with various delivery methods. Understanding relative risks helps clinicians and patients weigh VBAC against elective repeat cesarean section outcomes, ensuring discussions are backed by evidence and align with patient preferences and health considerations.

15) Pregnant:
Pregnant refers to women expecting to deliver a child, a critical population in obstetric practice. The health and preferences of pregnant women directly influence clinical guidelines and recommendations regarding delivery methods, particularly in terms of risks associated with previous cesarean sections and subsequent deliveries.

16) Quality:
Quality pertains to the standard of care provided during childbirth. Addressing quality in obstetric practices means ensuring that both VBAC and CS options are safe, adequately researched, and evidence-based, optimizing maternal and neonatal outcomes and enhancing the overall childbirth experience for families.

17) Account:
Account refers to the need for thorough evaluations of individual patient histories and circumstances before deciding on VBAC versus CS. Taking each patient's account of previous deliveries, health status, and personal preferences into consideration ensures a tailored approach in obstetric care that maximizes patient safety.

18) Anxiety:
Anxiety in pregnant women considering VBAC often arises from fears of complications and past experiences. Addressing anxiety through effective counseling and support can empower women, fostering a more positive outlook towards their delivery options and decision-making processes regarding their childbirth experiences.

19) Family:
Family considerations influence obstetric choices, particularly in discussions around VBAC and future pregnancies. Women’s plans for family size and their emotional readiness for subsequent births may impact their preferences for delivery methods, highlighting the importance of individualized care and counseling in obstetrics.

20) Reason:
Reason pertains to the underlying motivations behind a woman's choice between VBAC and elective repeat cesarean sections. Understanding these reasons, including personal experiences and medical histories, can guide clinicians in presenting options that align with women’s values and familial circumstances.

21) Table:
Table refers to the systematic representation of data regarding VBAC and CS outcomes, including success rates and risk factors. Utilizing tables in studies aids in conveying complex information clearly, enhancing understanding and enabling informed decision-making for clinicians and patients alike.

22) Raya:
Raya refers to one of the authors of the reviewed study, representing the collaborative effort in researching and presenting data on VBAC and CS. The contributions of authors like Raya are pivotal in advancing knowledge in obstetric practices and developing guidelines for safer delivery methods.

23) Sign:
Sign encompasses the indicators of potential complications during labor or delivery, such as uterine rupture. Recognizing signs is crucial for medical professionals to intervene appropriately during VBAC attempts, ensuring timely responses to safeguard maternal and neonatal health throughout the childbirth process.

24) Tear:
Tear refers to the physical injuries that might occur during childbirth, either from vaginal delivery or surgical procedures. Understanding the risks of perineal tears associated with both VBAC and CS is essential in counseling patients about their delivery options and the importance of post-delivery recovery.

25) Pur:
Poor signifies unfavorable outcomes related to childbirth, such as complications for mother or neonate. Keeping in mind potential poor outcomes drives the need for careful risk assessment and counseling for women contemplating VBAC or CS, ensuring informed decisions are made regarding their care.

26) Male:
Male refers to the sex of the infant, which can be a factor in deciding the mode of delivery. Various studies have shown that male infants may carry different risks during delivery, making it vital to consider fetal sex when evaluating the likelihood of a successful VBAC.

Other Science Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Vaginal birth after cesarean section’. Further sources in the context of Science might help you critically compare this page with similair documents:

Cesarean Section, Fetal weight, Clinical Practice, Risk factor, Patient Preference, Uterine rupture.

Like what you read? Consider supporting this website: