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Vaginal birth after cesarean pitocin

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Consequently, more and more pregnant mothers who previously delivered a child by cesarean section were confronted with the question of whether it was reasonably safe to attempt a vaginal delivery, or have another cesarean delivery, in their subsequent pregnancies. According to ACOG, a successful VBAC carried benefits of safety -- by eliminating the risks of surgery -- and economy -- by eliminating costs of cesarean delivery and extended postoperative stays. Unfortunately, VBAC carries a number of grave and potentially fatal risks, many of which are not fully explained or discussed with the pregnant mother. In such cases, maternal and fetal death, or fetal asphyxia and long-term neurologic impairment, are common consequences, particularly in those cases where medical personnel fail to appreciate the risk of uterine rupture or fail to act expeditiously when a uterine rupture occurs. Because of these substantial risks and their dire consequences, many experienced and careful obstetricians have questioned whether VBAC is an appropriate and reasonably safe mode of delivery for many patients who have had prior cesarean deliveries. Unfortunately, perhaps as a result of inexperience or the economic pressures imposed by insurers and third-party payors, many obstetricians encourage their pregnant patients to undergo VBAC deliveries and fail adequately to appraise them of the reasonably foreseeable risks and alternatives, including repeat cesarean delivery.
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Vaginal Birth After Cesarean (VBAC) | Cigna

If you have had a cesarean delivery also called a C-section before, you may be able to deliver your next baby vaginally. This is called vaginal birth after cesarean, or VBAC. Most women, whether they deliver vaginally or by C-section , don't have serious problems from childbirth. This means that you plan to go into labor with the goal to deliver vaginally. But as in any labor, it is hard to know if a VBAC will work. You still may need a C-section.
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Vaginal Birth After C-Section (VBAC)

If you have had a cesarean delivery also called a C-section before, you may be able to deliver your next baby vaginally. This is called vaginal birth after cesarean, or VBAC. Most women, whether they deliver vaginally or by C-section , don't have serious problems from childbirth. This means that you plan to go into labor with the goal to deliver vaginally. But as in any labor, it is hard to know if a VBAC will work.
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Bucklin; Vaginal Birth after Cesarean Delivery. Neither repeat cesarean delivery nor a trial of labor are without risk. Currently, cesarean delivery is the most commonly performed operation, and repeat cesarean delivery is the most common indication. Although the prevalence of vaginal birth after cesarean delivery VBAC increased after publication of the National Institutes of Health Consensus Statement on cesarean childbirth in , 1 reports of maternal and fetal complications 2—5 associated with VBAC have drawn attention to the problem of uterine rupture. But while recognizing the possible difficulties this position may generate, this stand is taken in the interest of women's health and patient safety.
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