What are the risks of attempting a vaginal birth after having a cesarean section?
The biggest reported risk of vaginal birth after a cesarean is separation of the previous scar on the uterus (dehiscence) or complete rupture of the uterus which causes significant risk to both mother and fetus. The incidence of this is between .5 to .9%. Risks with rupture include maternal hemorrhage, need for transfusion, potential hysterectomy, and severe consequences for the newborn including possible death. What are the risks of having a repeat cesarean section? The risks of a cesarean are similar to the risks of any abdominal surgery. This includes: • Hemorrhage • Infection • Operative injury to other organs (bowel or bladder). • Blood clots • Transfusion • Hysterectomy • Multiple incisions in the uterus can result in a placental problem in future pregnancies if the placenta attaches to the previous scar. How does one choose which women are more likely to be successful candidates for a vaginal birth after a cesarean? The chance of success for a vaginal birth after a cesarean in a