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Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at 0.9%. [1] Rates are greater among those who have had multiple prior C-sections or an atypical type of C-section. [1] In those who do have uterine scarring, the risk during a vaginal birth is about 1 per 12,000. [1]
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). [ 2 ]
The worst-case scenario of having a niche is the chance of a uterine rupture. A uterine rupture means that the wall of the uterus, at the place of the previous cesarean section or at the place of the niche, opens up, therefore can cause stress to the baby. Having a spontaneous uterine rupture, in other words a uterine rupture without ...
A caesarean section leaves a scar in the wall of the uterus which is considered weaker than the normal uterine wall. A VBAC carries a risk of uterine rupture of 22–74/10,000. Slightly lower risk of uterine rupture in women undergoing ERCS (i.e. a section before the onset of labour). [1]
Some researchers also think the stress caused by a C-section, especially if the procedure was unplanned, might delay milk production (a.k.a. lactogenesis, or the initiation of milk production).
It increases the risk of the mother getting an infection, having uterine rupture, or having post-partum bleeding. [1] Long-term complications for the mother include obstetrical fistula. [2] Obstructed labour is said to result in prolonged labour, when the active phase of labour is longer than 12 hours. [2]
Cesarean section can lead to increased risk of complications and a significantly slower recovery. There are also many natural benefits of a vaginal delivery in both mother and baby. Various methods may help with pain, such as relaxation techniques , opioids , and spinal blocks . [ 15 ]
Symphysiotomy can be a life-saving procedure in areas of the world where caesarean section is not feasible or immediately available as it does not require an operating theatre or "advanced" surgical skills. [5] Since this procedure does not scar the uterus, the concern of future uterine rupture that exists with cesarean section is not a factor ...