Users' questions

How common is uterine rupture in VBAC?

How common is uterine rupture in VBAC?

While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture. Uterine rupture is rare, happening in less than 1% of women who attempt a trial of labor after cesarean.

How do you prevent uterine rupture during VBAC?

The only way to prevent uterine rupture is to have a cesarean delivery. It can’t be fully prevented during vaginal birth. A uterine rupture shouldn’t stop you from choosing vaginal birth. However, it’s important to discuss all of your options with your doctor so that you make the best decision for you and your baby.

Does risk of uterine rupture decrease after successful VBAC?

The rate of uterine rupture decreased after the first successful VBAC and did not increase thereafter: 0.87%, 0.45%, 0.38%, 0.54%, 0.52% (P=. 03). The risk of uterine dehiscence and other peripartum complications also declined statistically after the first successful VBAC.

Is VBAC always high risk?

Risks to your baby – the risk of your baby dying if you undergo VBAC is very small (two in 1000 women or 0.2%). This is no higher than if you were labouring for the first time, but it is higher than if you have an elective repeat caesarean birth (nine in 10,000 or 0.09%).

What are the risks of uterine rupture?

The most significant risk is uterine rupture, which is when the uterus tears and, if complete, can open the uterus directly into the abdominal cavity. Fetal death is common. Signs and symptoms of a uterine rupture include abdominal pain, vaginal bleeding, a tearing sensation and chest pain.

What are the risks of a VBAC?

The main risk of VBAC is for a woman’s uterus to rupture where she had her previous C-section. This can lead to a hysterectomy, blood transfusion, fetal brain damage or fetal death. These are rare complications, but they can occur.

What is an uterine rupture, and is it dangerous?

What Is Uterine Rupture? A uterine rupture is a serious event during childbirth, as it presents an emergency in the delivery room. Not only is a uterine rupture life-threatening and dangerous to mother, it is also life-threatening and dangerous to baby. When the uterine wall is compromised, a uterine rupture occurs.

Can uterine rupture cause death?

YES. Uterine rupture can lead to catastrophic hemorrhage & death. It is a risk of pregnancy anytime you’ve had previous uterine surgery (c-sections, myomectomy ), and is something you really need to discuss with your physician if you think you’re at risk. If you have risk factors, please no home delivery.