March 24, 2025
Attempting a VBAC after two Cesarean Births: Episode #173
A short story on a woman contemplating a VBAC after two Cesarean Deliveries. Vaginal birth after cesarean (VBAC) after two cesarean deliveries (VBAC-2) is considered a viable option for many women, though it carries certain risks. ...
A short story on a woman contemplating a VBAC after two Cesarean Deliveries.
Vaginal birth after cesarean (VBAC) after two cesarean deliveries (VBAC-2) is considered a viable option for many women, though it carries certain risks.
The success rate for VBAC-2 is approximately 71.1%, which is slightly lower than the success rate for VBAC after one cesarean (VBAC-1). The risk of uterine rupture in VBAC-2 is 1.36%, which is higher compared to VBAC-1 (0.72%). Additionally, the hysterectomy rate for VBAC-2 is 0.55%, compared to 0.19% for VBAC-1.
The American College of Obstetricians and Gynecologists (ACOG) supports offering VBAC-2 to women who are appropriate candidates, emphasizing the importance of individualized counseling regarding the risks and benefits.
A retrospective study found that VBAC-2 had a success rate of 76.1%, with no significant differences in neonatal outcomes compared to elective repeat cesarean delivery VBAC-2 is a viable option with a success rate of around 71.1%, but it carries a higher risk of uterine rupture and other complications compared to VBAC-1. Proper counseling and careful selection of candidates are crucial to optimizing outcomes.
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