Births after C-Sections

Women who want a natural delivery after they've had a c-section have more medical evidence than ever that they should go for it.

Years ago Xanthe Charov had an emergency cesarean section? Now 40 weeks pregnant with her second child she envisions a much different birth plan.

“Going into labor, and sort of the whole progression through the final outcome,” said Charov.

Charov wants what's called vbac--vaginal birth after c-section according to the American College of Obstetricians and Gynecologists 60- 80 percent of appropriate candidates who had a previous c-section can have a natural delivery.

“With the right person and a women that wants to, vbacs should be offered, and it's considered to be pretty safe,” said Dr. Jacques Moritz.

But patient fears coupled with insurance companies restrictions on doctors have kept the vbac rate low--and medical experts say that is part of the reason the c-section delivery rate in the U.S. has sky-rocketed.

In the past 40 years---its gone from 5 percent in 1970 to more than 31 percent in 2007.

Some doctors have had ligitimate concerns about vbac--because there can be complications.

Dr. Moritz said,”The major risk of a vbac is the uterus rupturing. Now, that's really scary, and it's scary for the patient, and it's scary for the doctor, trust me. That happens in about one percent of the time.”

Women who have had big babies or are diabetic might require another cesarean. They also might need one if they go past their due dates. That's because it's too risky to induce.

Doctors say even women who have had 2 c-sections could be good candidates for natural delivery.


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