Trial of labor after cesarean delivery TOLAC refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery VBAC. In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level. However, although TOLAC is appropriate for many women, several factors increase the likelihood of a failed trial of labor, which in turn is associated with increased maternal and perinatal morbidity when compared with a successful trial of labor ie, VBAC and elective repeat cesarean delivery. Thus, the purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and to provide practical guidelines for counseling and management of patients who will attempt to give birth vaginally after a previous cesarean delivery.
Vaginal birth after cesarean delivery: a common-sense approach
Vaginal birth after cesarean synonyms, Vaginal birth after cesarean antonyms - viveradio.info
When it comes to giving birth, we all have the same goal: Get the baby out! How we accomplish that is sometimes a personal choice and other times a medical necessity. This article reviews each birthing option , their associated healing and recovery times, and risks and complications. Typically, vaginal births result in shorter hospital stays, lower injection rates, and quicker recovery times, according to the Cleveland Clinic.
Vaginal Birth After C-Section (VBAC)
In case of a previous caesarean section a subsequent pregnancy can be planned beforehand to be delivered by either of the following two main methods:. Both have higher risks than a vaginal birth with no previous caesarean section. There are many issues which affect the decision for planned vaginal or planned abdominal delivery. There is a slightly higher risk for uterine rupture and perinatal death of the child with VBAC than ERCS, but the absolute increased risk of these complications is small, especially with only one previous low transverse caesarean section.
Vaginal birth after cesarean synonyms, Vaginal birth after cesarean antonyms - FreeThesaurus. Note: This page may contain content that is offensive or inappropriate for some readers. Related Words obstetrical delivery delivery hysterotomy.