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VBAC Risk Same with Single, Multiple Prior C-Sections

Vaginal birth after Caesarean section should remain an option for eligible women, report suggests

MONDAY, July 10 (HealthDay News) -- Women who have had multiple Caesarean deliveries are at no greater risk for uterine rupture when attempting a vaginal birth than those who have had only a single prior Caesarean delivery, according to a report in the July issue of Obstetrics & Gynecology. The rates of hysterectomy and transfusion are higher in women with multiple Caesarean deliveries, however.

Mark B. Landon, M.D., from the Ohio State University College of Medicine and Public Health in Columbus, and colleagues conducted a prospective multicenter observational study to compare the maternal and perinatal outcomes of women attempting vaginal birth after one or more prior Caesarean deliveries.

Uterine rupture occurred in 0.9 percent with multiple prior Caesarean deliveries compared with 0.7 percent of those with only a single prior Caesarean delivery.

"Maternal morbidity is increased with trial of labor after multiple Caesarean deliveries, compared with elective repeat Caesarean delivery, but the absolute risk for complications is small," the authors write. "Vaginal birth after multiple Caesarean deliveries should remain an option for eligible women."

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