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TOLAC
Trial of labor after caesarean (TOLAC) is the term for an attempted birth in a patient who has had a previous caesarean section. It may result in a successful Delivery after previous Caesarean section, VBAC (vaginal birth after caesarean) or a repeat caesarean section. In approximately 20-40% of TOLACs, a caesarean is performed. TOLAC is recommended when a patient has had one previous caesarean section using a low transverse uterine incision. The main risks of TOLAC are emergency caesarean section and uterine rupture. References [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Delivery After Previous Caesarean Section
In case of a previous caesarean section a subsequent pregnancy can be planned beforehand to be childbirth, delivered by either of the following two main methods: * Vaginal birth after caesarean section (VBAC) * Elective surgery, Elective repeat caesarean section (ERCS) 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. 60–80% of women planning VBAC will achieve a successful vaginal delivery, although there are more risks to the mother and baby from an unplanned caesarean section than from an ERCS. Successful VBAC also reduces the risk of complications in future pregnancies more than ERCS. Technique Where the woman is la ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Caesarean Section
Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mother at risk. Reasons for the operation include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. Most C-sections are performed without a medical reason, upon request by someone, usually the mother. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drain ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Uterine Rupture
Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. Symptoms, while classically including increased pain, vaginal bleeding, or a change in contractions, are not always present. Disability or death of the mother or baby may result. Risk factors include vaginal birth after cesarean section (VBAC), other uterine scars, obstructed labor, induction of labor, trauma, and cocaine use. While typically rupture occurs during labor it may occasionally happen earlier in pregnancy. Diagnosis may be suspected based on a rapid drop in the baby's heart rate during labor. Uterine dehiscence is a less severe condition in which there is only incomplete separation of the old scar. Treatment involves rapid surgery to control bleeding and delivery of the baby. A hysterectomy may be required to control the bleeding. Blood transfusions may be given to replace blood loss. Women who have had a prior rupture are generally recommended to have C-sections in subs ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
