Vaginal birth can be OK after multiple C-sections:
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VBAC Facts
After a cesarean, most women have two choices for future births: a
vaginal birth after cesarean (VBAC) or a repeat cesarean section (RCS).
There is a lot of misinformation about these two options. Let’s review
some quick facts.
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ICAN
The
International Cesarean Awareness Network, Inc. (ICAN) is a
nonprofit organization that was founded by Esther Booth Zorn and many
other motivated women in 1982. ICAN has now grown to over 170 chapters
throughout the United States and worldwide.
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Cesarean Rates
CesareanRates.com is a snapshot of online cesarean rate reporting in the
United States as of January 2012. The site compiles the most current
hospital-level data accessible to the public online, whether reported
directly by a state’s department of health or gathered from state
hospital association web sites via pull-down menus.
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A Woman's Guide to VBAC
In addition to examining the current evidence related to VBAC and offering recommendations for fu
ture research on this topic, the NIH panel concluded that VBAC was a "reasonable option" for most women with a cesarean section. Read more...
Cesarean Section and Birth Trauma
For many women childbirth is a joyous, fulfilling and empowering
experience. For others it can be one of the most traumatic events of
their lives. Memories of childbirth can be vivid, deeply felt, and last
many years perhaps even a lifetime.
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Emotional Healing After a Cesarean
Women’s emotional reactions and adjustment to cesarean birth vary
widely. Although some women recover fairly quickly and accept the
surgical birth as a necessary step to a healthy baby and to becoming a
mother, others experience various degrees of sadness, disappointment,
anger, violation, loss of self-esteem, guilt, depression, and sometimes
post-traumatic stress disorder (PTSD).
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C-Section by Request
Some women may prefer to have a cesarean section instead of a vaginal
birth, even without medical need. It may be appealing for both the woman
and the health care provider to consider cesarean because it helps them
plan their schedules. Some women ask for c-section because they are
worried about the pain of vaginal delivery.
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BJOG release: Do we need to revisit VBAC guidelines for women with three or more prior caesareans? New research to be published in
BJOG: An International Journal of Obstetrics and Gynaecology
has found that women with three or more prior caesareans who attempt
vaginal birth have similar rates of success and risk for maternal
morbidity as those with one prior caesarean, and similar overall
morbidity (adding vaginal births and emergency caesareans together) as
those delivered by elective repeat caesarean.
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A note about our "Resources" pages: We offer these resources as one step of your informed
decision-making process. Each mother and each circumstance are
unique. There is no one "right" way. One article or study
does not an informed decision make. Read more. Research more.
Talk openly with your carefully chosen care provider and those who will support
you. Then, make the decision that is right for you.