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Re: 4th C-section Is there a chance of rupture if i delivery naturally? and.......

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Thu, 18 Mar 1999 13:24:20 -0600 (CST)


At Thu, 18 Mar 1999, Nicole Erickson wrote: >
>This will be my 4th C-section and i have several questions about this.
>1. Is there a true reason behind no more V-backs after 2nd section? or
>is it just precautionary?

The more c-sections you have had, the greater the chance of uterine rupture if you labor. Also, if you had tried to VBAC before and failed, teh chance of success is lower -- if you pushed and couldn't get baby #1 out, tehn tried again and couldn't get baby#2 out, tehn you probably won't be able to get any baby out.

> 2. How many sections can you have??

As many as you want. BUT, the risk of comp[lications increases -- more chance of bladder injury due to scarring, more chance of bleeding, more chance of placenta previa with each pregnancy.

>Have there been significant studies done on this particular part of
>delivery?

yes, studies confirm increase risk with increasing numbers of c-sections (and # of pregnancies and deliveries in general)

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe any doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor. Sorry, but personal e-mails will not be answered, due to time constraits and the desire to spend as much free time as possible with my husband and baby daughter






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