WOMENS-HEALTH Messages for March, 2000: Re: home birth after cesasrean

Re: home birth after cesasrean

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 31 Mar 2000 23:36:20 -0600 (CST)

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In reply to: Jessica: "home birth after cesasrean"

At Fri, 31 Mar 2000, Jessica wrote: >
>I am a healthy mother of one, and am possibly pregnant again. The only
>problems are that I had a cesarean with my first and am overwight. Is
>it safe for me to have a homebirth?

I may be flamed by members of this list, but I feel VERY strongly on this issue --- NO, NO, NO. A homebirth is not safe and should not be done with women who have had a prior cesarean. While the risk of uterine rupture in attempting labor after a c-section is in hte order of 1 - 2 %, if it occurs, IMMEDIATE evaluation and repeat cesarean is necessary to save the life of both mother and baby. this means delivery in a hospital, and not just any old haoptial, but one in which an immediate cesarean can be done if necessary.

Most likely (about 70%, depending on hte reason for the origianl c-section) you will deliver vaginally jsut fine, wiht no complications, but is it worth taking hte risk of losing your baby -- or your own life -- in order to deliver at home? Home births should only be considered by the lowest of the low risk, and you are not in that category.

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

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

PRIVATE E-MAILS WILL NOT BE ANSWERED! My daughter deserves some of my very limited free time!

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