Loading...

Media is loading
 

Date of Award

Spring 2023

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Lisa Akselrad

Abstract

In previous times, a mother who had a cesarean section would be advised that all future deliveries must be c-sections as well. However, there is now the possibility of having a vaginal birth after cesarean section (VBAC). VBAC is a great option to reduce the risks associated with a c-section surgery. Determining which patients would be good candidates for VBAC should be based on several factors such as the reason for her previous c-section. Complications in the previous delivery that led to a c-section can be classified as recurrent or non-recurrent complications. Mothers with a history of c-section due to a non-recurrent complication has much higher rates of successful VBAC because these complications may not occur again in future deliveries. There are also several absolute contraindications to VBAC, which should always be addressed with patients considering having a vaginal delivery after a c-section. Providers should weigh the risks and benefits of VBAC for each patient on an individual basis based on the complications that led to their c-section and how many recurrent or non-recurrent complications they have experienced.

Download

Share

COinS
 

Decision for Vaginal Birth After Cesarean Based on Indications for Previous Cesarean Deliveries

In previous times, a mother who had a cesarean section would be advised that all future deliveries must be c-sections as well. However, there is now the possibility of having a vaginal birth after cesarean section (VBAC). VBAC is a great option to reduce the risks associated with a c-section surgery. Determining which patients would be good candidates for VBAC should be based on several factors such as the reason for her previous c-section. Complications in the previous delivery that led to a c-section can be classified as recurrent or non-recurrent complications. Mothers with a history of c-section due to a non-recurrent complication has much higher rates of successful VBAC because these complications may not occur again in future deliveries. There are also several absolute contraindications to VBAC, which should always be addressed with patients considering having a vaginal delivery after a c-section. Providers should weigh the risks and benefits of VBAC for each patient on an individual basis based on the complications that led to their c-section and how many recurrent or non-recurrent complications they have experienced.