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Date of Award
Spring 2024
Degree Name
Master of Medical Science (Physician Assistant)
Department
Physician Assistant; College of Health Sciences
First Advisor
Alexia Arhontakis
Abstract
Attempting a vaginal birth after a previous caesarean has been a well contested topic of debate among the obstetrical medical community. The old phrase “once a caesarean section, always a caesarean section” drove many providers to refuse a trial a labor to their patients. Even in modern times, risks of uterine rupture and other complications from vaginal deliveries leave some providers hesitant in counseling pregnant patients with previous caesarean deliveries. Repeat caesarean deliveries come with their own challenges such as increased risk of adhesions and infections. This article outlines the various risks and benefits of attempting a vaginal birth after a caesarean section compared to a repeat caesarean, as well as discusses who should be counseled as a candidate for a trial of labor. Shared decision making and evidence-based practice are the ultimate cornerstones in providers and patients choosing the appropriate delivery method.
Recommended Citation
Augustine, Amy, "Deciding Between Repeat Cesarean Delivery and a Trial of Labor" (2024). Capstone Showcase. 16.
https://scholarworks.arcadia.edu/showcase/2024/pa/16
Deciding Between Repeat Cesarean Delivery and a Trial of Labor
Attempting a vaginal birth after a previous caesarean has been a well contested topic of debate among the obstetrical medical community. The old phrase “once a caesarean section, always a caesarean section” drove many providers to refuse a trial a labor to their patients. Even in modern times, risks of uterine rupture and other complications from vaginal deliveries leave some providers hesitant in counseling pregnant patients with previous caesarean deliveries. Repeat caesarean deliveries come with their own challenges such as increased risk of adhesions and infections. This article outlines the various risks and benefits of attempting a vaginal birth after a caesarean section compared to a repeat caesarean, as well as discusses who should be counseled as a candidate for a trial of labor. Shared decision making and evidence-based practice are the ultimate cornerstones in providers and patients choosing the appropriate delivery method.