Page 18 - OB Risks - Delivering the Goods (Part Two)

SVMIC Obstetrics Risks: Delivering the Goods

appropriate institution. A thoroughly documented plan will aid

in defending and justifying the care given in the event a claim is
filed.
35

Despite VBAC being a high-risk delivery, some women choose

to attempt a trial of labor after cesarean (TOLAC). The Mayo
Clinic notes that common reasons for choosing a trial of labor

after cesarean include:

• Impact on future pregnancies: if the patient plans to have
more children, VBAC may help the patient avoid the risks

of multiple cesarean deliveries in future pregnancies.

• Lower risk of surgical complications: successful VBAC

may lessen the risk of excessive bleeding, deep vein
thrombosis, and infection, and it may decrease the risk of a

hysterectomy and injury to abdominal organs, such as the
bladder or bowel.

• Shorter recovery time: a VBAC is a shorter hospitalization

period than that of a repeat C-section. Chances are the
patient will be able to resume normal activities sooner after
VBAC than a C-section.

• Opportunity for an individualized birth plan: for some

women, it is emotionally important to experience a vaginal
delivery.
36

Regardless of a patient’s preference, not every woman is a

candidate for VBAC. According to ACOG, a woman attempting
a VBAC has a higher risk of uterine rupture than with an elective

repeat cesarean delivery. Most women who attempt a VBAC
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are successful, with the success rate ranging between 60-80

35 https://www.mayoclinic.org/tests-procedures/vbac/about/pac-20395249
36 Id.
37 Id.

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