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February 5th, 2004
"Vaginal birth after a C-section risk morbidity and complication"
A new, four-year study presented at the February 5 Society for Maternal-Fetal Medicine''s annual meeting has found women who have vaginal birth after having Caesarean deliveries are at increased risk for maternal morbidity and serious complications that can include uterine rupture, endometriosis, transfusion or newborns who suffer brain injury from lack of oxygen.
The study included about 46,000 women at 19 academic medical centers. Of the 46,000 women, around 16,000 underwent elective, repeat Caesarean delivery without labor and 18,000 women attempted vaginal birth after Caesarean delivery. About 12,000 women had other maternal or fetal indications for a repeat Caesarean delivery.
The principal investigator and vice chairman of obstetrics and gynecology at Ohio State University Medical Center said that while the risks remain small, women that have undergone a previous Caesarean section and are considering choices for childbirth should be notified of the risks involved.