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Vaginal birth after caesarean section 

Vaginal birth after caesarean section
Chapter:
Vaginal birth after caesarean section
Author(s):

Natalie Atere-Roberts

DOI:
10.1093/med/9780199654994.003.0017
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date: 18 August 2019

Whilst success rates are high and catastrophic consequences following vaginal birth after caesarean section (VBAC) are extremely rare, the obstetrician must be alert to the increased fetal and maternal risk associated with VBAC when compared to repeat elective caesarean section. This case, describing a case of VBAC resulting in uterine rupture, demonstrates the importance of close intrapartum monitoring using a partogram and cardiotocography, early recognition of rupture and expeditious management. Alongside the case, factors which may be use to predict successful outcome of a VBAC are discussed, as well as aspects of risk management following any adverse event. Expert commentary from the neonatologist gives insight into the management and prognosis of hypoxic-ischaemic brain injury resulting from birth trauma.

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